参加首次营养医疗控制的肿瘤病理患者营养不良风险的患病率

M. D.
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摘要

在活动性肿瘤病理患者中,营养改变是常见的。这一群体在诊断时营养不良的发生率为15-20%,在疾病晚期患者中为80-90%。不同肿瘤的营养风险取决于它们的位置,消化道的受累程度和癌症治疗的类型。这是一项关于全球营养不良风险普遍程度的描述性研究。我们纳入了2019年6月至2020年6月期间在布宜诺斯艾利斯玛丽亚居里市立肿瘤医院营养和糖尿病科就诊的898名肿瘤病理患者。目的是分析首次参加营养医学控制的患者通过MUST出现的全球营养不良风险的流行程度。对营养不良总体风险高的患者组进行评分分析,27.79%的患者获得最高评价4分。44%的患者患有乳腺癌,其次是宫颈癌、卵巢癌和子宫癌,占13%,然后是口腔癌、口腔/舌头癌,占12%。营养不良是癌症患者常见的并发症,根据一些参考文献,它与发病率/死亡率的增加显著相关。癌症患者的营养评估应在诊断时就开始,以便及早开展营养干预,减少相关并发症,提高患者的生活质量。
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Prevalence of Malnutrition Risk in Patients with Oncological Pathology who Attend their First Nutritional Medical Control
Nutritional alterations are frequent in patients with active oncological pathology. The prevalence of malnutrition in this group is 15-20% at the time of diagnosis and 80-90% in patients with advanced disease. The different tumors show nutritional risks according to their location, their degree of involvement of the digestive tract and the type of cancer treatment established. It is a descriptive study of the prevalence of global risk of malnutrition. We included 898 patients with oncological pathology who attended to Nutrition and Diabetes Department of Maria Curie Municipal Oncology Hospital of Buenos Aires between June 2019 and June 2020. The objective was to analyze the prevalence of global risk of malnutrition through MUST in patients who attend their first nutritional medical control. An analysis of the score was carried out ina group of patients with high global risk of malnutrition, observing that 27.79% obtained the highest evaluation of score 4. 44% of the patients had breast cancer, followed by cervix, ovary and uterus cancer with 13% and then cancer of the mouth, oral/tongue in 12%. Malnutrition is a frequent complication in cancer patients and it is significantly associated with an increasement in morbidity/mortality according to some bibliography. The nutritional assessment of patient with cancer should begin at the time of diagnosis in order to initiate nutritional intervention early, reducing associated complications and improving the patient’s quality of life.
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