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Teaching nutrition integration: MUST screening in cancer
Carolina Boléo-Tomé1, Mariana Chaves, Isabel Monteiro-Grillo
1Unidade de Nutriçào e Metabolismo, Faculdade de Medicina de Lisboa, Instituto de Medicina Molecular, 1649-028 Lisboa, Portugal.
The Oncologist
|January 29, 2011
Summary
Training healthcare professionals on the Malnutrition Universal Screening Tool (MUST) improved nutritional risk screening in cancer patients. Radiotherapy technicians showed high adherence, while physicians integrated weight loss data, demonstrating feasibility of systematic screening.
Area of Science:
- Oncology
- Nutrition Science
- Healthcare Education
Background:
- Routine nutritional risk screening is crucial for identifying patients needing nutrition care.
- Education is key to implementing changes in screening practices.
- Integrating tools like the Malnutrition Universal Screening Tool (MUST) into cancer care requires professional training.
Purpose of the Study:
- To train radiotherapy department health professionals in using the MUST for cancer outpatient management.
- To foster the integration of MUST screening into routine clinical practice.
- To identify which healthcare professionals were most adherent to the screening protocol.
Main Methods:
- Interactive training sessions on MUST were conducted for physicians, nurses, and radiotherapy (RT) technicians.
- Two-phase study: Phase 1 screened 200 patients, followed by a second training session and Phase 2 screening 450 patients.
- Validity assessed by comparing dietitian (standard) results with other professionals' screening data.
Main Results:
- RT technicians demonstrated the highest adherence to MUST screening (80% to 85%).
- Nurses' participation doubled (19% to 36%), and physicians increased weight loss data recording (57% to 84%).
- High concordance with dietitians was observed for RT technicians using MUST and physicians recording percentage weight loss.
Conclusions:
- Systematic cancer patient screening is feasible through proximity teaching projects.
- RT technicians are highly adherent and suitable for identifying at-risk patients.
- Physicians, while not fully adopting MUST, improved nutritional assessment by incorporating weight loss data.
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