Please use this identifier to cite or link to this item:
Full metadata record
DC FieldValueLanguage
dc.contributor.authorMarshall, Kathryn M-
dc.contributor.authorLoeliger, Jenelle-
dc.contributor.authorNolte, Linda-
dc.contributor.authorKelaart, Amber-
dc.contributor.authorKiss, Nicole K-
dc.identifier.citationClinical nutrition (Edinburgh, Scotland) 2019; 38(2): 644-651-
dc.description.abstractThe prevention and management of malnutrition is increasingly recognised as a significant element of cancer care. By identifying and comparing cancer malnutrition in two large cross-sectional cancer populations, this study aims to provide a greater understanding of clinical characteristics and trajectories relating to cancer malnutrition. A multi-centre point prevalence study was conducted in Victoria, Australia at two time points (March 2012, May 2014). Adults with cancer receiving ambulatory chemotherapy, radiotherapy and multi-day inpatients were included. The presence of malnutrition was determined using Patient Generated-Subjective Global Assessment (PG-SGA). Demographic, clinical information and 30-day outcomes were collected. The study included 1677 patients in 2012 (17 sites) and 1913 patients in 2014 (27 sites). Older age, ≥5% weight loss, hospital admission and metastatic disease were factors significantly associated with malnutrition. Patients with upper gastrointestinal, head and neck and lung cancers were more likely to be malnourished. Malnutrition was associated with infection and poor outcomes at 30-days. Malnutrition prevalence reduced from 31% in 2012 to 26% in 2014 (p = 0.002). This reflects a reduction in patients with malnutrition receiving ambulatory chemotherapy, those with upper gastrointestinal or colorectal cancers and those residing in regional areas. The study has provided a comprehensive description of cancer malnutrition prevalence representative of all treatment settings, tumour types and stages of disease. This provides valuable insight into cancer malnutrition enabling oncology services to identify opportunities to embed identification and prevention strategies into models of care, resulting in improved patient outcomes and reduced health care costs.-
dc.subjectCancer treatment-
dc.subjectWeight loss-
dc.titlePrevalence of malnutrition and impact on clinical outcomes in cancer services: A comparison of two time points.-
dc.typeJournal Article-
dc.identifier.journaltitleClinical nutrition (Edinburgh, Scotland)-
dc.identifier.affiliationNutrition and Speech Pathology Department, Peter MacCallum Cancer Centre, 305 Grattan St, Melbourne, Victoria, 3000, Australia-
dc.identifier.affiliationSchool of Medicine, Dentistry and Health Sciences, University of Melbourne, Victoria, Australiaen
dc.identifier.affiliationAustin Health, Heidelberg, Victoria, Australia-
dc.identifier.affiliationVictorian Government, Department of Health and Human Services, 50 Lonsdale Street, Melbourne, Victoria, 3000, Australia-
dc.type.austinComparative Study-
dc.type.austinJournal Article-
dc.type.austinMulticenter Study-
dc.type.austinResearch Support, Non-U.S. Gov't-
Appears in Collections:Journal articles
Show simple item record

Google ScholarTM


Items in AHRO are protected by copyright, with all rights reserved, unless otherwise indicated.