Opportunities for Quality Improvement Programs (QIPs) in the Nutrition Support of Patients with Cancer

Arensberg, Mary Beth; Richards, Julie; Benjamin, J. Brockman; Kerr, Kirk W.; Hegazi, Refaat

doi:10.3390/healthcare8030227

Cited by 13 publications

(12 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This contributes to a growing body of evidence on nutrition‐focused QI projects being effective in addressing patient nutrition care 3–6,8,11 . Fourth, the high percentage of oncology patients identified as being at malnutrition risk or malnourished supports previous work demonstrating that oncology patient populations have important nutrition care needs 12,13 …”

Section: Discussionsupporting

confidence: 53%

Implementation of malnutrition quality improvement reveals opportunities for better nutrition care delivery for hospitalized patients

Wills-Gallagher¹,

Kerr

Macintosh³

et al. 2021

J Parenter Enteral Nutr

View full text Add to dashboard Cite

Background Gaps in hospital‐based nutrition care practices and opportunities to improve care of patients at risk of malnutrition or malnourished have been demonstrated by several US hospitals implementing quality improvement (QI) projects. This study examined the impact of nutrition care process improvements focused on better documentation of identification and diagnosis of malnutrition in 5 hospital services and differences between nutritionally targeted vs nontargeted services. Methods Data on malnutrition risk screening, nutrition assessment, malnutrition diagnosis, and nutrition care plan delivery were collected from 32,723 hospital encounters for patients admitted to the intensive care unit, pulmonology, oncology, urology, and general medicine services (targeted) as well as the rest of the nontargeted hospital services between 2017 and 2019. Results Higher rates of morbidity in targeted service patients compared with those in the patient population admitted in the nontargeted services were observed, including higher rates of malnutrition risk (37.43% vs 19.16%, P < .001), higher rates of moderate and severe malnutrition first identified by a registered dietitian nutritionist (20.27% vs 9.67%, P < .001), and malnutrition diagnosis confirmed by an admitting physician (16.72% vs 6.74%, P < .001). Conclusions The findings suggest sustained improvements in confirmed rates of malnutrition identification and diagnosis are achievable. Targeting malnutrition QI efforts to hospital services with higher patient morbidity is an effective method for improving malnutrition diagnosis, in particular in hospitals with limited resources, which in turn can result in improved nutrition care delivery.

show abstract

Section: Discussionsupporting

confidence: 53%

Implementation of malnutrition quality improvement reveals opportunities for better nutrition care delivery for hospitalized patients

Wills-Gallagher¹,

Kerr

Macintosh³

et al. 2021

J Parenter Enteral Nutr

View full text Add to dashboard Cite

show abstract

“…One way to help achieve the recommendations in ESPEN's guidelines and improve outcomes is through the implementation of a nutrition-focused quality improvement program (QIP). While to date the development and implementation of nutrition-focused QIPs in cancer care appears to be limited [52], several QIPs that included oncology patient populations have illustrated how a nutrition-focused QIP can both improve health and provide economic benefits [53]. Moving forward, nutrition-focused QIPs engaging a multidisciplinary team could be executed in cancer centers to improve nutrition care processes and deliver early malnutrition care.…”

Section: Discussionmentioning

confidence: 99%

Impact of Early Incorporation of Nutrition Interventions as a Component of Cancer Therapy in Adults: A Review

et al. 2020

Self Cite

View full text Add to dashboard Cite

Malnutrition is prevalent among oncology patients and can adversely affect clinical outcomes, prognosis, quality of life, and survival. This review evaluates current trends in the literature and reported evidence around the timing and impact of specific nutrition interventions in oncology patients undergoing active cancer treatment. Previous research studies (published 1 January 2010–1 April 2020) were identified and selected using predefined search strategy and selection criteria. In total, 15 articles met inclusion criteria and 12/15 articles provided an early nutrition intervention. Identified studies examined the impacts of nutrition interventions (nutrition counseling, oral nutrition supplements, or combination of both) on a variety of cancer diagnoses. Nutrition interventions were found to improve body weight and body mass index, nutrition status, protein and energy intake, quality of life, and response to cancer treatments. However, the impacts of nutrition interventions on body composition, functional status, complications, unplanned hospital readmissions, and mortality and survival were inconclusive, mainly due to the limited number of studies evaluating these outcomes. Early nutrition interventions were found to improve health and nutrition outcomes in oncology patients. Future research is needed to further evaluate the impacts of early nutrition interventions on patients’ outcomes and explore the optimal duration and timing of nutrition interventions.

show abstract

“…Nutrition- or malnutrition-focused QIPs in cancer treatment, on the other hand, are little understood or documented. This study describes the limitations and possibilities for QIPs in the nutrition support of cancer patients and offers information to encourage translational research on quality improvement [ 28 ]. The European Society for Clinical Nutrition and Metabolism (ESPEN) has advised that only cancer sufferers get additional adequate nutrition; yet, however, little known about more optimal dietary treatment.…”

Section: Related Workmentioning

confidence: 99%

Analysis of the Correlation between Nutritional Status and Quality of Life of Patients with Gynaecological Ovarian Cancer during Postoperative Chemotherapy

Shi

Wang

et al. 2022

Journal of Oncology

View full text Add to dashboard Cite

Ovarian cancer mortality is on the rise in China. Surgery followed by adjuvant chemotherapy is the most extensively used treatment for tumour recovery. An excellent nutritional condition prior and throughout treatment serves to improve the quality of life and, as a result, the treatment result. The goal of this research was how diet affected the functioning standard of those living in carcinoma who were receiving postoperative treatment. BMI was utilised to evaluate nutrition, accompanied by albuminemia, prealbuminemia, and serum C-reactive protein, that is used to evaluate excessive catabolism. The QLQ-C30 questionnaire assessed standard of living. The performance status of the patient is decided with the help of the WHO performance scale for cancer patients. The study identified the statistically significant relationship between the performance status and hypercatabolism in the global health (quality of life) of the patient. While body mass index is often considered as a standard for assessment of nutritional status, it has affected only the cognitive function of the patient. In this study, we have concluded that in addition to direct measurement of the BMI, other clinical parameters such as serum CRP should be considered to get a better outcome of chemotherapy.

show abstract

Opportunities for Quality Improvement Programs (QIPs) in the Nutrition Support of Patients with Cancer

Cited by 13 publications

References 40 publications

Implementation of malnutrition quality improvement reveals opportunities for better nutrition care delivery for hospitalized patients

Implementation of malnutrition quality improvement reveals opportunities for better nutrition care delivery for hospitalized patients

Impact of Early Incorporation of Nutrition Interventions as a Component of Cancer Therapy in Adults: A Review

Analysis of the Correlation between Nutritional Status and Quality of Life of Patients with Gynaecological Ovarian Cancer during Postoperative Chemotherapy

Contact Info

Product

Resources

About