Nutritional status and primary tumour site in incurable cancer.

IF 2 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES BMJ Supportive & Palliative Care Pub Date : 2024-08-19 DOI:10.1136/bmjspcare-2021-003321

Livia Costa De Oliveira, Emanuelly Varea Maria Wiegert, Lara Azevedo Dos Santos, Larissa Calixto-Lima

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Abstract

Objectives: We aimed (1) to assess the nutritional status (NS) using different methods, according to the primary tumour site and (2) to evaluate the performance of these methods in patients with incurable cancer from a reference centre in Brazil.

Methods: Cross-sectional analysis of data from patients admitted to the palliative care unit of a reference cancer centre in Brazil, between July 2016 and March 2020. The primary tumour site was the independent variable and the NS using different methods were the dependent variables. Logistic regressions were performed.

Results: A total of 2,144 patients were included in the study. The most common primary tumour site was the upper gastrointestinal (GI) tract (18.0%), followed by gynaecological (17.6%) and head and neck (HN) (13.5%). Our results showed that patients with tumours of the upper GI tract followed by HN presented significantly higher risk of worse NS. In contrast, breast tumours, bone and connective tissues and melanoma presented inverse association. The gynaecological cancer was variably associated with nutritional impairment, according to the assessment method.

Conclusions: Patients with incurable cancer present high prevalence of NS impairment, depending on the tumour site, shown to be elevated in patients with tumour in the upper GI tract.

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无法治愈的癌症患者的营养状况和原发肿瘤部位。

目的：我们的目的是：（1）根据原发肿瘤部位，采用不同方法评估营养状况（NS）；（2）评估这些方法在巴西一家参考中心的不治癌症患者中的应用效果：方法：对2016年7月至2020年3月期间巴西一家参考癌症中心姑息治疗病房收治的患者数据进行横断面分析。原发肿瘤部位为自变量，采用不同方法治疗的NS为因变量。结果显示，共有2144名患者接受了姑息治疗：研究共纳入了 2,144 名患者。最常见的原发肿瘤部位是上消化道（18.0%），其次是妇科（17.6%）和头颈部（13.5%）。我们的研究结果表明，上消化道肿瘤和头颈部肿瘤患者的 NS 恶化风险明显更高。相比之下，乳腺肿瘤、骨和结缔组织肿瘤以及黑色素瘤则呈反向关联。根据评估方法的不同，妇科癌症与营养障碍的关系也不尽相同：结论：无法治愈的癌症患者营养不良的发生率很高，这取决于肿瘤的部位，上消化道肿瘤患者的营养不良发生率更高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

BMJ Supportive & Palliative Care Medicine-Medicine (miscellaneous)

CiteScore

4.60

自引率

7.40%

发文量

170

期刊介绍： Published quarterly in print and continuously online, BMJ Supportive & Palliative Care aims to connect many disciplines and specialties throughout the world by providing high quality, clinically relevant research, reviews, comment, information and news of international importance. We hold an inclusive view of supportive and palliative care research and we are able to call on expertise to critique the whole range of methodologies within the subject, including those working in transitional research, clinical trials, epidemiology, behavioural sciences, ethics and health service research. Articles with relevance to clinical practice and clinical service development will be considered for publication. In an international context, many different categories of clinician and healthcare workers do clinical work associated with palliative medicine, specialist or generalist palliative care, supportive care, psychosocial-oncology and end of life care. We wish to engage many specialties, not only those traditionally associated with supportive and palliative care. We hope to extend the readership to doctors, nurses, other healthcare workers and researchers in medical and surgical specialties, including but not limited to cardiology, gastroenterology, geriatrics, neurology, oncology, paediatrics, primary care, psychiatry, psychology, renal medicine, respiratory medicine.