Effect of an Evidence-Based Nutrition Care Pathway for Cancer Patients Undergoing Gastrointestinal and Pelvic Surgery

Den, E, Steer, B, Quinn, P and Kiss, N 2020, Effect of an Evidence-Based Nutrition Care Pathway for Cancer Patients Undergoing Gastrointestinal and Pelvic Surgery, Nutrition and Cancer, doi: 10.1080/01635581.2020.1839517.

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Title Effect of an Evidence-Based Nutrition Care Pathway for Cancer Patients Undergoing Gastrointestinal and Pelvic Surgery
Author(s) Den, E
Steer, B
Quinn, P
Kiss, NORCID iD for Kiss, N orcid.org/0000-0002-6476-9834
Journal name Nutrition and Cancer
Total pages 9
Publisher Taylor & Francis
Place of publication Abingdon-on-Thames, Eng.
Publication date 2020-11-02
ISSN 0163-5581
1532-7914
Keyword(s) Science & Technology
Life Sciences & Biomedicine
Oncology
Nutrition & Dietetics
ESPEN GUIDELINES
ENTERAL NUTRITION
ENHANCED RECOVERY
HOSPITAL STAY
RISK
MALNUTRITION
CHEMORADIOTHERAPY
COMPLICATIONS
PREVALENCE
MORBIDITY
Summary Malnutrition in gastrointestinal surgery is associated with poorer post-operative outcomes which may be mitigated by delivery of evidence-based nutrition care. This study reports on the development, implementation and evaluation of an evidence-based nutrition care pathway for lower gastrointestinal and pelvic cancer patients. A retrospective cohort study of 40 surgical lower gastrointestinal and pelvic cancer patients pre- and post-implementation of the pathway was conducted. Outcomes assessed were, care pathway adherence, weight change, time to post-operative commencement of nutrition, and post-operative length of stay. Post-implementation of the pathway there were significant improvements in the proportion of patients who received dietetic assessment and education pre-surgery (0% vs 55%, P <.001) at regular intervals during admission (35% vs. 90%, P <.001) and post-discharge (22.5% vs. 81.8%, P <.001). Mean weight change between admission and discharge reduced post-implementation (−3.5%, SD 4.7 vs, −5.6%, SD 4.7; P = 0.08). Post-operative length of stay remained similar (16 day, IQR 11–34.7 vs. 17.5 day, IQR 11.2–25; P = 0.71). Post-implementation a greater proportion of patients commenced oral or enteral nutrition within 24 h, post-operatively (75% vs. 57.5%, P = 0.1). The nutrition care pathway was an effective method for delivering evidence-based nutrition care, resulting in clinically but not statistically significant improvements in outcomes.
Notes In Press
Language eng
DOI 10.1080/01635581.2020.1839517
Indigenous content off
Field of Research 1111 Nutrition and Dietetics
1112 Oncology and Carcinogenesis
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2020, Peter MacCallum Cancer Centre
Persistent URL http://hdl.handle.net/10536/DRO/DU:30145025

Document type: Journal Article
Collections: Faculty of Health
School of Exercise and Nutrition Sciences
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