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Cancer Anorexia and Cachexia: Screening in an Ambulatory Infusion Service and Nutrition Consultation
Donna L Berry1, Traci Blonquist1, Manan M Nayak1
1Dana-Farber Cancer Institute.
Clinical Journal of Oncology Nursing
|January 20, 2018
Summary
A new screening process for cancer anorexia-cachexia syndrome in lung cancer patients successfully identified those at risk. Most identified patients were referred for nutrition services, improving care for this common condition.
Area of Science:
- Oncology
- Clinical Nutrition
- Patient Screening
Background:
- Cancer anorexia-cachexia syndrome (CACS) significantly impairs physical function and well-being in cancer patients.
- Systematic screening and timely nutrition referral for CACS are currently underutilized in clinical practice.
Purpose of the Study:
- To pilot a screening tool for CACS in lung cancer patients undergoing chemotherapy.
- To evaluate the feasibility of a nutrition referral pathway based on screening results.
Main Methods:
- Adult patients with lung malignancies completed the Anorexia/Cachexia Scale (A/CS-12) at chemotherapy initiation.
- Patients meeting a predefined risk threshold were referred for comprehensive nutrition assessment and intervention.
- A total of 90 participants were enrolled in this pilot study.
Main Results:
- 46 out of 90 participants (51%) scored in a moderate-to-severe risk category for CACS.
- 42 of the referred patients (91%) received nutrition services.
Conclusions:
- The piloted screening process effectively identified lung cancer patients at risk for CACS.
- The established pathway facilitated nutrition referrals, suggesting a viable approach to managing CACS in this population.
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