TY - JOUR
T1 - Nutritional screening in a cancer prehabilitation programme
T2 - A cohort study
AU - Burden, Sorrel T.
AU - Bibby, Neil
AU - Donald, Kirsty
AU - Owen, Kellie
AU - Rowlinson-Groves, Kirsty
AU - French, Chloe
AU - Gillespie, Loraine
AU - Murphy, Jack
AU - Hurst, Sarah Jayne
AU - Mentha, Robert
AU - Baguley, Karly
AU - Rowlands, Ash
AU - McEwan, Karen
AU - Merchant, Zoe
AU - Moore, John
N1 - Funding Information:
We dedicate this manuscript to Mr Marc Abraham, Upper Gastrointestinal Specialist Dietitian from The Christie NHS Foundation Trust, who died in June 2019. He was one of the key dietitians involved in the nutritional component of the Prehab4Ccancer programme in Greater Manchester during the initial set‐up. The Prehab4Cancer programme is funded by Greater Manchester Cancer, UK.
Publisher Copyright:
© 2022 The Authors. Journal of Human Nutrition and Dietetics published by John Wiley & Sons Ltd on behalf of British Dietetic Association.
Funding Information:
We dedicate this manuscript to Mr Marc Abraham, Upper Gastrointestinal Specialist Dietitian from The Christie NHS Foundation Trust, who died in June 2019. He was one of the key dietitians involved in the nutritional component of the Prehab4Ccancer programme in Greater Manchester during the initial set-up. The Prehab4Cancer programme is funded by Greater Manchester Cancer, UK.
Funding Information:
We dedicate this manuscript to Mr Marc Abraham, Upper Gastrointestinal Specialist Dietitian from The Christie NHS Foundation Trust, who died in June 2019. He was one of the key dietitians involved in the nutritional component of the Prehab4Ccancer programme in Greater Manchester during the initial set‐up. The Prehab4Cancer programme is funded by Greater Manchester Cancer, UK.
Publisher Copyright:
© 2022 The Authors. Journal of Human Nutrition and Dietetics published by John Wiley & Sons Ltd on behalf of British Dietetic Association.
PY - 2023/3/31
Y1 - 2023/3/31
N2 - Background: Cancer patients are often malnourished pre-operatively. The present study aimed to establish whether current screening was appropriate for use in prehabilitation and investigate any association between nutritional risk, functionality and quality of life (QoL). Methods: This cohort study used routinely collected data from September 2020 to August 2021 from patients in a Prehab4cancer programme. Included patients were aged ≥ 18 years, had colorectal, lung or oesophago-gastric cancer and were scheduled for surgery. Nutritional assessment included Patient-Generated Subjective Global Assessment (PG-SGA) Short-Form and QoL with a sit-to-stand test. Association between nutritional risk and outcomes was analysed using adjusted logistic regression. Results: From 928 patients referred to Prehab4Cancer service over 12 months, data on nutritional risk were collected from 526 patients. Pre-operatively, 233 out of 526 (44%) patients were at nutritional risk (score ≥ 2). During prehabilitation, 31% of patients improved their PG-SGA and 74% of patients maintained or improved their weight. Odds ratios (OR) with confidence intervals (CI) showed that patients with better QoL using EuroQol-5 Dimensions (OR = 0.05, 95% CI = 0.01, 0.45, p = 0.01), EuroQol Visual Analogue Scale (OR = 0.96, 95% CI = 0.93, 1.00, p = 0.04) or sit-to-stand (OR = 0.96, 95% 0.93, 1.00, p = 0.04) were less likely to be nutritional at risk. Conclusions: Almost half of patients in Prehab4Cancer programme assessed using PG-SGA were at risk of malnutrition. However, almost half of the sample did not have their risk assessed. Patients at risk of malnutrition were more likely to have a poorer QoL and sit-to-stand test than those who were not at risk.
AB - Background: Cancer patients are often malnourished pre-operatively. The present study aimed to establish whether current screening was appropriate for use in prehabilitation and investigate any association between nutritional risk, functionality and quality of life (QoL). Methods: This cohort study used routinely collected data from September 2020 to August 2021 from patients in a Prehab4cancer programme. Included patients were aged ≥ 18 years, had colorectal, lung or oesophago-gastric cancer and were scheduled for surgery. Nutritional assessment included Patient-Generated Subjective Global Assessment (PG-SGA) Short-Form and QoL with a sit-to-stand test. Association between nutritional risk and outcomes was analysed using adjusted logistic regression. Results: From 928 patients referred to Prehab4Cancer service over 12 months, data on nutritional risk were collected from 526 patients. Pre-operatively, 233 out of 526 (44%) patients were at nutritional risk (score ≥ 2). During prehabilitation, 31% of patients improved their PG-SGA and 74% of patients maintained or improved their weight. Odds ratios (OR) with confidence intervals (CI) showed that patients with better QoL using EuroQol-5 Dimensions (OR = 0.05, 95% CI = 0.01, 0.45, p = 0.01), EuroQol Visual Analogue Scale (OR = 0.96, 95% CI = 0.93, 1.00, p = 0.04) or sit-to-stand (OR = 0.96, 95% 0.93, 1.00, p = 0.04) were less likely to be nutritional at risk. Conclusions: Almost half of patients in Prehab4Cancer programme assessed using PG-SGA were at risk of malnutrition. However, almost half of the sample did not have their risk assessed. Patients at risk of malnutrition were more likely to have a poorer QoL and sit-to-stand test than those who were not at risk.
KW - cancer
KW - cellular and physiological function
KW - disease/therapeutic areas
KW - malnutrition
KW - quality of life
UR - http://www.scopus.com/inward/record.url?scp=85135569886&partnerID=8YFLogxK
U2 - 10.1111/jhn.13057
DO - 10.1111/jhn.13057
M3 - Article
AN - SCOPUS:85135569886
SN - 0952-3871
VL - 36
SP - 384
EP - 394
JO - Journal Human Nutrition and Dietetics
JF - Journal Human Nutrition and Dietetics
IS - 2
ER -
