scholarly journals Nutritional profile of cancer patients treated at an outpatient oncology center in the south region of Brazil

2021 ◽  
Vol 43 ◽  
pp. e54996
Author(s):  
Rebecca Dias Zaia ◽  
Antonio Augusto Claudio Pereira ◽  
Gustavo Henrique Gandolfo Souza ◽  
Gabriela Grasso Pacheco ◽  
Alvo Orlando Vizzotto Junior ◽  
...  

To evaluate the nutritional profile of cancer patients treated at an oncology center in South Brazil. This is a descriptive, exploratory and sectional study that was developed in a process that involved 100 patients aged between 18 and 75 years old, suffering from cancer. The anthropometric variables studied were weight, height, Body Mass Index (BMI), arm circumference (AC), arm muscle circumference (AMC), triceps skinfold (TSF) and corrected arm muscle area (cAMA). For subjective nutritional assessment, we used the Patient-Generated Subjective Global Assessment (PG-SGA). Nearly half of the patients evaluated had a critical need for nutritional intervention. There was a statistically significant association between cAMA and marital status, age and gender; between AC and age, gender and staging; between AMC and staging; between BMI and marital status and age; and between TSF and marital status. Patients diagnosed with IV stage had the lowest values for nutritional variables. There was no significant association between nutritional status of patients obtained by the PG-SGA instrument and sociodemographic characteristics. Malnutrition should be diagnosed as soon as possible, aiming at early intervention and improving survival and quality of life. Therefore, early nutritional assessment in cancer patients is required, combining subjective and objective methods.

2020 ◽  
Vol 6 (5) ◽  
pp. 230-232
Author(s):  
Friday E. Okwaraji ◽  
◽  
Godwin C. Onyebueke ◽  
Okoli P. Chibuike ◽  
◽  
...  

Quality of life has to do with the extent to which a person sees himself or herself as being healthy, comfortable and has the ability to enjoy or take part in life events. Human immunodeficiency virus (HIV) is a virus that attacks immune cells called CD4 cells. When HIV targets and infiltrates these cells, it reduces the body’s ability to combat other diseases. As HIV disease progresses the quality of life of the individual worsens. This study looked at the relationship between age, sex, marital status and Quality of life among 480 HIV/AIDS clinic attendees in a Nigerian tertiary health institution using the WHO-QOL BREF. 31.9%; 34.8% and 33.3% respectively had high, moderate and low quality of life respectively. The relationship between quality of life and gender was significant. Discussion of the result was based on literature reviewed and recommendations to guide policy formulation were proffered.


1993 ◽  
Vol 23 (4) ◽  
pp. 383-398 ◽  
Author(s):  
Alastair J. Cunningham ◽  
Gina A. Lockwood ◽  
Claire V. I. Edmonds

Objective: The purpose of this study was to explore the influence of a number of variables on the improvements in quality of life of some 400 cancer patients who completed a brief, group program providing psychosocial support and training in coping skills. Method: The factors tested were: patient gender, age, marital status, religion, education level, diagnostic site, recurrence status, expectations of the course, previous experience in self-help techniques, and different group leaders. Three assessment instruments were used, the Profile of Mood States (POMS), the Functional Living Index for Cancer (FLIC), and the Stanford Inventory of Cancer Patient Adjustment (SICPA). Assessments were made at three time points. Results: The overall finding was that the program improved mood and enhanced quality of life for most cancer patients: there was no evidence that it was more or less effective for subgroups based on gender, marital status, religious orientation, education level, and previous experience with mental self-help techniques. It was also found that several different group leaders with widely varying experience facilitated similar improvements. However, there was a significant tendency for patients under fifty to improve more by the end of the program, than older patients, although this difference disappeared at the three month follow-up. In addition, patients with recurrent disease showed less improvement in quality of life than those with primary cancer. Conclusions: The beneficial effects on quality of life of a seven-session group psychoeducational program were seen across a wide range of categories of cancer patients. The generalizability and implications of these findings are briefly discussed.


2019 ◽  
Vol 37 (2) ◽  
pp. 66-71
Author(s):  
Parveen Shahida Akhtar ◽  
Nazreena Khatun ◽  
Rahnuma Parveen ◽  
Rafiqul Islam ◽  
Ferdous Ara

Background: Malnutrition is a frequent complication in patients with advanced staged lung cancer and can negatively affect the outcome of treatments. Lack of knowledge about nutrition, complications of disease and side effects of anticancer therapies can also lead to inadequate nutrient intake and subsequent malnutrition. Nutritional status is a strong predictor of quality of life in cancer patients. Objective: To get the effect of the nutritional intervention on outcome of dietary intake, body composition, nutritional status, functional capacity and quality of life in patients with lung cancer cachexia receiving chemotherapy. Patients and Methods: This 6 months study included the lung cancer patients who were interviewed with clinical assessment. Nutritional score of each patient was recorded. Individualized management plan with nutritional intervention was given and nutritional counseling was done by a nutritionist every week. Chemotherapy ± radiotherapy was given. Every patient was followed up at 1st, 2nd, 3rd and 6th week and was assessed regarding symptoms, clinical findings, nutritional score and radiological status. Results: Total 628 lung cancer patients with 523 (83%) males and 105 (17%) females (Male: female 4.98:1) were enrolled. Mean age was 56.88 years. Two thirds of them were illiterate. Around 90% came from poor and below average socioeconomic group. More than 95% male and >66% female were tobacco users in different forms. On assessing nutritional score, almost all were with high risk score (95%). About 80% presented with WHO performance status at 2 and 3. About 61% patients got treatment after hospitalization. Following nutritional intervention along with supportive, symptomatic, treatment of comorbid diseases and anti-cancer treatment, the result showed that mean nutritional score at 1st and 2nd week were 8.24 and 6.63 (high risk), at 3rd and 6th week were 5.46 and 4.34 (Intermediate risk). There was a significant effect for time (p<.001). Symptomatic improvement occurred in 60% of the patients. Conclusion: Nutritional intervention improves nutritional score if the other treatment like supportive, symptomatic, comorbid condition and anticancer treatment could be applied adequately. J Bangladesh Coll Phys Surg 2019; 37(2): 66-71


2018 ◽  
Vol 17 (5) ◽  
pp. 72-76
Author(s):  
F. Sh. Akhmetzyanov ◽  
I. I. Khayrullin ◽  
R. А. Gazizov ◽  
S. A. Karamalikov ◽  
I. V. Shaimardanov

In the Russian Federation, the incidence of cancer diagnosed at an advanced stage still remains high. A majority of patients (75 %) present with an advanced disease. The goal of palliative care is achievement of the best quality of life and relief of suffering of cancer patients. However, today there is no single model of palliative care.The aim of the studywas to analyze the activities of the Department of Palliative Care of Almetyevsky Branch of the Republican Clinical Oncology Center of the Republic of Tatarstan.Material and methods.The Palliative Service of the Republic of Tatarstan is unites several institutions, including the Almetyevsky branch of the Republican Clinical Oncological Dispensary, which was organized in 2015. Based on the population of Almetyevsky region, there are two medical outreach teams.Results.Between 2016 and 2017, 1 025 patients received palliative care at home, and 6 625 visits were made. Pain syndrome was the most common reason for admission (more than 80 %) followed by depression (more than 80 %), disability disorders (more than 40 %), insomnia (25 %), dyspnea (22 %), and impaired consciousness (5 %). As a result of the creation of this service, a decrease in the number of ambulance visits to patients was recorded: from 92 to 12 % for the reason of severe intolerable pain, from 75 to 6.6 % due to moderate pain and from 6.7 to 0, 3 % due to mild pain. The incidence of unjustified hospital stay decreased by 28 %.Conclusion.Organization of the team of professionals invoplved in providing high-quality cancer care in Almetyevsk helped to improve the quality of palliative care for incurable cancer patients.


2014 ◽  
Vol 15 (13) ◽  
pp. 5287-5291 ◽  
Author(s):  
Kyu-Tae Han ◽  
Sun Jung Kim ◽  
Haiyan Song ◽  
Sung-Youn Chun ◽  
Chan Ok Kim ◽  
...  

2018 ◽  
Vol 1 (3) ◽  
Author(s):  
Arunima Datta ◽  
Rimi Sharma

Background: Breast cancer patients experience a variety of psychological symptoms such as anxiety, depression that affect their quality of life. The present study probed whether the socioeconomic status had any significance on psychological distress and quality of life of breast cancer patients in India. Method: This was a cross-sectional and observational study, conducted over 111 breast cancer patients in a tertiary cancer hospital, Kolkata. Subjects were eligible to participate and they were of over 23rd years of age and had a histologically confirmed diagnosis of breast cancer had no history of recurrence or metastasis, and had no previous psychological problems. Age, marital status, residence, education, occupation and family income were assesses for patients’ socio economic status. Psychological symptoms and quality of life were assessed by using validated tools. Means and standard deviations of each outcome were compared by socioeconomic status and multivariate linear regression models for evaluating the association between socioeconomic status, psychological distress and quality of lifeResults: The patient group was categorized into three groups based on their income level as follows:  ≤500=27.9%), 500-1000=51.4% and high income = ≥1000=20.7%. A total of 111 breast cancer patients participated in the study; the mean age of participants was 49.7 (SE=1.31).  After using multivariate logistic regression with fully adjusted models, the patients who were living alone had significantly higher level of depression and poor quality of life compared to those who are employed. Higher education  and family income  both positively associated with quality of life after adjusting for age, marital status and occupation. Conclusion: The findings revealed that the family income have a significant impact on the psychological distress of the cancer patients.


Author(s):  
Do Quyen Phan Thi

Objective: The survey aims to explore the side effects and quality of life and its determinants among breast cancer patients who have been receiveing adjuvant chemotherapy at Oncology Center - Hue Central Hospital. Sample and Methods: This cross - sectional study deployed questionnaire - based interviews with 65 patients when they came to the hospital for adjuvant chemotherapy at Oncology Center - Hue Central Hospital from January to June 2020. Collected data was analyzed using SPSS software 21 for Windows. Results: The sample has an average age of 48,84. Among the total respondents, 50,8% had hormone receptor-positive breast cancer, 61,5% had Her2neu - positive, 7,7% was triple negative breast cancer patients. Most respondents reported having symptoms that decreased their quality of life, such as dry mouth, appetite changes, fatigue, arm pain, and limited mobility in ipsilateral arm. The majority felt insecure because of their asymmetric and less good-looking body image post mastectomy. Most were no longer interested in sexual activities. The rate of stage 3 was 35,4% but there was only 7,7% of patients who had received neo-adjuvant chemotherapy. Conclusion: This survey contributes to understanding of patients’ suffering of symptoms, their concerns and anxiety, and distress during their outpatient care. It also provides information on their thoughts and preferences for options of therapy. Altogether the study carries important implications for clinicians to plan more effective treatment and care for breast cancer patients.


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