ESPEN practical guideline: Clinical Nutrition in cancer

被引：587

作者：

Muscaritoli, Maurizio ^{[1
]}

Arends, Jann ^{[2
]}

Bachmann, Patrick ^{[3
]}

Baracos, Vickie ^{[4
]}

Barthelemy, Nicole ^{[5
]}

Bertz, Hartmut ^{[2
]}

Bozzetti, Federico ^{[6
]}

Hutterer, Elisabeth ^{[7
]}

Isenring, Elizabeth ^{[8
]}

Kaasa, Stein ^{[9
]}

Krznaric, Zeljko ^{[10
]}

Laird, Barry ^{[11
]}

Larsson, Maria ^{[12
]}

Laviano, Alessandro ^{[1
]}

Muhlebach, Stefan ^{[13
]}

Oldervoll, Line ^{[14
,15
]}

Ravasco, Paula ^{[16
]}

Solheim, Tora S. ^{[17
]}

Strasser, Florian ^{[18
]}

de van der Schueren, Marian ^{[19
,20
]}

Preiser, Jean-Charles ^{[21
]}

Bischoff, Stephan C. ^{[22
]}

机构：

[1] Univ Roma La Sapienza, Dept Translat & Precis Med, Rome, Italy

[2] Univ Freiburg, Dept Med 1, Med Ctr, Fac Med, Freiburg, Germany

[3] Ctr Reg Lutte Canc Leon Berard, Lyon, France

[4] Univ Alberta, Dept Oncol, Edmonton, AB, Canada

[5] Ctr Hosp Univ, Liege, Belgium

[6] Univ Milan, Milan, Italy

[7] Med Univ Vienna, Div Oncol, Dept Med 1, Vienna, Austria

[8] Bond Univ, Gold Coast, Australia

[9] Norwegian Univ Sci & Technol, Trondheim, Norway

[10] Univ Hosp Ctr & Sch Med, Zagreb, Croatia

[11] Univ Edinburgh, Inst Genet & Mol Med, Edinburgh, Midlothian, Scotland

[12] Karlstad Univ, Karlstad, Sweden

[13] Univ Basel, Basel, Switzerland

[14] Univ Bergen, Ctr Crisis Psychol, Bergen, Norway

[15] Norwegian Univ Sci & Technol NTNU, Dept Publ Hlth & Nursing, Fac Med & Hlth Sci, Trondheim, Norway

[16] Univ Lisbon, Fac Med, Lisbon, Portugal

[17] Norwegian Univ Sci & Technol, Canc Clin, St Olavs Hosp, Trondheim Univ Hosp,Dept Clin & Mol Med,Fac Med &, Trondheim, Norway

[18] Cantonal Hosp St Gallen, Oncol Palliat Med, Clin Oncol Hematol, Dept Internal Med & Palliat Ctr, St Gallen, Switzerland

[19] HAN Univ Appl Sci, Nijmegen, Netherlands

[20] Wageningen Univ & Res, Wageningen, Netherlands

[21] Univ Libre Bruxelles, Erasme Univ Hosp, Brussels, Belgium

[22] Univ Hohenheim, Dept Clin Nutr, Stuttgart, Germany

来源：

CLINICAL NUTRITION | 2021年 / 40卷 / 05期

关键词：

Cancer; Cachexia; Malnutrition; Anorexia; Radiotherapy; Chemotherapy; PERCUTANEOUS ENDOSCOPIC GASTROSTOMY; QUALITY-OF-LIFE; GLUTAMINE DIPEPTIDE SUPPLEMENTATION; ACUTE GASTROINTESTINAL TOXICITY; RANDOMIZED CONTROLLED-TRIAL; TOTAL PARENTERAL-NUTRITION; ANOREXIA-CACHEXIA SYNDROME; STEM-CELL TRANSPLANTATION; PLACEBO-CONTROLLED TRIAL; TOTAL-ENERGY EXPENDITURE;

D O I：

10.1016/j.clnu.2021.02.005

中图分类号：

R15 [营养卫生、食品卫生]; TS201 [基础科学];

学科分类号：

100403 ;

摘要：

Background: This practical guideline is based on the current scientific ESPEN guidelines on nutrition in cancer patients. Methods: ESPEN guidelines have been shortened and transformed into flow charts for easier use in clinical practice. The practical guideline is dedicated to all professionals including physicians, dieticians, nutritionists and nurses working with patients with cancer. Results: A total of 43 recommendations are presented with short commentaries for the nutritional and metabolic management of patients with neoplastic diseases. The disease-related recommendations are preceded by general recommendations on the diagnostics of nutritional status in cancer patients. Conclusion: This practical guideline gives guidance to health care providers involved in the management of cancer patients to offer optimal nutritional care. (c) 2021 European Society for Clinical Nutrition and Metabolism. Published by Elsevier Ltd. All rights reserved.

引用

页码：2898 / 2913

页数：16

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