A Framework for Adapted Nutritional Therapy for Children With Cancer in Low- and Middle-Income Countries: A Report From the SIOP PODC Nutrition Working Group

被引:51
|
作者
Ladas, Elena J. [1 ,2 ]
Arora, Brijesh [3 ]
Howard, Scott C. [4 ]
Rogers, Paul C. [5 ,6 ]
Mosby, Terezie T. [7 ]
Barr, Ronald D. [8 ]
机构
[1] Columbia Univ, Div Pediat Hematol Oncol Stem Cell Transplant, Med Ctr, New York, NY 10032 USA
[2] Columbia Univ, Inst Human Nutr, Med Ctr, New York, NY 10032 USA
[3] Tata Mem Hosp, Dept Pediat Oncol, Mumbai, Maharashtra, India
[4] Univ Memphis, Sch Hlth Studies, Memphis, TN 38152 USA
[5] BC Childrens Hosp, Vancouver, BC, Canada
[6] Univ British Columbia, Vancouver, BC, Canada
[7] Mississippi State Univ, Dept Food Sci Nutr & Hlth Promot, Starkville, MS USA
[8] McMaster Univ, Dept Pediat, Hamilton, ON, Canada
关键词
adapted guidelines; international outreach; low- and middle-income countries; nutrition; nutritional status; ACUTE LYMPHOBLASTIC-LEUKEMIA; PEDIATRIC ONCOLOGY; MEGESTROL-ACETATE; SCREENING TOOL; CARE; LYMPHOMA; WEIGHT; ADOLESCENTS; STANDARDS; SURVIVAL;
D O I
10.1002/pbc.26016
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The utilization of adapted regimens for the treatment of pediatric malignancies has greatly improved clinical outcomes for children receiving treatment in low-and middle-income countries (LMIC). Nutritional depletion has been associated with poorer outcomes, increased abandonment of therapy, and treatment-related toxicities. Surveys have found that nutritional intervention is not incorporated routinely into supportive care regimens. Establishing nutritional programs based upon institutional resources may facilitate the incorporation of nutritional therapy into clinical care in a way that is feasible in all settings. We present a framework for establishing and monitoring of nutritional care based on the infrastructure of institutions in LMIC. (C) 2016 Wiley Periodicals, Inc.
引用
收藏
页码:1339 / 1348
页数:10
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