🍎Guidelines on clinical nutrition in cancer🍎 13/04/2021
The European Society for Clinical Nutrition and Metabolism (ESPEN) launched its guideline on clinical nutrition in cancer as an app version for smartphones and tablets. The app is available for download for iOS and Android. A web-based version is available at guidelines.espen.org for free.
Nutrition plays an important role in cancer therapy. The ESPEN guideline app and the web-version are dedicated to all professionals (physicians, nurses, dieticians, nutritionists, etc.) who encounter questions regarding the use of medical nutrition or nutritional support in general during therapy and care of cancer patients.
Links to the stores:
In support of the Guidelines, here is what our Chair of the Education and Training Committee, Sergio Sandrucci, had to say:
Malnutrition is a common feature in cancer patients and is the consequence of both the presence of the tumor and the medical and surgical anticancer treatments. Malnutrition negatively impacts on quality of life and treatment toxicities, and up to 10-20% of cancer patients die for the consequences of malnutrition rather than for the tumor itself. Thus, nutrition plays a crucial role in multimodal cancer care. Robust evidence indicates that nutritional issues should be taken into account since the time of cancer diagnosis, within a diagnostic and therapeutic pathway, which should run parallel to antineoplastic treatments. However, cancer-related malnutrition Is still largely unrecognized, underestimated and undertreated in clinical practice, worldwide.
These evidence-based guidelines were developed to translate current best evidence and expert opinion into recommendations for multi-disciplinary teams responsible for the identification, prevention, and treatment of reversible elements of malnutrition in adult cancer patients.
The present practical guideline consists of 43 recommendations and is based on European Society for Clinical Nutrition and Metabolism (ESPEN) guidelines on nutrition in cancer patients. The original guideline was shortened by restricting the commentaries to the gathered evidence and literature on which the recommendations are based on, and the presentation of the recommendations was transformed into a graphical presentation consisting of decision-making flow charts wherever possible. The evidence was evaluated and merged to develop clinical recommendations using the GRADE method. All recommendations were not only based on evidence but also underwent a consensus process, which resulted in a percentage of agreement (%).
This practical guideline gives guidance to health care providers involved in the management of cancer patients to offer optimal nutritional care, and can be particularly useful in a surgical oncology setting. They also cover the special nutritional needs of patients undergoing major surgery, and of those developing severe complications despite best perioperative care.
- Sergio Sandrucci, Professor of Surgery
Surgical Oncology Unit of S. Giovanni Battista Hospital, Turin, Italy