Mejorando la atención nutricional del paciente oncológico: validación de un protocolo multidisciplinar en el entorno clínico español.

Introduction: malnutrition is a very frequent problem in oncology patients and may have serious repercussions. Adequate nutritional management is cost-effective in terms of health and survival in this population, but it requires multidisciplinary coordination, specific training, and continuous follo...

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Detalles Bibliográficos
Autores: Almeida, JMG, Pareja, IMC, Jiménez, RF, Pérez, YL, Garrido, MJ, Padin, CA, Alfaro-Martínez, JJ, Gosalbez, MDA, Pla, MA, Carril, VA, Artero, A, Cayón-Blanco, M, Olmedo, LAC, Pereg, LD, Perojo, ED, Muñiz-Alique, MD, García, PD, de Bobadilla-Pascual, BF, Soto, MLF, Tudanc, SF, Gascón, JMG, Irles-Rocamora, JA, Rodríguez, LJ, Iglesias, OL, Callau, FL, García, GM, Marco-Alacid, C, Cobos, MP, Sierra, MEM, Gayos, LO, Alcolea, JO, Cunill, JLP, Alonso, OP, Pérez, MIR, Paloma, JMR, Rodríguez, JJS, Carreras, PS, Vizcaino, BV, Wu-Xiong, NY
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Institución:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
Repositorio:r-FISABIO. Repositorio Institucional de Producción Científica
OAI Identifier:oai:fisabio.fundanetsuite.com:p17937
Acceso en línea:https://fisabio.portalinvestigacion.com/publicaciones/17937
Access Level:acceso abierto
Palabra clave:Atención nutricional. Paciente oncológico. Protocolo multidisciplinar. Desnutrición en cáncer. Implementación clínica. Validación de protocolo.
Descripción
Sumario:Introduction: malnutrition is a very frequent problem in oncology patients and may have serious repercussions. Adequate nutritional management is cost-effective in terms of health and survival in this population, but it requires multidisciplinary coordination, specific training, and continuous follow-up. Objective: to validate the applicability and efficacy of a multidisciplinary nutritional support protocol in oncology patients. Methods: a multidisciplinary nutritional protocol was developed for oncology patients, with guidelines for screening and assessment of malnutrition, treatment, re-evaluation, and management of side effects, as well as guidance on supplementation and eating patterns. The protocol would be implemented in various clinical centers, collecting data through a structured questionnaire, registering variables before and after implementation. Results: the protocol and its impact were implemented and evaluated in 39 centers. An improvement in nutritional care was observed, evidenced by an earlier initiation of nutritional assessment and an increase in the number of patients receiving adequate care following the protocol implementation. Problems related to inadequate malnutrition coding in the centers, limited resources, and the need for greater interdepartmental collaboration were identified. Conclusions: the conduct of this study provides insights into how the implementation of a multidisciplinary nutritional support protocol can improve the nutritional care received by patients and informs about the main obstacles to adequate implementation.

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