Dietary Counseling Improves Patient Outcomes: A Prospective, Randomized, Controlled Trial in Colorectal Cancer Patients Undergoing Radiotherapy

Ravasco, Paula; Grillo, I. Monteiro; Marques‐Vidal, Pedro; Camilo, M.

doi:10.1200/jco.2005.02.054

Cited by 461 publications

(407 citation statements)

References 26 publications

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“…Although there have been some efforts to address nutrition issues during treatment, there continues to be a need for solutions (17,18,32). Nutrition strategies that have been recommended include dietary counseling, oral nutritional supplementation, and/or flavor enhancers (12,15,(21)(22)(23).…”

Section: Discussionmentioning

confidence: 99%

The Impact of Cancer Treatment on the Diets and Food Preferences of Patients Receiving Outpatient Treatment

Coa

Epstein

Ettinger

et al. 2015

Nutrition and Cancer

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Patients undergoing cancer treatment experience a multitude of symptoms that can influence their ability to complete treatment as well as their quality of life during and after treatment. This cross-sectional study sought to describe the dietary changes experienced by cancer patients and to identify associations between these changes and common treatment symptoms. A convenience sample of 1199 cancer patients aged 18 yr and older undergoing active treatment were recruited from 7 cancer centers to complete a selfadministered paper-and-pencil survey. Descriptive analyses were conducted to estimate prevalence of dietary changes and chi-squared tests were used to examine associations between dietary changes and health outcomes. Approximately 40% of patients reported a decreased appetite since beginning treatment, and 67.2% of patients reported at least 1 chemosensory alteration. Increased taste sensitivities were more common than decreased taste sensitivities, with increased sensitivity to metallic being the most common taste sensitivity (18.6%). Patients also had increased sensitivities to certain smells including cleaning solutions (23.4%), perfume (22.4%), and food cooking (11.4%). Patients reported a wide range of

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Section: Discussionmentioning

confidence: 99%

The Impact of Cancer Treatment on the Diets and Food Preferences of Patients Receiving Outpatient Treatment

Coa

Epstein

Ettinger

et al. 2015

Nutrition and Cancer

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“…The patient-generated SGA (PG-SGA) is a further modification of the SGA and has been specifically developed for patients with cancer (Ottery, 1996). The PG-SGA has been used for nutritional assessment in patients with various types of cancer such as cancer of the oesophagus, stomach, pancreas, lung, colorectum, breast and head and neck (Bauer et al, 2002;Persson et al, 2002;Isenring et al, 2003;Ravasco et al, 2003Ravasco et al, , 2005Bauer and Capra, 2005;Desbrow et al, 2005;Horsley et al, 2005;Segura et al, 2005). Bauer et al (2002) compared the scored PG-SGA with the SGA for patients with cancer and suggested the PG-SGA be used for further studies to detect malnutrition in cancer populations.…”

Section: Introductionmentioning

confidence: 99%

Malnutrition among gynaecological cancer patients

et al. 2006

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Objective: To assess the nutritional status of patients with gynaecological cancer. Design: A prospective study assessing the nutritional status of gynaecological patients with suspected or proven gynaecological cancer. Setting: Queensland Centre for Gynaecological Cancer, Brisbane, Australia; a tertiary referral centre for gynaecological cancer. Subjects: One hundred forty-five patients with suspected or proven gynaecological cancer aged 20-91 years. Intervention: Scored patient-generated subjective global assessment (PG-SGA) and serum albumin before treatment. Results: One hundred and sixteen (80%) patients were categorized as PG-SGA class A, 29 (20%) patients were PG-SGA B and none of the patients were PG-SGA C. Ovarian cancer patients had significantly lower serum albumin levels (P ¼ 0.003) and higher PG-SGA scores (Po0.001) than patients with other types of cancer and benign conditions. Sixty-seven per cent of patients with ovarian cancer were classified as PG-SGA B. After adjusting for patient's age, body mass index and albumin level, ovarian cancer patients were 19 times more likely to be categorized as PG-SGA class B compared to patients with benign conditions (95% confidence interval: 3.03-129.8; P ¼ 0.002). Conclusion: Malnutrition in gynaecological cancer patients is a significant problem, especially among those patients diagnosed with ovarian cancer.

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“…32 Moreover, this relationship intensifies with disease progression, and advanced disease is strongly associated with malnutrition, weight loss, decreased energy, and decreased quality of life. [33][34][35] Cancer-related nutritional deterioration has been attributed to anorexia, loss of lean body mass, and altered carbohydrate and lipid metabolism. 32,36 Deficiencies in nutritional intake vary with disease progression, and cancer-related anorexia-cachexia is a strong independent risk factor for mortality.…”

Section: Discussionmentioning

confidence: 99%

“…41 Research has shown that dietary needs of patients vary by a host of individual factors, including stage and type of cancer, and that an individual dietary counseling approach is more effective than supplementation alone. 32,35 …”

Section: %mentioning

confidence: 99%

The Bill Henderson Protocol

Page

Mannion

Bell

et al. 2011

J Evid Based Complementary Altern Med

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This study sought to describe how consumers found the Bill Henderson protocol, a dietary intervention for cancer treatment, and to describe their perceptions and evaluation of its effects. In all, 630 surveys were completed online. Most respondents were ages 55 to 74 years old, well-educated, and had experience with a cancer diagnosis. Most respondents identified the Bill Henderson protocol through Internet searches. More than two thirds had used the protocol, although adherence to its components varied. A number of positive attributions were made to the protocol, including cancer cure (n ¼ 73) and improvements in health status indicators (n ¼ 170). Negative attributions included disease progression (n ¼ 10) and death (n ¼ 2). Consumers search for disease management options online. Attributions regarding this intervention's success or failure are based on anecdotal experience. There has been no empirical investigation of the Bill Henderson protocol's safety and efficacy to date, limiting the information on which choice can be made. This could place protocol adherents at risk.

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Dietary Counseling Improves Patient Outcomes: A Prospective, Randomized, Controlled Trial in Colorectal Cancer Patients Undergoing Radiotherapy

Abstract: During radiotherapy, both interventions positively influenced outcomes; dietary counseling was of similar or higher benefit, whereas even 3 months after RT, it was the only method to sustain a significant impact on patient outcomes.

Cited by 461 publications

References 26 publications

The Impact of Cancer Treatment on the Diets and Food Preferences of Patients Receiving Outpatient Treatment

The Impact of Cancer Treatment on the Diets and Food Preferences of Patients Receiving Outpatient Treatment

Malnutrition among gynaecological cancer patients

The Bill Henderson Protocol

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