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Cancer associated malnutrition and cachexia. Clinical implications and need for clinical research

Prof. Stein Kaasa

Presentation Roadmap/ Summary

The overall aim of this presentation is to put nutritional care into a framework of the two paradigms: tumor (anticancer) centered care and patient centered care.

  • How and when to offer nutritional care?
  • Symptomatic and nutritional treatment, a part of a complex intervention?

Learning Objectives

At the conclusion of the presentation, the participant will be able to:

  1. Understand why nutritional care is important
  2. Understand that nutritional care is a part of a complex patient centered intervention
  3. Accept that patient reported outcome measure (PROMS) should be used routinely in clinical practice

Key Takeaways/ Fast Facts

  • Nutritional care needs to be targeted
  • Nutritional care needs to be a part of cancer care pathways
  • How to handle PROMS information in clinical practice

Key references

  1. Kaasa S, Loge JH, Aapro M, Albreht T, Anderson R, Bruera E, et al. Integration of oncology and palliative care: a Lancet Oncology Commission. Lancet Oncol. 2018.
  2. Basch E, Deal AM, Dueck AC, et al. Overall Survival Results of a Trial Assessing Patient-Reported Outcomes for Symptom Monitoring During Routine Cancer Treatment. JAMA 2017; 318(2): 197-8.
  3. Basch E, Deal AM, Kris MG, Scher HI, Hudis CA, Sabbatini P, et al. Symptom Monitoring With Patient-Reported Outcomes During Routine Cancer Treatment: A Randomized Controlled Trial. Journal of clinical oncology: official journal of the American Society of Clinical Oncology. 2016;34(6):557-65.
  4. Fearon K, Strasser F, Anker SD, Bosaeus I, Bruera E, Fainsinger RL, et al. Definition and classification of cancer cachexia: an international consensus. The lancet oncology. 2011;12(5):489-95.

 

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