Research Article
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Year 2019, Volume: 5 Issue: 2, 375 - 381, 04.03.2019
https://doi.org/10.18621/eurj.420153

Abstract

References

  • [1] Sobotka L, editor. Basics in clinical nutrition. 4th ed. Galen; 2012.
  • [2] Sieber CC. Nutritional screening tools--How doesthe MNA compare? Proceedings of the session held in Chicago May 2-3, 2006 (15 Years of Mini Nutritional Assessment). J Nutr Health Aging 2006;10:488-94.
  • [3] Bauer JM, Vogl T, Wicklein S, Trögner J, Mühlberg W, Sieber CC. Comparison of the Mini Nutritional Assessment, Subjective Global Assessment, and Nutritional Risk Screening (NRS 2002) for nutritional screening and assessment in geriatric hospital patients. Z Gerontol Geriatr 2005;38:322-7.
  • [4] Whitby LG. Screening for disease: definitions and criteria. Lancet 1974;2:819-22.
  • [5] Hakkarainen TW, Arbabi S, Willis MM, Davidson GH, Flum DR. Outcomes of patients discharged to skilled nursing facilities after acute care hospitalizations. Ann Surg 2016;263:280-5.
  • [6] Massucci M, Perdon L, Agosti M, Celani MG, Righetti E, Recupero E, et al. Prognostic factors of activity limitation and discharge destination after stroke rehabilitation. Am J Phys Med Rehabil 2006;85:963-70.
  • [7] Chang FH, Ni P, Jette AM. Does activity limitation predict discharge destination for post-acute care patients? Am J Phys Med Rehabil 2014;93:782-90.
  • [8] Guigoz Y. The Mini Nutritional Assessment (MNA) review of the literature - What does it tell us? J Nutr Health Aging 2006;10:466-85.
  • [9] Mercadal-Orfila G, Lluch-Taltavull J, Campillo-Artero C, Torrent-Quetglas M. Association between nutritional risk based on the NRS-2002 test and hospital morbidity and mortality. Nutr Hosp 2012;27:1248-54.
  • [10] Carvalho CS, Souza DS, Lopes JR, Castanho IA, Lopes AJ. Relationshipbetweenpatient-generatedsubjectiveglobalassessmentandsurvival in patients in palliativecare. Ann Palliat Med 2017;6(Suppl 1):S4-S12.
  • [11] Nie R, Yuan S, Chen S, Chen X, Chen Y, Zhu B, et al. Prognostic nutritional index is an independent prognostic factor for gastric cancer patients with peritoneal dissemination. Chin J Cancer Res 2016;28:570-8.
  • [12] Zhou X, Qiu G, Bao W, Zhang D-H. The prognostic role of nutrition risk score (NRS) in patients with metastatic or recurrent esophageal squamous cell carcinoma (ESCC). Oncotarget 2017;8:77465-73.
  • [13] Tevik K, Thürmer H, Husby MI, de Soysa AK, Helvik AS. Nutritional risk is associated with long term mortality in hospitalized patients with chronic heart failure. Clin Nutr ESPEN. 2016;12:e20-e29.
  • [14] Druml C, Ballmer PE, Druml W, Oehmichen F, Shenkin A, Singer P, et al. ESPEN guideline on ethical aspects of artificial nutrition and hydration. Clin Nutr 2016;35:545-56.
  • [15] Dincer M, Kahveci K, Doger C. An examination of factors affecting the length of stay in a palliative care center. J Palliat Med 2018;21:11-5.
  • [16] Carvalho CS, Souza DS, Lopes JR, Castanho IA, Lopes AJ. Relationship between patient-generated subjective global assessment and survival in patients in palliative care. Ann Palliat Med. 2017;6(Suppl 1):S4-S12.
  • [17] Kumar S, Dutt A, Hemraj S, Bhat S, Manipadybhima B. Phase angle measurement in healthy human subjects through bio-impedance analysis. Iran J Basic Med Sci 2012;15:1180-4.
  • [18] Buskermolen S, Langius JA, Kruizenga HM, Ligthart-Melis GC, Heymans MW, Verheul HM. Weight loss of 5% or more predicts loss of fat-free mass during palliative chemotherapy in patients with advanced cancer: a pilot study. Nutr Cancer 2012;64:826-32.
  • [19] Zacharakis M, Xynos ID, Lazaris A, Smaro T, Kosmas C, Dokou A, et al. Predictors of survival in stage IV metastatic colorectal cancer. Anticancer Res 2010;30:653-60.
  • [20] Cetinkaya A, Erden A, Avci D, Karagoz H, Karahan S, Basak M, et al. Is hypertriglyceridemia a prognostic factor in sesis? Ther Clin Risk Manag 2014;10:147-50.

The impact of nutritional status on the outcomes of cancer patients such as mortality, survey and length of hospitalization in palliative care

Year 2019, Volume: 5 Issue: 2, 375 - 381, 04.03.2019
https://doi.org/10.18621/eurj.420153

Abstract

Objectives: The aim of this study was to determine the effects of
nutritional status of the cancer patients in the palliative unit on some
important outcomes such as mortality, hospitalization periods and survey.

Methods: The study was carried out through a retrospective
review of 65 cancer patients who were treated at the palliative care center.
The age and gender of the patients, the type of cancer, the place where they
are referred to the palliative unit (from home or from the hospital), from
which unit they came from (oncology, intensive care unit, other services), the
length of stay, how long they lived after discharge, how long each patient
lived after the palliative unit hospitalization day and the NRS-2002 scores
were recorded.

Results: There was a statistically significant difference
between the median hospital duration of the home-based patients and the median
duration of hospital-based patients (11 [2-42] days versus 22 [2-180] days) (p = 0.001). The mean survival time of
the home-based patients was median 87.5 (2-323) days, while this was 9 (2-104)
days in hospital-based patients (p =
0.017). While 29.5% (n = 13/27) of the patients coming from the house died in
the palliative care center, it was 70.5% in the patients taken from the
hospital (p = 0.002). The NRS-2002
scores of the cancer patients who were followed up at the palliative unit were
correlated with the age of the patients (r = 0.365, p = 0.003).







Conclusions:
We concluded that the patients who came to palliative care from home have
better surveys than the ones came from the hospital. 

References

  • [1] Sobotka L, editor. Basics in clinical nutrition. 4th ed. Galen; 2012.
  • [2] Sieber CC. Nutritional screening tools--How doesthe MNA compare? Proceedings of the session held in Chicago May 2-3, 2006 (15 Years of Mini Nutritional Assessment). J Nutr Health Aging 2006;10:488-94.
  • [3] Bauer JM, Vogl T, Wicklein S, Trögner J, Mühlberg W, Sieber CC. Comparison of the Mini Nutritional Assessment, Subjective Global Assessment, and Nutritional Risk Screening (NRS 2002) for nutritional screening and assessment in geriatric hospital patients. Z Gerontol Geriatr 2005;38:322-7.
  • [4] Whitby LG. Screening for disease: definitions and criteria. Lancet 1974;2:819-22.
  • [5] Hakkarainen TW, Arbabi S, Willis MM, Davidson GH, Flum DR. Outcomes of patients discharged to skilled nursing facilities after acute care hospitalizations. Ann Surg 2016;263:280-5.
  • [6] Massucci M, Perdon L, Agosti M, Celani MG, Righetti E, Recupero E, et al. Prognostic factors of activity limitation and discharge destination after stroke rehabilitation. Am J Phys Med Rehabil 2006;85:963-70.
  • [7] Chang FH, Ni P, Jette AM. Does activity limitation predict discharge destination for post-acute care patients? Am J Phys Med Rehabil 2014;93:782-90.
  • [8] Guigoz Y. The Mini Nutritional Assessment (MNA) review of the literature - What does it tell us? J Nutr Health Aging 2006;10:466-85.
  • [9] Mercadal-Orfila G, Lluch-Taltavull J, Campillo-Artero C, Torrent-Quetglas M. Association between nutritional risk based on the NRS-2002 test and hospital morbidity and mortality. Nutr Hosp 2012;27:1248-54.
  • [10] Carvalho CS, Souza DS, Lopes JR, Castanho IA, Lopes AJ. Relationshipbetweenpatient-generatedsubjectiveglobalassessmentandsurvival in patients in palliativecare. Ann Palliat Med 2017;6(Suppl 1):S4-S12.
  • [11] Nie R, Yuan S, Chen S, Chen X, Chen Y, Zhu B, et al. Prognostic nutritional index is an independent prognostic factor for gastric cancer patients with peritoneal dissemination. Chin J Cancer Res 2016;28:570-8.
  • [12] Zhou X, Qiu G, Bao W, Zhang D-H. The prognostic role of nutrition risk score (NRS) in patients with metastatic or recurrent esophageal squamous cell carcinoma (ESCC). Oncotarget 2017;8:77465-73.
  • [13] Tevik K, Thürmer H, Husby MI, de Soysa AK, Helvik AS. Nutritional risk is associated with long term mortality in hospitalized patients with chronic heart failure. Clin Nutr ESPEN. 2016;12:e20-e29.
  • [14] Druml C, Ballmer PE, Druml W, Oehmichen F, Shenkin A, Singer P, et al. ESPEN guideline on ethical aspects of artificial nutrition and hydration. Clin Nutr 2016;35:545-56.
  • [15] Dincer M, Kahveci K, Doger C. An examination of factors affecting the length of stay in a palliative care center. J Palliat Med 2018;21:11-5.
  • [16] Carvalho CS, Souza DS, Lopes JR, Castanho IA, Lopes AJ. Relationship between patient-generated subjective global assessment and survival in patients in palliative care. Ann Palliat Med. 2017;6(Suppl 1):S4-S12.
  • [17] Kumar S, Dutt A, Hemraj S, Bhat S, Manipadybhima B. Phase angle measurement in healthy human subjects through bio-impedance analysis. Iran J Basic Med Sci 2012;15:1180-4.
  • [18] Buskermolen S, Langius JA, Kruizenga HM, Ligthart-Melis GC, Heymans MW, Verheul HM. Weight loss of 5% or more predicts loss of fat-free mass during palliative chemotherapy in patients with advanced cancer: a pilot study. Nutr Cancer 2012;64:826-32.
  • [19] Zacharakis M, Xynos ID, Lazaris A, Smaro T, Kosmas C, Dokou A, et al. Predictors of survival in stage IV metastatic colorectal cancer. Anticancer Res 2010;30:653-60.
  • [20] Cetinkaya A, Erden A, Avci D, Karagoz H, Karahan S, Basak M, et al. Is hypertriglyceridemia a prognostic factor in sesis? Ther Clin Risk Manag 2014;10:147-50.
There are 20 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Articles
Authors

Deniz Avcı 0000-0001-9220-194X

Ali Çetinkaya 0000-0001-8485-0982

Publication Date March 4, 2019
Submission Date May 1, 2018
Acceptance Date December 13, 2018
Published in Issue Year 2019 Volume: 5 Issue: 2

Cite

AMA Avcı D, Çetinkaya A. The impact of nutritional status on the outcomes of cancer patients such as mortality, survey and length of hospitalization in palliative care. Eur Res J. March 2019;5(2):375-381. doi:10.18621/eurj.420153

e-ISSN: 2149-3189 


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