NutriCancer: A French observational multicentre cross-sectional study of malnutrition in elderly patients with cancer |
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| Authors: | Jean Lacau St Guily Éric Bouvard Bruno Raynard François Goldwasser Brigitte Maget Alain Prevost David Seguy Olivier Romano Bérengère Narciso Charles Couet Jean-Michel Balon Damien Vansteene Sébastien Salas Philippe Grandval Emmanuel Gyan Xavier Hebuterne |
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| Affiliation: | 1. Otolaryngology Head and Neck Surgery, Sorbonne Universités, UPMC Univ Paris 06, AP-HP, Tenon Hospital, Paris, France;2. Internal Medicine, Tenon Hospital, AP-HP, Paris, France;3. Dietetic and Nutrition Unit, Gustave Roussy, Cancer Campus, Grand Paris, France;4. Medical Oncology, Cochin Teaching Hospital, AP-HP, Paris, France, University Paris Descartes, Paris, France;5. Department of Anesthesiology, CLCC Institut Jean Godinot, Reims, France;6. Medical Oncology, Institut Jean Godinot, Reims, France;7. Department of Nutrition, Lille CHU, Lille, France, University of Lille, Lille, France;8. Générale de Santé, Hôpital Privé la Louvière, Lille, France et Générale de Santé, Hôpital Privé Villeneuve- d''Ascq, Villeneuve-d''Ascq, France;9. Université Claude Bernard Lyon 1, Lyon, France;10. INSERM UMR1069, “Nutrition, Growth and Cancer”, F-37032 Tours, France;11. Université François Rabelais, France et CHRU Bretonneau, F-37044 Tours, France;12. Service de Chirurgie Digestive, Clinique Jules Verne, Nantes, France;13. Institut de Cancérologie de l''Ouest, Oncologie Médicale, Saint-Herblain, France;14. Service d''Oncologie Médicale et de soins palliatifs, APHM Timone, Marseille, France et Aix Marseille Université, Marseille, France;15. Gastroenterology department, Timone Hospital, Marseille, France;p. Hematology and Cell Therapy, Tours, Teaching Hospital (CHRU), Tours, France;q. Faculty of Medicine of Tours, University François Rabelais, Tours, France;r. Gastroenterology and Clinical Nutrition, Nice Teaching Hospital (CHU) and University of Nice Sophia-Antipolis Nice, France |
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| Abstract: | ![]()
ObjectivesTo compare the prevalence of malnutrition and nutritional management between elderly (≥ 70 years old) and younger patients (< 70 years) with cancer.Patients and MethodsThis is a post-hoc analysis of NutriCancer 2012 study; a one-day cross-sectional nationwide survey conducted to assess malnutrition in adult patients with cancer in France. Patients diagnosed with cancer at the study date in both inpatient and outpatient settings were included. Data collection was performed by means of questionnaires completed by the physician, the patient and the caregiver.ResultsThis post-hoc analysis compared 578 elderly patients (27.6%) vs. 1517 younger patients (72.4%). There were significant differences in cancer localization between the groups particularly in gastrointestinal cancer (27% in younger patients vs. 42% in elderly), breast cancer (17% vs 8% in elderly) and oropharyngeal (15% vs. 9% in elderly). Weight loss was significantly more reported in the elderly than in younger patients (73.6% vs. 67.6%, p = 0.009). Elderly patients were more frequently malnourished than younger patients (44.9% vs. 36.7%, p = 0.0006). Food intake was comparable between the groups; however, physicians overestimated the food intake, particularly in the elderly. The malnutrition management was more frequently proposed in elderly, as dietary advice and oral nutritional supplements, than in younger patients; however, enteral nutrition was significantly less undertaken in the elderly.ConclusionMalnutrition is prevalent in elderly patients with cancer, and more frequent than in younger patients. There is a need for an early integration of the nutritional counselling in patients with cancer, and particularly in the elderly. |
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| Keywords: | VAS visual analogue scale NS not significant Cancer Elderly Malnutrition Nutritional status Nutritional support |
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