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

Fecha de publicación: 29/08/2024

Autores de IIS La Fe

María Argente Pla

Autor

Participantes ajenos a IIS La Fe

García Almeida JM
Cornejo Pareja IM
Fernández Jiménez R
Lupiáñez Pérez Y
Molina Garrido MJ
Abreu Padín C
Alfaro-Martínez JJ
Andreu Gosalbez MD
Arosa Carril V
Artero A
Cayón-Blanco M
Cuéllar Olmedo LÁ
de la Maza Pereg L
Diego Perojo E
Díez-Muñiz-Alique M
Diezhandino García P
Fernández de Bobadilla-Pascual B
Fernández Soto ML
Fuentes Tudanca S
Gil Gascón JM
Irles-Rocamora JA
Juan Rodríguez L
Llamazares Iglesias O
Losfablos Callau F
Manzano García G
Marco-Alacid C
Pérez Cobos M
Mendoza Sierra MªE
Olay Gayoso L
Olivares Alcolea J
Pereira Cunill JL
Pérez Alonso O
Rebollo Pérez MI
Ruiz Palomar JM
Silva Rodríguez JJ
Sorribes Carreras P
Vázquez Vizcaíno B
Wu-Xiong NY

Grupos

Unidad Mixta de Investigación en Endocrinología, Nutrición y Dietética clínica

Leader

Juan Francisco Merino Torres

Abstract

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.