全球营养支持实践的分析,在接受细胞削减手术和超热腹内化疗的患者腹恶性瘤的营养支持实践
Lauren Reece1, Brendan Moran2, Suzie Ferrie1
1Department of Nutrition and Dietetics, Royal Prince Alfred Hospital, Sydney, NSW, Australia; Faculty of Medicine and Health, Central Clinical School, The University of Sydney, Camperdown, NSW, Australia.
术后营养护理对于接受细胞减小手术 (CRS) 和高温腹腔内化疗 (HIPEC) 的患者至关重要. 实践在全球范围内有所不同,这突显出需要就最佳营养支持达成共识,以改善患者的治疗结果.
科学领域:
- 在瘤学瘤学.
- 手术营养是指手术营养.
- 胃肠病学 胃肠病学
背景情况:
- 术后营养护理对于接受细胞削减手术 (CRS) 和高温腹腔内化疗 (HIPEC) 的患者至关重要.
- 在这个特定的患者群体中,对于最佳营养管理实践没有确立的共识.
- 这项研究旨在调查执行CRS和HIPEC的腹恶性瘤的国际中心,以了解当前的营养护理.
研究的目的:
- 确定执行CRS和HIPEC的中心当前的营养护理实践.
- 评估营养管理在腹膜恶性瘤患者的术后护理中的整合.
主要方法:
- 全球经验丰富的CRS和HIPEC中心分发了一份在线调查.
- 调查涵盖了临床医生/机构的人口统计,营养护理途径,手术前,手术后和出院后的营养支持.
- 分析了来自20个国家的42个国际中心的数据.
主要成果:
- 营养评估很常见 (52%的术前,86%的术后),其中79%使用了经过验证的工具.
- 术后营养支持方法存在显著差异,包括肠道和肠外营养.
- 与其他国家相比,欧洲中心的常规亲肠道和肠道营养使用率更高.
结论:
- 在全球范围内,营养护理已被纳入CRS和HIPEC管理中,但实践有很大差异.
- 这些发现揭示了合作研究的机会,以确定最佳的营养支持策略.
- 需要进一步的研究,以将营养干预与高风险CRS/HIPEC患者的改善临床结果联系起来.
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