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MalnutritioninPatientsWithCancer:ComparisonofPerceptionsbyPatients,Relatives,andPhysicians—ResultsoftheNutriCancer2012StudyJournalofParenteralandEnteralNutritionIF：3.517Publication:Jan20171

MalnutritioninPatientsWith研究背景及目的01研究结果03研究对象及方法02讨论及总结04THEMAINCONTENTS22023/8/8研究背景及目的01研究结果03研究对象及方法02讨论及总结01第部分研究背景及目的32023/8/81第部分研究背景及目的32023/8/2研究背景及目的01Malnutritionincreasestheriskoftreatmenttoxicityandimpairsoutcomesofpatientswithcancer.Earlynutritioninterventionsarerecommendedinproperlyidentifiedpatientsforimprovingtreatmenttoleranceandpatientsurvival.Underestimationofmalnutritionremainsasignificantissuesinceearlyrecognitionofmalnutritionmayallowforearlyoptimizationofnutritioninterventionstosupportpatientsduringtreatment.Patientself-screeningformalnutritionhasbeenreportedasfeasibleincancer,andrelativesmayalsoprovideexternalinformationonnutrition.42023/8/8研究背景及目的01Malnutritionincrease研究背景及目的01questions:Whetherpatientswithcancerand/ortheirrelativesareawareofmalnutritionandcouldimprovetheefficacyofnutri-tioninterventionsisunclear.However,thesubjectiveawarenessofmalnutritionbythepatients,theirrelat-ives,andphysicianshasnotyetbeenassessedorcompared.52023/8/8研究背景及目的01questions:Whetherpa研究背景及目的01ObjectiveTocomparethevalidateddefinitionofmalnutritionwiththeperceptionsofnutritionstatusbypatients,relatives,andphysicians.Tofindouttheriskfactorsofmalnutrition.62023/8/8研究背景及目的01ObjectiveTocomparet2第部分研究方法及对象72023/8/82第部分研究方法及对象72023/8/202研究方法及对象MethodsTheNutriCancer2012multicentriccross-sectionalsurveywasconductedon1predefinedday.Thesurveywasconductedin283departmentsofprivateorpublichospitalsin36citiesinFranceonOctober9,2012,andincluded2197patients.Eachincludedpatienthadtocompleteaquestionnaire.Theatt-endingphysicianonthedayofthevisitwasincluded,aswellastheclosestrelative,whoalsoreceivedquestionnairestocom-plete.82023/8/802研究方法及对象MethodsTheNutriCance02研究方法及对象Inclusioncriteriapatientsdiagnosedwithcancer,aged≥18years,andwillingtocompleteaquestionnaire.Malnutritionwasidentifiedasfollows:weightloss≥5%within1monthor≥10%within6months,abodymassindex(BMI)≤18.5kg/m2inpatientsaged<70yearsor≤21kg/m2inpatientsaged≥70years,albu-minemia(whenavailable)<35g/Linpatientsaged≥70years.92023/8/802研究方法及对象Inclusioncriteriapat3第部分研究结果102023/8/83第部分研究结果102023/8/2研究结果03112023/8/8研究结果03112023/8/2研究结果03Malnutritionprevalenceandstatisticalanalysis:Overall,826patientsweremalnourished(39%;95%confidenceinterval[CI],37–41),withahigherpre-valenceinpatientswithliverandpancreaticcancers122023/8/8研究结果03Malnutritionprevalence研究结果03Malnutritionwasidentifiedin40%,40%,and31%ofpatientsininitialevolution,relapse,orremission,respectively,and27%ofpatientswithlocaldiseasestage.132023/8/8研究结果03Malnutritionwasidentif研究结果03Prevalenceofmalnutritionwas39%.Physiciansoverestimatedmalnutrition(44%),whereaspatientsandrelativesunderes-timatedit(24%and25%,respe-ctively,P<.001).142023/8/8研究结果03Prevalenceofmalnutrit研究结果03Accordingtoquest-ionnaires,57%ofpatientsand61%ofrelativesreportedalowerfoodintake,m-ainlybecauseofGIsymptoms.152023/8/8研究结果03Accordingtoquest-ionna研究结果03Nutritionint-erventionswererecalledandwerem-orefrequentinmalnouri-shedpatients162023/8/8研究结果03Nutritionint-erventions4第部分讨论及总结172023/8/84第部分讨论及总结172023/8/2讨论及总结04Thisstudyconfirmedthehighprevalenceofmalnutrition(39%)inpatientswithcancer.Thepercentageobtainedisslightlyhigherthanthe30.9%foundinapreviousstudybyPressoiretal[7]andlowerthanthe43.5%and52%reportedbyNourissatetal[8]andSeguraetal,[9]respectively.Oneexplanationcouldbethedifferentproportionsofpa-tientswithGIlocations:32%inourstudycomparedwith17%and34%inthestudiesbyPressoiretal[7]andNourissatetal,8respectively,whileinthestudybySeguraetal,9theproportionofpatientswithpancreaticandlungcancerswashigher.01182023/8/8讨论及总结04Thisstudyconfirmedth讨论及总结0402Patientsandrelativesunderestimatedmalnutritionwhilephysiciansoverestimatedit,indicatingalowawarenessofpatientsandrelativesregardingmalnutritionincancer.Furtherstudiesareneededtoimprovetheawarenesso