Challenges of Home Parenteral Nutrition for Patients with Advanced Cancer

IF 0.4 Q4 ONCOLOGY International Journal of Cancer Management Pub Date : 2023-08-17 DOI:10.5812/ijcm-129737

Soroor Fathi, Bahareh Aminnejad, S. Shekari, S. Mirzaei Dahka, Naeemeh Hasanpour Ardekanizadeh, Golsa Khalatbari Mohseni, M. Gholamalizadeh, Kourosh Delpasand, N. Jafarnia, Fatemeh Mohammadi‐Nasrabadi, S. Doaee

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Abstract

Context: Advanced cancer is one of the most complicated conditions for both patients and their relatives. This study aimed at investigating the challenges of home parenteral nutrition (HPN) in patients with advanced cancer. Evidence Acquisition: In this study, all articles published in English from 2000 to 2022 on dietary support for HPN in patients with advanced cancer were collected from several databases, including Medline, Scopus, and Google Scholar, using related keywords such as “advanced cancer” and “home parenteral nutrition”. Results: The different issues of HPN were examined for different dimensions such as HPN during palliative care, deciding HPN, patients’ safety, supportive environment, and health literacy. Regarding ethical issues on HPN, 4 principles including charity, autonomy, harmlessness, and justice should be considered in patients with advanced cancer. Considering recent findings on the beneficial effects of nutrients in patients with advanced cancer, there may be a need to revise the guidelines related to parenteral nutrition support in these patients. Conclusions: Different challenges should be especially considered in adopting appropriate approaches in the field of HPN in patients with advanced cancer. More longitudinal studies in this field are needed.

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晚期癌症患者家庭肠外营养的挑战

背景:晚期癌症对患者及其亲属来说都是最复杂的疾病之一。本研究旨在探讨家庭肠外营养(HPN)在晚期癌症患者中的挑战。证据获取:本研究使用“晚期癌症”、“家庭肠外营养”等相关关键词，从Medline、Scopus、谷歌Scholar等多个数据库中收集2000 - 2022年发表的所有关于晚期癌症患者HPN饮食支持的英文文章。结果:不同的HPN问题在姑息治疗期间的HPN、决定HPN、患者安全、支持环境和健康素养等不同维度上进行了检查。关于HPN的伦理问题，晚期癌症患者应考虑慈善、自主、无害、公正4项原则。考虑到最近关于营养物质对晚期癌症患者有益作用的研究结果，可能需要修订这些患者的肠外营养支持相关指南。结论:在晚期癌症患者的HPN领域中，采用合适的方法应特别考虑不同的挑战。这一领域需要更多的纵向研究。

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

International Journal of Cancer Management ONCOLOGY-

CiteScore

1.10

自引率

0.00%

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期刊介绍： International Journal of Cancer Management (IJCM) publishes peer-reviewed original studies and reviews on cancer etiology, epidemiology and risk factors, novel approach to cancer management including prevention, diagnosis, surgery, radiotherapy, medical oncology, and issues regarding cancer survivorship and palliative care. The scope spans the spectrum of cancer research from the laboratory to the clinic, with special emphasis on translational cancer research that bridge the laboratory and clinic. We also consider original case reports that expand clinical cancer knowledge and convey important best practice messages.