[Improving the nutritional care of oncology patients - Validation of a multidisciplinary protocol in the Spanish clinical setting].
José Manuel García AlmeidaIsabel María Cornejo ParejaRocío Fernández JiménezYolanda Lupiáñez PérezMaría José Molina GarridoCristina Abreu PadínJosé Joaquín Alfaro-MartínezM Dolores Andreu GosalbezMaría Argente PlaVanessa Arosa CarrilAna ArteroManuel Cayón-BlancoLuis Ángel Cuéllar OlmedoLaura de la Maza PeregEstrella Diego PerojoMargarita Díez-Muñiz-AliquePatricia Diezhandino GarcíaBelén Fernández de Bobadilla-PascualMaría Luisa Fernández SotoSergio Fuentes TudancaJosé Manuel Gil GascónJosé A Irles-RocamoraLucía Juan RodríguezOfelia Llamazares IglesiasFrancisco Losfablos CallauGregorio Manzano GarcíaCristian Marco-AlacidMarta Pérez CobosM ª Elena Mendoza SierraLuis Olay GayosoJosefina Olivares AlcoleaJosé Luis Pereira CunillOctavio Pérez AlonsoMaría Isabel Rebollo PérezJosé Manuel Ruiz PalomarJuan José Silva RodríguezPatricia Sorribes CarrerasBegoña Vázquez VizcaínoNing Yun Wu-XiongPublished in: Nutricion hospitalaria (2024)
Introduction: malnutrition is a very frequent problem in oncology patients and may have serious repercussions. Adequate nutritional management is cost-effective in terms of health and survival in this population, but it requires multidisciplinary coordination, specific training, and continuous follow-up. Objective: to validate the applicability and efficacy of a multidisciplinary nutritional support protocol in oncology patients. Methods: a multidisciplinary nutritional protocol was developed for oncology patients, with guidelines for screening and assessment of malnutrition, treatment, re-evaluation, and management of side effects, as well as guidance on supplementation and eating patterns. The protocol would be implemented in various clinical centers, collecting data through a structured questionnaire, registering variables before and after implementation. Results: the protocol and its impact were implemented and evaluated in 39 centers. An improvement in nutritional care was observed, evidenced by an earlier initiation of nutritional assessment and an increase in the number of patients receiving adequate care following the protocol implementation. Problems related to inadequate malnutrition coding in the centers, limited resources, and the need for greater interdepartmental collaboration were identified. Conclusions: the conduct of this study provides insights into how the implementation of a multidisciplinary nutritional support protocol can improve the nutritional care received by patients and informs about the main obstacles to adequate implementation.
Keyphrases
- healthcare
- quality improvement
- end stage renal disease
- palliative care
- randomized controlled trial
- newly diagnosed
- chronic kidney disease
- primary care
- public health
- mental health
- physical activity
- weight loss
- health information
- deep learning
- chronic pain
- big data
- clinical practice
- climate change
- health promotion
- replacement therapy