Survival of patients with advanced cancer in Enteral Nutritional Therapy: a comparison between caloric estimates
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista de Nutrição |
Texto Completo: | https://periodicos.puc-campinas.edu.br/nutricao/article/view/8655 |
Resumo: | Objective To assess factors related to the achievement of the caloric estimates of enteral nutritional therapy and the survival of patients with advanced cancer in exclusively palliative care. Methods Retrospective study, where patients using enteral nutrition admitted from March 2019 to February 2020 were divided into two groups: Group 1 included patients who reached 75% of the estimated caloric goals, and Group 2 included those who did not. The data were extracted from the patients’ electronic medical records. Logistic regression analyzes were performed to assess associations between the studied sociodemographic, clinical, and nutritional variables, and the Kaplan-Meier curve and Cox regression were used to assess the survival of the groups. Results A total of 158 patients participated in the study, with a median age of 63 (IIQ: 55-70) years. 57% reached the caloric goal (Group 1). In the logistic regression, the functional capacity (OR: 5.82; CI: 2.28-14.84; p<0.001) and symptoms of nausea or vomiting (OR: 0.050; CI: 0.005-0.455; p=0.008) were independent variables for achieving the caloric goal. Cox regression showed Karnofsky Performance Status as an independent predictor for survival (HR: 1.85; CI: 1.13-3.04). Conclusion Patients with better functionality have longer survival and are potential candidates for reaching the caloric goals proposed by national and international guidelines for cancer patients. |
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Survival of patients with advanced cancer in Enteral Nutritional Therapy: a comparison between caloric estimatesSobrevida de pacientes com câncer avançado em Terapia Nutricional Enteral: um comparativo entre estimativas calóricasEnteral nutritionNeoplasmsPalliative careQuality indicators, health careSurvivalNutrição enteralNeoplasiaCuidados paliativosIndicadores de qualidade em assistência à saúdeSobrevida Objective To assess factors related to the achievement of the caloric estimates of enteral nutritional therapy and the survival of patients with advanced cancer in exclusively palliative care. Methods Retrospective study, where patients using enteral nutrition admitted from March 2019 to February 2020 were divided into two groups: Group 1 included patients who reached 75% of the estimated caloric goals, and Group 2 included those who did not. The data were extracted from the patients’ electronic medical records. Logistic regression analyzes were performed to assess associations between the studied sociodemographic, clinical, and nutritional variables, and the Kaplan-Meier curve and Cox regression were used to assess the survival of the groups. Results A total of 158 patients participated in the study, with a median age of 63 (IIQ: 55-70) years. 57% reached the caloric goal (Group 1). In the logistic regression, the functional capacity (OR: 5.82; CI: 2.28-14.84; p<0.001) and symptoms of nausea or vomiting (OR: 0.050; CI: 0.005-0.455; p=0.008) were independent variables for achieving the caloric goal. Cox regression showed Karnofsky Performance Status as an independent predictor for survival (HR: 1.85; CI: 1.13-3.04). Conclusion Patients with better functionality have longer survival and are potential candidates for reaching the caloric goals proposed by national and international guidelines for cancer patients.Objetivo Avaliar os fatores relacionados ao alcance das estimativas calóricas da terapia nutricional enteral e a sobrevida dos pacientes com câncer avançado em cuidados paliativos exclusivos. Métodos Estudo retrospectivo no qual pacientes em uso de nutrição enteral internados no período de março de 2019 a fevereiro de 2020 foram divididos em dois grupos: Grupo 1, composto por pacientes que atingiram 75% das metas calóricas estimadas, e Grupo 2, composto por aqueles que não atingiram. Os dados foram extraídos do prontuário eletrônico dos pacientes. Análises de regressão logística foram realizadas para avaliar associações entre as variáveis sociodemográficas, clínicas e nutricionais estudadas, e a curva de Kaplan-Meier e regressão de Cox foram usadas para avaliar a sobrevida dos grupos. Resultados Participaram do estudo 158 pacientes, com mediana de idade de 63 (IIQ:55-70) anos. Cinquenta e sete por cento dos pacientes atingiram a meta calórica (Grupo 1). Na regressão logística, a capacidade funcional (OR:5,82; IC: 2,28- 14,84; p<0,001) e os sintomas náuseas ou vômitos (OR:0,050; IC:0,005-0,455; p=0,008) se mostraram variáveis independentes para o alcance da meta calórica. A regressão de Cox mostrou o Karnofsky Performance Status como preditor independente para sobrevida (HR: 1,85; IC: 1,13-3,04). Conclusão Pacientes com melhor funcionalidade possuem sobrevida maior e são potenciais candidatos ao alcance das metas calóricas propostas por diretrizes nacionais e internacionais para pacientes com câncer em terapia nutricional enteral.Núcleo de Editoração – PUC-Campinas2023-06-07info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://periodicos.puc-campinas.edu.br/nutricao/article/view/8655Brazilian Journal of Nutrition; Vol. 35 (2022): Revista de Nutrição; 1-10Revista de Nutrição; Vol. 35 (2022): Revista de Nutrição; 1-10Revista de Nutrição; v. 35 (2022): Revista de Nutrição; 1-101678-9865reponame:Revista de Nutriçãoinstname:Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS)instacron:PUC_CAMPenghttps://periodicos.puc-campinas.edu.br/nutricao/article/view/8655/6100https://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessWANDERLEY, Brenda DominguesSANTOS, Rosane de SouzaCOSTA, Mariana Fernandes2023-10-06T18:55:02Zoai:ojs.periodicos.puc-campinas.edu.br:article/8655Revistahttp://www.scielo.br/rnPRIhttps://periodicos.puc-campinas.edu.br/nutricao/oai||sbi.submissionrn@puc-campinas.edu.br1678-98651415-5273opendoar:2023-10-06T18:55:02Revista de Nutrição - Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS)false |
dc.title.none.fl_str_mv |
Survival of patients with advanced cancer in Enteral Nutritional Therapy: a comparison between caloric estimates Sobrevida de pacientes com câncer avançado em Terapia Nutricional Enteral: um comparativo entre estimativas calóricas |
title |
Survival of patients with advanced cancer in Enteral Nutritional Therapy: a comparison between caloric estimates |
spellingShingle |
Survival of patients with advanced cancer in Enteral Nutritional Therapy: a comparison between caloric estimates WANDERLEY, Brenda Domingues Enteral nutrition Neoplasms Palliative care Quality indicators, health care Survival Nutrição enteral Neoplasia Cuidados paliativos Indicadores de qualidade em assistência à saúde Sobrevida |
title_short |
Survival of patients with advanced cancer in Enteral Nutritional Therapy: a comparison between caloric estimates |
title_full |
Survival of patients with advanced cancer in Enteral Nutritional Therapy: a comparison between caloric estimates |
title_fullStr |
Survival of patients with advanced cancer in Enteral Nutritional Therapy: a comparison between caloric estimates |
title_full_unstemmed |
Survival of patients with advanced cancer in Enteral Nutritional Therapy: a comparison between caloric estimates |
title_sort |
Survival of patients with advanced cancer in Enteral Nutritional Therapy: a comparison between caloric estimates |
author |
WANDERLEY, Brenda Domingues |
author_facet |
WANDERLEY, Brenda Domingues SANTOS, Rosane de Souza COSTA, Mariana Fernandes |
author_role |
author |
author2 |
SANTOS, Rosane de Souza COSTA, Mariana Fernandes |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
WANDERLEY, Brenda Domingues SANTOS, Rosane de Souza COSTA, Mariana Fernandes |
dc.subject.por.fl_str_mv |
Enteral nutrition Neoplasms Palliative care Quality indicators, health care Survival Nutrição enteral Neoplasia Cuidados paliativos Indicadores de qualidade em assistência à saúde Sobrevida |
topic |
Enteral nutrition Neoplasms Palliative care Quality indicators, health care Survival Nutrição enteral Neoplasia Cuidados paliativos Indicadores de qualidade em assistência à saúde Sobrevida |
description |
Objective To assess factors related to the achievement of the caloric estimates of enteral nutritional therapy and the survival of patients with advanced cancer in exclusively palliative care. Methods Retrospective study, where patients using enteral nutrition admitted from March 2019 to February 2020 were divided into two groups: Group 1 included patients who reached 75% of the estimated caloric goals, and Group 2 included those who did not. The data were extracted from the patients’ electronic medical records. Logistic regression analyzes were performed to assess associations between the studied sociodemographic, clinical, and nutritional variables, and the Kaplan-Meier curve and Cox regression were used to assess the survival of the groups. Results A total of 158 patients participated in the study, with a median age of 63 (IIQ: 55-70) years. 57% reached the caloric goal (Group 1). In the logistic regression, the functional capacity (OR: 5.82; CI: 2.28-14.84; p<0.001) and symptoms of nausea or vomiting (OR: 0.050; CI: 0.005-0.455; p=0.008) were independent variables for achieving the caloric goal. Cox regression showed Karnofsky Performance Status as an independent predictor for survival (HR: 1.85; CI: 1.13-3.04). Conclusion Patients with better functionality have longer survival and are potential candidates for reaching the caloric goals proposed by national and international guidelines for cancer patients. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-06-07 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicos.puc-campinas.edu.br/nutricao/article/view/8655 |
url |
https://periodicos.puc-campinas.edu.br/nutricao/article/view/8655 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://periodicos.puc-campinas.edu.br/nutricao/article/view/8655/6100 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Núcleo de Editoração – PUC-Campinas |
publisher.none.fl_str_mv |
Núcleo de Editoração – PUC-Campinas |
dc.source.none.fl_str_mv |
Brazilian Journal of Nutrition; Vol. 35 (2022): Revista de Nutrição; 1-10 Revista de Nutrição; Vol. 35 (2022): Revista de Nutrição; 1-10 Revista de Nutrição; v. 35 (2022): Revista de Nutrição; 1-10 1678-9865 reponame:Revista de Nutrição instname:Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS) instacron:PUC_CAMP |
instname_str |
Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS) |
instacron_str |
PUC_CAMP |
institution |
PUC_CAMP |
reponame_str |
Revista de Nutrição |
collection |
Revista de Nutrição |
repository.name.fl_str_mv |
Revista de Nutrição - Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS) |
repository.mail.fl_str_mv |
||sbi.submissionrn@puc-campinas.edu.br |
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1799126070415327232 |