scholarly journals Nutritional status in elderly cancer patients: Prospective observational study

2017 ◽  
Vol 28 ◽  
pp. vi107
Author(s):  
C. Gagliardi ◽  
G. Auletta ◽  
G. Salanitro ◽  
A. Bolamperti ◽  
K. Battistella ◽  
...  
2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Javier Páramo-Zunzunegui ◽  
Araceli Ramos-Carrasco ◽  
Marcos Alonso-García ◽  
Rosa Cuberes-Montserrat ◽  
Gil Rodríguez-Caravaca ◽  
...  

Introduction. Malnutrition and weight loss in cancer patients is a common problem that affects the prognosis of the disease. In the case of CRC, malnutrition rates range between 30 and 60%. Objectives. Description of the preoperative nutritional status of patients diagnosed with colorectal neoplasia who will undergo surgery. Materials and Methods. A prospective observational study is performed. Results. Of 234 patients studied, we observed that 139 (59%) had some degree of nutritional risk. Of all of them, 44.9% (N = 47) had 1-2 points according to MUST and 25% (N = 27) had more than 2 points. No differences were found when studying nutritional risk according to the location of the neoplasm. It was observed that 2.15% of the patients were underweight, 51% overweight, and 23% obese. 19.4% of patients lost less than 5 kg in the 3–6 months prior to diagnosis, 20.7% lost between 5 and 10 kg, and 2.1% lost more than 10 kg. In asymptomatic patients, the weight loss was lower than in symptomatic patients, loss <5 kg, 8.2% vs. 22.8%, and loss 5–10 kg, 16.2% vs. 29.3%, with a value of p = 0.016 . 5% (N = 7) of the patients had hypoalbuminemia record. 16.5% (N = 23) had some degree of prealbumin deficiency and 20.9% (N = 29) of hypoproteinemia. Symptomatic patients had more frequent analytical alterations, 1-2 altered parameters in 48.8% (N = 20) of asymptomatic vs. 61.2% (N = 22) in the symptomatic, p = 0.049 .


Diagnostics ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. 275
Author(s):  
Anca Irina Ristescu ◽  
Georgiana Pintilie ◽  
Mihaela Moscalu ◽  
Daniel Rusu ◽  
Ioana Grigoras

Preoperative cognitive impairment (PCI) in cancer patients includes a broad spectrum of neurocognitive changes produced by complex interplay of patient, tumoural and treatment-related factors. Reduced preoperative cognitive reserve can favour the emergence of postoperative delirium (POD). The study aims to document PCI prevalence and to assess the relationship with POD in elderly cancer patients. The prospective observational study included consecutive patients scheduled for elective surgery; PCI was assessed with Mini-Cog test and defined at a score ≤ 3, POD was screened using Nursing Delirium Screening Scale (Nu-DESC) and defined at a score ≥ 2. Data on education, American Society of Anesthesiologists (ASA) score, preoperative medications, substance use, comorbidities, sensorial deficits, surgery and anaesthesia type, anaesthetic drugs, Mini-Cog score, postoperative pain, Nu-DESC were collected. In total, 131 patients were enrolled, mean age 72.1 ± 5.9 years. PCI prevalence was 51.9% (n = 68). POD prevalence was 19.8% (n = 26), with significantly higher value in PCI patients (27.9% vs. 11.1%, p = 0.016). In multivariate analysis, Mini-Cog score ≤ 3 (OR = 2.6, p = 0.027), clock draw (OR: 2.9, p = 0.013), preoperative renal dysfunction (OR = 2.6, p = 0.012), morphine (OR = 2.7, p = 0.007), metoclopramide (OR = 6.6, p = 0.006), and high pain score (OR = 1.8, p = 0.018) had a significant association with POD development. In this sample of elderly patients, PCI had a high prevalence and predicted the emergence of POD. Incorporating Mini-Cog test into the preoperative evaluation of onco-geriatric patients seems valuable and feasible.


Life Sciences ◽  
2021 ◽  
pp. 119345
Author(s):  
Alexander Kinnen ◽  
Sven Klaschik ◽  
Claudia Neumann ◽  
Eva-Katharina Egger ◽  
Alexander Mustea ◽  
...  

2010 ◽  
Vol 20 (4) ◽  
pp. 493-502 ◽  
Author(s):  
T. STEINMETZ ◽  
U. TOTZKE ◽  
M. SCHWEIGERT ◽  
J. MITTERMÜLLER ◽  
S. NAWKA ◽  
...  

2004 ◽  
Vol 5 (4) ◽  
pp. 161-167 ◽  
Author(s):  
L. Gambotti ◽  
D. Pérol ◽  
B. Frering ◽  
P. Kaemmerlen ◽  
B. Coronel ◽  
...  

2019 ◽  
Vol 72 (7) ◽  
pp. 1225-1230 ◽  
Author(s):  
Tie Lin ◽  
Jing Yang ◽  
Xuan Hong ◽  
ZhaoYang Yang ◽  
Ting Ge ◽  
...  

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