Patients Undergoing Chemotherapy: Prior Nutritional Assessment
Autor(a) principal: | |
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Data de Publicação: | 2012 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista Brasileira de Cancerologia (Online) |
Texto Completo: | https://rbc.inca.gov.br/index.php/revista/article/view/563 |
Resumo: | Introduction: The incidence of malnutrition in cancer ranges from 40 to 80%. Their negative effects include increased toxicity to anticancer therapy, postoperative complications with worsening of clinical conditions and may interrupt the treatment. Objective: to determine the prevalence of malnutrition among patients initiating chemotherapy and associate it to primary tumor site and disease staging. Method: This was a cross-sectional and quantitative research. Data were collected from the nutritional assessment carried out by the Patient Generated Subjective Global Assessment and consultation of medical records on the first day of chemotherapy. Results: Most of the 83 individuals were female (57.4%) and were above 50 years old (75.9%). Gastrointestinal neoplasms were the most prevalent (34.9%). The majority of patients were in stage s III or IV of disease (66.3%) and palliative chemotherapy were the proposed treatment for 42.7% of them. Malnutrition affected 48% of individuals, and it was associated to decreased food intake or by enteral feeding, weight loss, poor clinical condition on physical examination, changes in functional capacity and symptoms such as anorexia and pain (p<0.001). The probability of patients with gastrointestinal neoplasms to present malnutrition was three times higher when compared to other primary sites of cancer (p=0.0012). Conclusion: Malnutrition was identified in approximately half of the patients and was associated with cancers of the gastrointestinal tract and stages III and IV; however, it was not associated with previous surgical procedure. |
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Patients Undergoing Chemotherapy: Prior Nutritional AssessmentPacientes Sometidos a la Quimioterapia: Evaluación Nutricional PreviaPacientes Submetidos à Quimioterapia: Avaliação Nutricional PréviaEstado NutricionalDesnutriçãoAvaliação NutricionalNeoplasiasQuimioterapiaEstudos TransversaisNutritional StatusMalnutritionNutrition AssessmentNeoplasmsDrug TherapyCross-Sectional StudiesEstado NutricionalDesnutriciónEvaluación NutricionalNeoplasiasQuimioterapiaEstudios TransversalesIntroduction: The incidence of malnutrition in cancer ranges from 40 to 80%. Their negative effects include increased toxicity to anticancer therapy, postoperative complications with worsening of clinical conditions and may interrupt the treatment. Objective: to determine the prevalence of malnutrition among patients initiating chemotherapy and associate it to primary tumor site and disease staging. Method: This was a cross-sectional and quantitative research. Data were collected from the nutritional assessment carried out by the Patient Generated Subjective Global Assessment and consultation of medical records on the first day of chemotherapy. Results: Most of the 83 individuals were female (57.4%) and were above 50 years old (75.9%). Gastrointestinal neoplasms were the most prevalent (34.9%). The majority of patients were in stage s III or IV of disease (66.3%) and palliative chemotherapy were the proposed treatment for 42.7% of them. Malnutrition affected 48% of individuals, and it was associated to decreased food intake or by enteral feeding, weight loss, poor clinical condition on physical examination, changes in functional capacity and symptoms such as anorexia and pain (p<0.001). The probability of patients with gastrointestinal neoplasms to present malnutrition was three times higher when compared to other primary sites of cancer (p=0.0012). Conclusion: Malnutrition was identified in approximately half of the patients and was associated with cancers of the gastrointestinal tract and stages III and IV; however, it was not associated with previous surgical procedure.Introducción: La incidencia de desnutrición en cáncer oscila de 40 a 80%. Sus Efectos negativos incluyen aumento de la toxicidad a la terapia contra el cáncer, complicaciones postoperatorias con empeoramiento de las condiciones clínicas y que pueden requerir la interrupción del tratamiento. Objetivo: Determinar la situación nutricional de los pacientes en el inicio de la quimioterapia y asociarlo con la ubicación primaria del tumor y al estadiamiento de la enfermedad. Método: La investigación fue transversal y cuantitativa. Los datos se obtuvieron de la evaluación nutricional por la Valoración Subjetiva Global Generada por el Paciente y de la consulta a la historia clínica en el primer día de la quimioterapia. Resultados: La mayoría de las 83 personas eran mujeres (57,4%) y eran mayores de 50 años de edad (75,9%). Neoplasias malignas gastrointestinales fueron más frecuentes (34,9%), y la mayoría de los pacientes presentaba la enfermedad en estadios III o IV (66,3%) y la quimioterapia paliativa fue el tratamiento propuesto para 42,7% de los individuos. La prevalencia de desnutrición fue de 48% y estuvo asociada con la reducción de la ingesta de alimentos o por alimentación enteral, a través de sonda, pérdida de peso, déficit en la prueba física, cambios en la capacidad funcional y sintomas como anorexia y dolor (p<0,001). La probabilidad de que los pacientes com neoplasias gastrointestinales presentasen desnutrición fue tres veces mayor en comparación con otros sitios primarios del cáncer (p=0,0012). Conclusión: La desnutrición identificada en casi la mitad de los pacientes se asoció con los cánceres del tracto gastrointestinal y a los estadios III y IV, pero no se ha mostrado significativa cuando se asoció com el procedimiento quirúrgico previo.Introdução: A incidencia de desnutrição no câncer varia de 40% a 80%. Seus efeitos negativos incluem maior toxicidade a terapia antineoplásica, complicações pós-operatórias com piora das condições clínicas, podendo ser necessária a interrupção do tratamento. Objetivo: Determinar o estado nutricional de pacientes no início do tratamento quimioterápico e associá-lo à localização do tumor primário e ao estadiamento da doenca. Método: A pesquisa foi transversal e quantitativa. Os dados foram coletados a partir de avaliação nutricional realizada pela Avaliação Subjetiva Global Produzida pelo Paciente e de consulta aos prontuários dos pacientes no primeiro dia de quimioterapia. Resultados: A maioria dos 83 individuos pertencia ao sexo feminino (57,4%) e tinha mais de 50 anos de idade (75,9%). As neoplasias malignas mais prevalentes foram as do trato gastrointestinal (34,9%), e a maioria dos pacientes apresentava doenca em estádios III ou IV (66,3%), sendo a quimioterapia paliativa o tratamento proposto para 42,7% dos individuos. A prevalencia de desnutrição foi de 48% e esteve associada com a ingestão alimentar reduzida ou por sonda enteral, perda de peso, deficit ao exame físico, alterações da capacidade funcional e a sintomas como anorexia e dor (p<0,001). A probabilidade de os portadores de tumores do trato gastrointestinal apresentarem deficit nutricional foi tres vezes maior quando comparado a outros sitios primarios de neoplasia (p=0,0012). Conclusão: A desnutrição identificada em aproximadamente metade dos pacientes esteve associada as neoplasias de trato gastrointestinal e aos estádios III e IV, porém não mostrou-se significativa quando associada a procedimento cirúrgico prévio.INCA2012-12-31info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos, Avaliado pelos paresapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/56310.32635/2176-9745.RBC.2012v58n4.563Revista Brasileira de Cancerologia; Vol. 58 No. 4 (2012): Oct./Nov./Dec.; 611-617Revista Brasileira de Cancerologia; Vol. 58 Núm. 4 (2012): oct./nov./dic.; 611-617Revista Brasileira de Cancerologia; v. 58 n. 4 (2012): out./nov./dez. ; 611-6172176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporhttps://rbc.inca.gov.br/index.php/revista/article/view/563/348Colling, Catiússa Duval, Patrícia Abrantes Silveira, Denise Halpern info:eu-repo/semantics/openAccess2021-11-29T20:13:15Zoai:rbc.inca.gov.br:article/563Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2021-11-29T20:13:15Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false |
dc.title.none.fl_str_mv |
Patients Undergoing Chemotherapy: Prior Nutritional Assessment Pacientes Sometidos a la Quimioterapia: Evaluación Nutricional Previa Pacientes Submetidos à Quimioterapia: Avaliação Nutricional Prévia |
title |
Patients Undergoing Chemotherapy: Prior Nutritional Assessment |
spellingShingle |
Patients Undergoing Chemotherapy: Prior Nutritional Assessment Colling, Catiússa Estado Nutricional Desnutrição Avaliação Nutricional Neoplasias Quimioterapia Estudos Transversais Nutritional Status Malnutrition Nutrition Assessment Neoplasms Drug Therapy Cross-Sectional Studies Estado Nutricional Desnutrición Evaluación Nutricional Neoplasias Quimioterapia Estudios Transversales |
title_short |
Patients Undergoing Chemotherapy: Prior Nutritional Assessment |
title_full |
Patients Undergoing Chemotherapy: Prior Nutritional Assessment |
title_fullStr |
Patients Undergoing Chemotherapy: Prior Nutritional Assessment |
title_full_unstemmed |
Patients Undergoing Chemotherapy: Prior Nutritional Assessment |
title_sort |
Patients Undergoing Chemotherapy: Prior Nutritional Assessment |
author |
Colling, Catiússa |
author_facet |
Colling, Catiússa Duval, Patrícia Abrantes Silveira, Denise Halpern |
author_role |
author |
author2 |
Duval, Patrícia Abrantes Silveira, Denise Halpern |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Colling, Catiússa Duval, Patrícia Abrantes Silveira, Denise Halpern |
dc.subject.por.fl_str_mv |
Estado Nutricional Desnutrição Avaliação Nutricional Neoplasias Quimioterapia Estudos Transversais Nutritional Status Malnutrition Nutrition Assessment Neoplasms Drug Therapy Cross-Sectional Studies Estado Nutricional Desnutrición Evaluación Nutricional Neoplasias Quimioterapia Estudios Transversales |
topic |
Estado Nutricional Desnutrição Avaliação Nutricional Neoplasias Quimioterapia Estudos Transversais Nutritional Status Malnutrition Nutrition Assessment Neoplasms Drug Therapy Cross-Sectional Studies Estado Nutricional Desnutrición Evaluación Nutricional Neoplasias Quimioterapia Estudios Transversales |
description |
Introduction: The incidence of malnutrition in cancer ranges from 40 to 80%. Their negative effects include increased toxicity to anticancer therapy, postoperative complications with worsening of clinical conditions and may interrupt the treatment. Objective: to determine the prevalence of malnutrition among patients initiating chemotherapy and associate it to primary tumor site and disease staging. Method: This was a cross-sectional and quantitative research. Data were collected from the nutritional assessment carried out by the Patient Generated Subjective Global Assessment and consultation of medical records on the first day of chemotherapy. Results: Most of the 83 individuals were female (57.4%) and were above 50 years old (75.9%). Gastrointestinal neoplasms were the most prevalent (34.9%). The majority of patients were in stage s III or IV of disease (66.3%) and palliative chemotherapy were the proposed treatment for 42.7% of them. Malnutrition affected 48% of individuals, and it was associated to decreased food intake or by enteral feeding, weight loss, poor clinical condition on physical examination, changes in functional capacity and symptoms such as anorexia and pain (p<0.001). The probability of patients with gastrointestinal neoplasms to present malnutrition was three times higher when compared to other primary sites of cancer (p=0.0012). Conclusion: Malnutrition was identified in approximately half of the patients and was associated with cancers of the gastrointestinal tract and stages III and IV; however, it was not associated with previous surgical procedure. |
publishDate |
2012 |
dc.date.none.fl_str_mv |
2012-12-31 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Artigos, Avaliado pelos pares |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rbc.inca.gov.br/index.php/revista/article/view/563 10.32635/2176-9745.RBC.2012v58n4.563 |
url |
https://rbc.inca.gov.br/index.php/revista/article/view/563 |
identifier_str_mv |
10.32635/2176-9745.RBC.2012v58n4.563 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rbc.inca.gov.br/index.php/revista/article/view/563/348 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
INCA |
publisher.none.fl_str_mv |
INCA |
dc.source.none.fl_str_mv |
Revista Brasileira de Cancerologia; Vol. 58 No. 4 (2012): Oct./Nov./Dec.; 611-617 Revista Brasileira de Cancerologia; Vol. 58 Núm. 4 (2012): oct./nov./dic.; 611-617 Revista Brasileira de Cancerologia; v. 58 n. 4 (2012): out./nov./dez. ; 611-617 2176-9745 reponame:Revista Brasileira de Cancerologia (Online) instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) instacron:INCA |
instname_str |
Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) |
instacron_str |
INCA |
institution |
INCA |
reponame_str |
Revista Brasileira de Cancerologia (Online) |
collection |
Revista Brasileira de Cancerologia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) |
repository.mail.fl_str_mv |
rbc@inca.gov.br |
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1797042244531781632 |