Systematic nutritional screening and assessment in older patients: Rationale for its integration into oncology...

Area of Science:

• Geriatric Medicine
• Oncology
• Nutrition Science

Background:

• The global population is aging, leading to an increase in older adults diagnosed with cancer.
• Malnutrition is highly prevalent (30-80%) in older cancer patients, linked to frailty, poor treatment response, and reduced survival.
• Nutrition status is often overlooked by oncology healthcare providers despite its significance.

Purpose of the Study:

• To present the rationale for systematic nutrition screening and assessment in older adults with cancer.
• To emphasize the importance of integrating nutrition management into geriatric-oncology care.
• To advocate for patient-centered approaches to nutrition in this population.

Main Methods:

• Nutritional status evaluation involves a two-step process: screening for risk factors and in-depth assessment.
• Screening methods include weight, BMI, short questionnaires, and inquiries about weight loss.
• Geriatric assessment aids in identifying nutritional deficits and other reversible geriatric/medical issues.

Main Results:

• Evidence supports regular nutrition screening and assessment in older cancer patients.
• These measures facilitate the planning and implementation of tailored nutrition management strategies.
• Systematic evaluation enhances overall geriatric-oncology care.

Conclusions:

• Regular nutrition screening and assessment are essential for older adults with cancer.
• Integrating nutrition management improves patient-centered care and outcomes.
• Addressing malnutrition is key to optimizing treatment response and survival in geriatric oncology.