Nutritional screening and assessment of paediatric cancer patients: A quality improvement project (baseline results)

Dominique Glatt1, Caoimhe Hughes1, Orlaith McCarthy1

  • 1Dietetics, Nutrition and Biological Health Sciences, Queen Margaret University, EH21 6UU, UK.

Insights

This audit assessed nutritional practices in pediatric cancer care, revealing gaps in anthropometry, screening, and biochemistry. Improvements are needed to optimize patient outcomes and nutritional support.

Area of Science:

  • Pediatric Oncology
  • Clinical Nutrition
  • Healthcare Auditing

Background:

  • The Royal Hospital for Sick Children (RHSC) in Edinburgh established specific nutritional standards for pediatric cancer patients.
  • A clinical audit was initiated to evaluate current nutritional practices against these developed standards.

Purpose of the Study:

  • To audit anthropometry, nutritional biochemistry, and malnutrition screening practices in pediatric cancer patients.
  • To identify areas for improvement in nutritional practices and enhance nutrition-related clinical outcomes.

Main Methods:

  • A clinical audit was conducted over 20 weeks between 2015 and 2017 at RHSC.
  • Data from 185 pediatric cancer patient records (inpatient, day-care, outpatient) were analyzed.
  • Practices were assessed for anthropometry, malnutrition screening, and nutritional biochemistry, with results stratified by adherence to standards.

Main Results:

  • Significant deviations from standards were found, particularly in height/weight documentation, head circumference, arm anthropometry, and malnutrition screening.
  • Initial and re-screening for malnutrition and assessment of vitamin D, A, E, B12, and parathyroid hormone levels showed deficiencies (<70% adherence).
  • Specific deficits were noted across inpatient, day-care, and outpatient settings.

Conclusions:

  • Baseline nutritional practices were established, highlighting key areas for improvement within the RHSC Pediatric Oncology and Haematology Department.
  • The findings will inform the next steps of the audit to optimize patient care and nutritional support.
Abstract

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