Nutritional screening in a cancer prehabilitation programme: A cohort study
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Authors
Burden, S. T.Bibby, N.
Donald, K.
Owen, K.
Rowlinson-Groves, Kirsty
French, C.
Gillespie, Loraine
Murphy, Jack
Hurst, Sarah Jayne
Mentha, Robert
Baguley, Karly
Rowlands, Ash
McEwan, K.
Moore, J.
Merchant, Zoe
Affiliation
School of Health Sciences, Manchester Academic Health Science Centre, University of Manchester, Manchester, UKIssue Date
2022
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Background: Cancer patients are often malnourished pre-operatively. Study aims were to establish if current screening was appropriate for use in prehabilitation and investigate any association between nutritional risk, functionality and quality of life (QoL). Methods: This cohort study used routinely collected data from September 2020 to August 2021 from patients in a Prehab4cancer programme. Included patients were aged >18 years, had colorectal, lung or oesophago-gastric cancer and were scheduled for surgery. Nutritional assessment included patient generated subjective global assessment (PG-SGA) short-form and QoL with a sit-to-stand test. Association between nutritional risk and outcomes were analysed using adjusted logistic regression. Results: From 928 patients referred to Prehab4Cancer service over 12-months, data on nutritional risk were collected from 526 patients. Pre-operatively, 233 out of 526 (44%) patients were at nutritional risk (score ≥2). During prehabilitation, 31% of patients improved their PG-SGA and 74% of patients maintained or improved their weight. Odds ratios (OR) with confidence intervals (CI) showed that patients with better QoL using EuroQol-5 Dimensions (OR 0.05, 95% CI 0.01, 0.45, P=0.01), EuroQol Visual Analogue Scale (OR 0.96, 95% CI 0.93, 1.00, p=0.04) or sit-to-stand (OR 0.96, 95% 0.93, 1.00, p=0.04) were less likely to be nutritional at risk. Conclusion: Nearly half of patients in Prehab4Cancer programme assessed using PG-SGA were at risk of malnutrition. However, almost half of the sample did not have their risk assessed. Patients at risk of malnutrition were more likely to have a poorer QoL and sit-to-stand test than those who were not at risk. This article is protected by copyright. All rights reserved.Citation
Burden ST, Bibby N, Donald K, Owen K, Rowlinson-Groves K, French C, et al. Nutritional screening in a cancer prehabilitation programme: A cohort study. Journal of human nutrition and dietetics : the official journal of the British Dietetic Association. 2022 Jul 1. PubMed PMID: 35775402. Epub 2022/07/02. eng.Journal
Journal of Human Nutrition and DieteticsDOI
10.1111/jhn.13057PubMed ID
35775402Additional Links
https://dx.doi.org/10.1111/jhn.13057Type
ArticleLanguage
enae974a485f413a2113503eed53cd6c53
10.1111/jhn.13057
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