Klek Stanislaw, Laviano Alessandro, Chrostek Hervé, Cardenas Diana
Surgical Oncology Clinic, Maria Skłodowska-Curie National Research Institute of Oncology-Kraków Branch, 31-115, Kraków, Poland.
Department of Translational and Precision Medicine, Clinical Nutrition Unit, Sapienza University of Rome, Sant'Andrea University Hospital, Rome, Italy.
Oncol Ther. 2025 Jul 11. doi: 10.1007/s40487-025-00358-y.
Patients with cancer are likely to be more malnourished than patients treated in other specialties, with many remaining at high nutritional risk prior to surgery or medical treatment. Malnutrition in patients with cancer can result in suboptimal clinical outcomes, and is linked to post-operative complications and reduced mortality, along with increased dose-limiting and treatment side effects. In addition, many medical treatments have gastrointestinal side effects which can further compromise the nutritional status of the patient. However, early patient assessment and proactive management of malnutrition using medical nutrition can have a positive impact on a patient's physiological parameters and functional status, while helping to support their metabolic and dietary needs during their cancer journey. A European Masterclass for Nutrition in Oncology which brought together 50 practitioners, took place on 10-11 October 2024 in Prague, Czech Republic, and aimed to provide an overview of nutrition as the cornerstone of cancer treatment, the use of nutritional prehabilitation in surgery and medical oncology, and optimization of the patient journey with nutrition, including rehabilitation. This paper provides a summary of the content presented, along with insights gained from attendees during four interactive workshop sessions.
与其他专科治疗的患者相比，癌症患者可能更容易营养不良，许多患者在手术或药物治疗前仍处于高营养风险状态。癌症患者的营养不良会导致临床结果不理想，并与术后并发症和死亡率增加有关，同时还会增加剂量限制和治疗副作用。此外，许多药物治疗会产生胃肠道副作用，这可能会进一步损害患者的营养状况。然而，早期对患者进行评估并使用医学营养对营养不良进行积极管理，可对患者的生理参数和功能状态产生积极影响，同时有助于在其癌症治疗过程中满足他们的代谢和饮食需求。2024年10月10日至11日，一场汇聚了50名从业者的欧洲肿瘤营养大师班在捷克共和国布拉格举行，其目的是概述营养作为癌症治疗的基石、营养预康复在外科和肿瘤内科的应用，以及通过营养优化患者治疗过程，包括康复。本文总结了所呈现的内容，以及在四个互动研讨会上从与会者那里获得的见解。
