Clinical nutrition as part of the treatment pathway of pancreatic cancer patients: an expert consensus.

A Carrato, L Cerezo, J Feliu, T Macarulla, E Martín-Pérez, R Vera, J Álvarez, J I Botella-Carretero

Journal: Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico 2022;24(1):112-126

PMID: 34363594

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Abstract

PURPOSE

Malnutrition is a common problem among pancreatic cancer (PC) patients that negatively impacts on their quality of life (QoL) and clinical outcomes. The main objective of this consensus is to address the role of Medical Nutrition Therapy (MNT) into the comprehensive therapeutic management of PC patients.

METHODS

A Spanish multidisciplinary group of specialists from the areas of Medical Oncology; Radiation Oncology; Endocrinology and Nutrition; and General Surgery agreed to assess the role of MNT as part of the best therapeutic management of PC patients.

RESULTS

The panel established different recommendations focused on nutritional screening and nutritional screening tools, MNT strategies according to PC status, and MNT in palliative treatment.

CONCLUSIONS

There is an unmet need to integrate nutritional therapy as a crucial part of the multimodal care process in PC patients. Health authorities, health care professionals, cancer patients, and their families should be aware of the relevance of nutritional status and MNT on clinical outcomes and QoL of PC patients.

Address: Medical Oncology Department, Ramon y Cajal University Hospital, Alcalá University, IRYCIS, CIBERONC, Pancreatic Cancer Europe, M-607, km. 9, 100, 28034, Madrid, Spain. [email protected].; Radiation Oncology Department, La Princesa University Hospital, Madrid, Spain.; Medical Oncology Department, La Paz University Hospital, IdiPAZ, Cátedra UAM-AMGEN, CIBERONC, Madrid, Spain.; Medical Oncology Department, Vall d´Hebrón University Hospital, and Vall d´Hebrón Institute of Oncology (VHIO), Barcelona, Spain.; Department of Surgery, Division of Hepatobiliopancreatic Surgery, La Princesa University Hospital, IIS La Princesa, Madrid, Spain.; Medical Oncology Department, Complejo Hospitalario de Navarra, Navarrabiomed, IDISNA, Pamplona, Spain.; Endocrinology and Nutritional Department, Príncipe de Asturias University Hospital, Alcalá University, Alcalá de Henares, Madrid, Spain.; Endocrinology and Nutritional Department, CIBER of Physiology, Obesity, and Nutrition (CIBEROBN), Ramón y Cajal University Hospital, IRyCIS, Madrid, Spain.

DOI: 10.1007/s12094-021-02674-x

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https://dx.doi.org/10.1007/s12094-021-02674-x

MeSH Terms: Critical Pathways, Humans, Malnutrition, Nutrition Therapy, Nutritional Status, Pancreatic Neoplasms