Nutritional and psychosocial status of colorectal cancer patients referred to an outpatient oncology clinic

Daudt, Helena; Cosby, C.; Dennis, Darcy; Payeur, N.; Nurullah, Rubayed

doi:10.1007/s00520-011-1224-7

Cited by 26 publications

(17 citation statements)

References 41 publications

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“…These findings suggest that pretreatment depression may have affected blood chemistry, immunologic homeostasis, and body weight, which can be taken as evidence that pretreatment depression affected nutritional status. The close correlation between psychosocial status and nutrition has been well reported in several types of human malignancies, including head and neck cancer . Furthermore, our results support the presence of an association between psychological distress, nutritional status, and systemic blood markers in HNSCC.…”

Section: Discussionsupporting

confidence: 88%

“…The close correlation between psychosocial status and nutrition has been well reported in several types of human malignancies, including head and neck cancer. 2,[18][19][20] Furthermore, our results support the presence of an association between psychological distress, nutritional status, and systemic blood markers in HNSCC. Depressive mood may affect food intake, causing malnutrition, cancer cachexia, and systemic acutephase inflammatory response.…”

Section: Discussionsupporting

confidence: 81%

“…Each item is rated on a 4-point intensity scale ranging from 0 to 3. The severity of depression is usually categorized as mild (BDI-II score, [14][15][16][17][18][19], moderate (BDI-II score, 20-28), or severe (BDI-II score, 29-63). In this study, we used the version of BDI-II that has been validated in Korea.…”

Section: Outcome Variablesmentioning

confidence: 99%

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Pretreatment depression as a prognostic indicator of survival and nutritional status in patients with head and neck cancer

Kim

Roh

Lee

et al. 2015

Cancer

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BACKGROUND The emotional status of cancer patients is associated with disease course and treatment outcomes. In this study, the authors evaluated associations between the presence of pretreatment depression and pretreatment quality of life (QOL), nutritional status, and survival outcomes in patients with head and neck squamous cell carcinoma (HNSCC). METHODS For this prospective study, 241 patients with previously untreated HNSCC who underwent curative treatments were enrolled. Patients completed the Beck Depression Inventory (BDI)‐II, the European Organization for Research and Treatment of Cancer (EORTC) 30‐item Core QOL Questionnaire (QLQ‐C30), and the EORTC QLQ Head and Neck Cancer module (QLQ‐H&N35). EORTC QLQ scores were compared between depressive and nondepressive patients, as determined according to pretreatment BDI‐II scores ≥14 and <14, respectively. Univariate and multivariate analyses were performed to assess whether the presence of depression was associated with overall survival, disease‐free survival (DFS), or posttreatment changes in nutritional status and laboratory data. RESULTS Pretreatment depression was present in 60 patients (24.9%). In depressive and nondepressive patients, the 3‐year overall survival rates were 70.8% and 82.7%, respectively (P = .045), and the 3‐year DFS rates were 63.5% and 79.1%, respectively (P = .015). After controlling for clinical factors, the presence of depression was predictive of 3‐year DFS (P = .032). EORTC QLQ‐C30 and QLQ‐HN35 scores on all items except feeding tube, nutritional supplement, and problem with mouth opening differed between depressive and nondepressive patients (P < .05). Depressive patients had lower pretreatment serum albumin levels than nondepressive patients (P < .05). CONCLUSIONS There was a significant correlation between pretreatment depression and pretreatment QOL, nutritional status, and survival outcomes in patients with HNSCC. Cancer 2016;122:131–140. © 2015 American Cancer Society.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionsupporting

confidence: 81%

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Pretreatment depression as a prognostic indicator of survival and nutritional status in patients with head and neck cancer

Kim

Roh

Lee

et al. 2015

Cancer

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“…Our study findings update the evidence and indicate that, with respect to the physical and emotional challenges of crc survivors, existing scps in our province reflect the evidence available when the scps were issued (Table iv) [65][66][67][68] . However, literature concerning cancer risks specific to crc survivors is lacking.…”

Section: Discussionsupporting

confidence: 76%

Survivorship Care Plans for People with Colorectal Cancer: Do They Reflect the Research Evidence?

2016

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AimIn the present study, we synthesized the published literature about the psychosocial aspects of colorectal cancer (crc) survivorship to support an update of the evidentiary base of the survivorship care plans (scps) created in our jurisdiction. MethodsThe psychosocial topics identified in the crc scps created by two different initiatives in our province were used as search criteria: quality of life (qol), sexual function, fatigue, and lifestyle behaviors. An umbrella review was conducted to retrieve the best possible evidence. Only reviews that investigated the intended outcomes in crc survivors and those with moderate-to-high methodologic quality scores were included. ResultsOf 462 retrieved reports, eight reviews met the inclusion criteria for the synthesis. Of those eight, six investigated the challenges of crc survivors and two investigated the effect of physical activity on survivor wellbeing. Our results indicate that emotional and physical challenges are common in crc survivors and that physical activity is associated with clinically important benefits for the fatigue and physical functioning of crc survivors. ConclusionsOur study findings update the evidence and indicate that existing scps in our province concerning the physical and emotional challenges of crc survivors reflect the evidence at the time of their issue. However, the literature concerning cancer risks specific to crc survivors is lacking. Although systematic reviews are considered to be the "gold standard" in knowledge synthesis, our findings suggest that much remains to be done in the area of synthesis research to better guide practice in cancer survivorship.

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“…Cross-sectional studies have noted an association between higher levels of depressive symptoms and poorer nutritional markers (including weight loss) among patients with lung, 33 prostate, 34 and colorectal cancer, 35 chronic kidney disease, 36,37 and inflammatory bowel disease, 38 as well as with geriatric patients. [39][40][41][42] Importantly, depressive symptoms have remained associated with poor nutritional status after controlling for factors such as disease severity, age, and functional status in these non-head and neck cancer populations.…”

Section: Associations Between Depressive Symptoms and Nutritional Impmentioning

confidence: 99%

Weight loss after head and neck cancer: A dynamic relationship with depressive symptoms

et al. 2016

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Background Weight loss (WL) and depressive symptoms are critical head and neck cancer (HNC) outcomes, yet their relation over the illness course is unclear. Methods Associations between self-reported depressive symptoms and objective WL across the year following HNC diagnosis were examined using growth curve modeling techniques (N=564). Results A reciprocal covariation pattern emerged—changes in depressive symptoms over time were associated with same-month changes in WL, t (1148) = 2.05, p = .041, and changes in WL were associated with same-month changes in depressive symptoms, t (556) = 2.43, p = .015. To the extent that depressive symptoms increased, patients lost incrementally more weight than was lost due to the passage of time, and vice versa. Results also suggested that pain and eating-related quality of life might explain the reciprocal association between depressive symptoms and WL. Conclusions In HNC, a transactional interplay between depressive symptoms and WL unfolds over time.

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Nutritional and psychosocial status of colorectal cancer patients referred to an outpatient oncology clinic

Cited by 26 publications

References 41 publications

Pretreatment depression as a prognostic indicator of survival and nutritional status in patients with head and neck cancer

Pretreatment depression as a prognostic indicator of survival and nutritional status in patients with head and neck cancer

Survivorship Care Plans for People with Colorectal Cancer: Do They Reflect the Research Evidence?

Weight loss after head and neck cancer: A dynamic relationship with depressive symptoms

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