Home artificial nutrition in palliative care cancer patients: Impact on survival and performance status.

Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition
Enrico RuggeriRaffaella Pannuti

Abstract

The prevalence of malnutrition is over 70% in advanced cancer patients and impacts negatively on survival and quality of life. Artificial nutrition can be integrated into a home palliative care program. This observational study aims to describe the criteria for identifying the cancer patients that could benefit from home artificial nutrition (HAN) and to evaluate its impact on survival and performance status. The selection criteria for patient's eligibility to HAN were: Karnofsky Performance Status (KPS) ≥40, life expectancy ≥6 weeks, inadequate caloric intake ± malnutrition, suitable psycho-physical conditions and informed consent. The access route for nutritional therapy (home parenteral nutrition, HPN; home enteral nutrition, HEN) was chosen according to the ESPEN Guidelines. The parameters considered were: primary site of the tumor; oral food intake; nutritional status; stage of cachexia; fluid, energy and protein supplied by HAN; survival. From 1990 to 2019, 43,474 cancer patients were assisted at home in Bologna (Italy). HAN started in 969 patients (2.2% of total patients, 571 men and 398 women, mean age 65.7 ± 12.7 years): HPN in 629 patients (64.9%), with gastrointestinal obstruction as the main indication; HEN in 340 p...Continue Reading

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Citations

Jan 28, 2021·Nutrients·Paolo Cotogni On Behalf Of The Intersociety Italian Working Group For Nutritional Support In Cancer
Apr 4, 2021·JPEN. Journal of Parenteral and Enteral Nutrition·Dane Christina DaoudJohane P Allard
Jun 1, 2021·Surgical Oncology Clinics of North America·Ramses Saavedra, Bridget N Fahy
Jul 11, 2021·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Emanuelly Varea Maria WiegertLivia Costa de Oliveira
Aug 13, 2021·JPEN. Journal of Parenteral and Enteral Nutrition·Marcela Souza CunhaLivia Costa de Oliveira

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