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Keywords {🔍}

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Topics {✒️}

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Questions {❓}

• Andreyev HJ, Norman AR, Oates J, Cunningham D (1998) Why do patients with weight loss have a worse outcome when undergoing chemotherapy for gastrointestinal malignancies?
• Elia M, Zellipour L, Stratton RJ (2005) To screen or not to screen for adult malnutrition?
• Has the patient had a reduced dietary intake in the last week?
• Has the patient lost weight within the last 3 months?
• Ross PJ, Ashley S, Norton A et al (2004) Do patients with weight loss have a worse outcome when undergoing chemotherapy for lung cancers?
• In intensive therapy)?

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         headline:The nutritional risk in oncology: a study of 1,453 cancer outpatients
         description:There is little information about the nutritional status of cancer outpatients because the practice of nutritional screening is rarely performed. This study aims to define the pattern of scores of nutritional risk in 1,453 outpatients and factors associated with a high nutrition risk score, to facilitate the identification of such patients by the oncologists. We prospectively screened the nutritional status of cancer outpatients according to the NRS-2002 score which combines indicators of malnutrition and of severity of the disease (1–3 points, respectively). A score ≥3 indicates “nutritional risk”. The association of the nutritional scores with some patient/tumour/therapy-related variables was investigated through univariable and multivariable linear regression models. Thirty-two percent of outpatients were at nutritional risk. Primary tumour site, Eastern Cooperative Oncology Group score and presence of anorexia or fatigue were significantly associated with the nutrition risk score. Depending on the combination of these variables, it was possible to estimate different probabilities of nutritional risk. The frequency of a relevant nutritional risk was higher than expected considering the favourably selected population. The nutritional risk was associated with common clinical variables which are usually recorded in the charts and could easily alert the oncologist on the need of a further nutritional assessment or a nutritional support.
         datePublished:2012-02-07T00:00:00Z
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      headline:The nutritional risk in oncology: a study of 1,453 cancer outpatients
      description:There is little information about the nutritional status of cancer outpatients because the practice of nutritional screening is rarely performed. This study aims to define the pattern of scores of nutritional risk in 1,453 outpatients and factors associated with a high nutrition risk score, to facilitate the identification of such patients by the oncologists. We prospectively screened the nutritional status of cancer outpatients according to the NRS-2002 score which combines indicators of malnutrition and of severity of the disease (1–3 points, respectively). A score ≥3 indicates “nutritional risk”. The association of the nutritional scores with some patient/tumour/therapy-related variables was investigated through univariable and multivariable linear regression models. Thirty-two percent of outpatients were at nutritional risk. Primary tumour site, Eastern Cooperative Oncology Group score and presence of anorexia or fatigue were significantly associated with the nutrition risk score. Depending on the combination of these variables, it was possible to estimate different probabilities of nutritional risk. The frequency of a relevant nutritional risk was higher than expected considering the favourably selected population. The nutritional risk was associated with common clinical variables which are usually recorded in the charts and could easily alert the oncologist on the need of a further nutritional assessment or a nutritional support.
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            name:University of Milan
            address:
               name:Faculty of Medicine, University of Milan, Milan, Italy
               type:PostalAddress
            type:Organization
      name:Luigi Mariani
      affiliation:
            name:Fondazione IRCCS Istituto Nazionale Tumori
            address:
               name:Unit of Clinical Epidemiology and Trial Organization, Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy
               type:PostalAddress
            type:Organization
            name:Fondazione IRCCS Istituto Nazionale Tumori
            address:
               name:Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy
               type:PostalAddress
            type:Organization
      email:[email protected]
      name:Salvatore Lo Vullo
      affiliation:
            name:Fondazione IRCCS Istituto Nazionale Tumori
            address:
               name:Unit of Clinical Epidemiology and Trial Organization, Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy
               type:PostalAddress
            type:Organization
      name:Maria Luisa Amerio
      affiliation:
            name:Ospedale Cardinal Massaia
            address:
               name:Ospedale Cardinal Massaia, Asti, Italy
               type:PostalAddress
            type:Organization
      name:Roberto Biffi
      affiliation:
            name:Istituto Europeo di Oncologia
            address:
               name:Istituto Europeo di Oncologia, Milan, Italy
               type:PostalAddress
            type:Organization
      name:Riccardo Caccialanza
      affiliation:
            name:Fondazione IRCCS Policlinico San Matteo
            address:
               name:Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
               type:PostalAddress
            type:Organization
      name:Giovanni Capuano
      affiliation:
            name:Ospedale San Pietro Fatebenefratelli
            address:
               name:Ospedale San Pietro Fatebenefratelli, Rome, Italy
               type:PostalAddress
            type:Organization
      name:Isabel Correja
      affiliation:
            name:University Hospital, Belo Horizonte
            address:
               name:University Hospital, Belo Horizonte, Belo Horizonte, Brazil
               type:PostalAddress
            type:Organization
      name:Luca Cozzaglio
      affiliation:
            name:Istituto Clinico Humanitas
            address:
               name:Istituto Clinico Humanitas, Rozzano, Italy
               type:PostalAddress
            type:Organization
      name:Angelo Di Leo
      affiliation:
            name:Ospedale ASL 4 Prato
            address:
               name:Ospedale ASL 4 Prato, Prato, Italy
               type:PostalAddress
            type:Organization
      name:Leonardo Di Cosmo
      affiliation:
            name:Azienda Universitaria Senese “Le Scotte”
            address:
               name:Azienda Universitaria Senese “Le Scotte”, Siena, Italy
               type:PostalAddress
            type:Organization
      name:Concetta Finocchiaro
      affiliation:
            name:Ospedale San Giovanni Battista
            address:
               name:Ospedale San Giovanni Battista, Turin, Italy
               type:PostalAddress
            type:Organization
      name:Cecilia Gavazzi
      affiliation:
            name:Fondazione IRCCS Istituto Nazionale Tumori
            address:
               name:Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy
               type:PostalAddress
            type:Organization
      name:Antonello Giannoni
      affiliation:
            name:ASL 1-Ospedale Civile Carrara
            address:
               name:ASL 1-Ospedale Civile Carrara, Carrara, Italy
               type:PostalAddress
            type:Organization
      name:Patrizia Magnanini
      affiliation:
            name:Ospedale S.Antonio USSL 16
            address:
               name:Ospedale S.Antonio USSL 16, Padua, Italy
               type:PostalAddress
            type:Organization
      name:Giovanni Mantovani
      affiliation:
            name:Policlinico Universitario Cagliari
            address:
               name:Policlinico Universitario Cagliari, Cagliari, Italy
               type:PostalAddress
            type:Organization
      name:Manuela Pellegrini
      affiliation:
            name:Presidio Ospedaliero Lucca
            address:
               name:Presidio Ospedaliero Lucca, Lucca, Italy
               type:PostalAddress
            type:Organization
      name:Giuseppe M. Rovera
      affiliation:
            name:ASL10-Ospedale Civile Pinerolo
            address:
               name:ASL10-Ospedale Civile Pinerolo, Pinerolo, Italy
               type:PostalAddress
            type:Organization
      name:Lidia Rovera
      affiliation:
            name:ASO Ordine Mauriziano Istituto di Ricerca e Cura del Cancro
            address:
               name:ASO Ordine Mauriziano Istituto di Ricerca e Cura del Cancro, Candiolo, Italy
               type:PostalAddress
            type:Organization
      name:Giancarlo Sandri
      affiliation:
            name:Ospedale S.Eugenio
            address:
               name:Ospedale S.Eugenio, Rome, Italy
               type:PostalAddress
            type:Organization
      name:Marco Tinivella
      affiliation:
            name:AOU San Luigi Gonzaga
            address:
               name:AOU San Luigi Gonzaga, Orbassano, Italy
               type:PostalAddress
            type:Organization
      name:Enrico Vigevani
      affiliation:
            name:Ospedale S. Antonio Abate
            address:
               name:Ospedale S. Antonio Abate, Tolmezzo, Italy
               type:PostalAddress
            type:Organization
PostalAddress:
      name:Faculty of Medicine, University of Milan, Milan, Italy
      name:Unit of Clinical Epidemiology and Trial Organization, Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy
      name:Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy
      name:Unit of Clinical Epidemiology and Trial Organization, Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy
      name:Ospedale Cardinal Massaia, Asti, Italy
      name:Istituto Europeo di Oncologia, Milan, Italy
      name:Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
      name:Ospedale San Pietro Fatebenefratelli, Rome, Italy
      name:University Hospital, Belo Horizonte, Belo Horizonte, Brazil
      name:Istituto Clinico Humanitas, Rozzano, Italy
      name:Ospedale ASL 4 Prato, Prato, Italy
      name:Azienda Universitaria Senese “Le Scotte”, Siena, Italy
      name:Ospedale San Giovanni Battista, Turin, Italy
      name:Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy
      name:ASL 1-Ospedale Civile Carrara, Carrara, Italy
      name:Ospedale S.Antonio USSL 16, Padua, Italy
      name:Policlinico Universitario Cagliari, Cagliari, Italy
      name:Presidio Ospedaliero Lucca, Lucca, Italy
      name:ASL10-Ospedale Civile Pinerolo, Pinerolo, Italy
      name:ASO Ordine Mauriziano Istituto di Ricerca e Cura del Cancro, Candiolo, Italy
      name:Ospedale S.Eugenio, Rome, Italy
      name:AOU San Luigi Gonzaga, Orbassano, Italy
      name:Ospedale S. Antonio Abate, Tolmezzo, Italy

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