Need and demand for nutritional counselling and their association with quality of life, nutritional status and eating-related distress among patients with cancer receiving outpatient chemotherapy: a cross-sectional study

Abstract Background End-stage renal disease (ESRD) is a leading cause of death and morbidity worldwide. Malnutrition is a common problem among hemodialysis (HD) patients that negatively impacts their prognosis and is linked to an increase in morbidity and mortality in these patients, as well as a decrease in their quality of life (QOL). In this study, we aimed to evaluate the QOL and to investigate factors that can influence it, including nutritional status, as well as socio-demographic factors, among Palestinian diabetic patients on HD therapy. Methods This was a cross-sectional study that occurred at a large hemodialysis center in Palestine. Malnutrition was assessed by the malnutrition-inflammation scale (MIS), and the quality of life was evaluated by using the EuroQoL five-dimensional instrument (EQ-5D). Multivariable linear regression analysis was carried out to look at the effect of multiple variables on QOL. Results A total of 118 diabetic patients on HD were included. Of these, 66.9% were male, and 60.2% were aged 60 years or higher. Having multiple comorbid diseases (p=0.004) and having been on HD for >4 years (p=0.003) were significantly associated with a higher MIS score, whereas living alone (p=0.037) and having been on HD for >4 years (p=0.002) was significantly associated with lower EQ-5D score. We also observed a significant association between the MIS score and the EQ-5D score(r=−0.616, p<0.001). Multiple linear regression analysis demonstrated that diabetic hemodialysis patients who lived within a family household were positively correlated with the QOL score (standardized coefficient, 0.178; 95% confidence interval (CI), 0.042 to 0.372; p = 0.015), and MIS score was significantly and negatively correlated with QOL scores (standardized coefficient, −0.587; 95% CI, −0.047 to −0.028; p < 0.001). Conclusions We found that malnutrition was associated with a lower QOL score among diabetic patients on HD. We recommend general practitioners, dietitians, nephrologists, and nurses to make plans that pay more attention to this group of patients who show evidence of malnutrition. Patients on dialysis for ≥ 4 years, patients who live alone, and those suffering from multiple co-morbid diseases should receive special care due to their higher risk of being impacted by this problem.

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Quality of life in patients with cancer during the COVID-19 pandemic – a Danish cross-sectional study (COPICADS)

Acta Oncologica ◽

10.1080/0284186x.2020.1830169 ◽

2020 ◽

pp. 1-9

Author(s):

Stefan S. Jeppesen ◽

Kristian K. Bentsen ◽

Trine L. Jørgensen ◽

Hanne S. Holm ◽

Linda Holst-Christensen ◽

...

Keyword(s):

Quality Of Life ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Patients With Cancer

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The Factors Associated with the Quality of Life of the Spouse Caregivers of Patients with Cancer: A Cross-Sectional Study

Journal of Palliative Medicine ◽

10.1089/jpm.2011.0305 ◽

2012 ◽

Vol 15 (2) ◽

pp. 216-224 ◽

Cited By ~ 21

Author(s):

Ki Young Son ◽

Chi Hoon Lee ◽

Sang Min Park ◽

Choong Hyeong Lee ◽

Soo In Oh ◽

...

Keyword(s):

Quality Of Life ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated ◽

Patients With Cancer ◽

Spouse Caregivers

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Pretreatment nutritional status is associated with quality of life in patients with gastric cancer: a cross-sectional study from Iran

Supportive Care in Cancer ◽

10.1007/s00520-021-06792-8 ◽

2022 ◽

Author(s):

Shahnaz Naghashi ◽

Mohammad Hossein Somi ◽

Zeinab Nikniaz

Keyword(s):

Quality Of Life ◽

Gastric Cancer ◽

Nutritional Status ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

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Association between multiple symptoms and quality of life of paediatric patients with cancer in Brazil: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2019-035844 ◽

2020 ◽

Vol 10 (5) ◽

pp. e035844

Author(s):

Sandra de Andrade Cadamuro ◽

Julia Onishi Franco ◽

Carlos Eduardo Paiva ◽

Marco Antonio de Oliveira ◽

Bianca Sakamoto Ribeiro Paiva

Keyword(s):

Quality Of Life ◽

Clinical Characteristics ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Patients With Cancer ◽

Symptom Screening ◽

Paediatric Patients ◽

Multiple Symptoms

ObjectivesTo identify the association of multiple symptoms and clinical characteristics on quality of life (QoL) of paediatric patients with cancer.DesignA descriptive, cross-sectional study.SettingSouth American Children’s Hospital for Cancer Treatment (Barretos, São Paulo, Brazil).ParticipantsA total of 157 participants, 116 paediatric patients, diagnosed with cancer, undergoing chemotherapy treatment, between 7 and 18 years of age and 41 proxies for patients between 2 and 6 years of age.Primary outcome measuresThe severity and prevalence ofsymptoms were identified through the use of a culturally adapted multi-symptomscreening tool, and the influence these symptoms, in association with clinicalcharacteristics, had on the QOL of Brazilian pediatric cancer patients wasassessed.ResultsPrevalent symptoms identified by all participants were ‘feeling tired’ (98, 62.4%), ‘feeling more or less hungry (do not feel like eating) than you usually do’ (96, 61.1%), ‘changes in taste (flavour of the food)’ (89, 56.7%), ‘throwing up or feeling like you may throw up’ (77, 49%) and ‘changes in how your body (visually) or face looks’ (72, 45.9%). The multivariate analysis for symptom severity as reported by proxies showed that surgery (OR 0.20, 95% CI 0.04 to 0.98, p=0.047) and time of diagnosis (OR 0.14, 95% CI 0.03 to 0.66, p=0.012) were associated with a decreased OR of high severity symptoms.An analysis of the clinical characteristics associated with Pediatric Quality of Life Inventory (PedsQL) demonstrated no significant effect on QoL in any of the domains evaluated. The association between Symptom Screening in Pediatrics Tool and PedsQL in the self-report version demonstrated a significant negative influence of all symptoms on the QoL.ConclusionsThe prevalence of symptoms experienced among pediatric patients during treatment was high and significantly influenced all aspects of quality of life,especially in the emotional domain.

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