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| Nutritional support strategies for cancer cachexia |
| Jin Zhang1, Hai-Tao Chen1, Qing-Hua Yao2* |
1Graduate School of Zhengjiang Chinese Medical University, Hangzhou 310053 , China;
2Oncology Department of Integrated Traditional Chinese and Western Medicine, Zhejiang Tumor Hospital, Hangzhou 310022 , China.
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Abstract Tumor cachexia is widely seen in patients with various stages of cancer, manifested by inadequate intake or abnormal hypermetabolism resulting in negative nitrogen and energy balance. Early intervention of nutritional therapy and penetrate it into other anti-cancer treatment processes can significantly benefit cancer patients who receiving palliative treatment. Nutritional therapy for cancer is a process of planning, implementing, evaluating and nutritional intervention to treat cancer and its complications or physical condition, to improve the prognosis of cancer patients, including nutritional diagnosis (screening/evaluation), nutritional intervention, efficacy evaluation (including follow-up) three stages. In practice, we should choose appropriate nutritional risk assessment tools and intervention methods according to the actual situation of patients, avoid over-treatment, reduce complications, and maximize patients'interests as far as possible. Nutritional support therapy for cancer involves ethics, morality and the wishes of patients and their families, and needs further exploration and improvement. The best nutritional support strategy often requires the joint participation of many disciplines, including clinicians, nurses, nutritionists and psychosocial workers. Nutritional support group and multidisciplinary collaboration group on cancer are gradually becoming a trend. With the accumulation of experience in cancer nutrition therapy, the development and application of drugs and nutritional preparations, and the deepening of multi-disciplinary collaboration, more cancer patients will benefit in clinical work.
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Received: 20 August 2019
Published: 14 October 2019
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Corresponding Authors:
Qing-Hua Yao, Oncology Department of Integrated Traditional Chinese and Western Medicine, Zhejiang Cancer Hospital, Hangzhou 310022, China.
E-mail: danfer1001@163.com
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