European Dietitians in Oncology: The Future
|
|
- Myles Richard
- 8 years ago
- Views:
Transcription
1 European Dietitians in Oncology: The Future Carolina Bento Clare Shaw Julia Lobenwein 1 2 Oncology Workshop Introduction to the committee Clare Shaw (United Kingdom) Carolina Bento (Portugal) Julia Lobenwein (Austria) What are the important issues for oncology patients Who should we feed? When, what and why? Clare Shaw What do oncology patients ask? Carolina Bento What about ketogenic diets? Julia Lobenwein Therapeutic and individual factors that influence oncology nutrition efficiency in breast cancer patients Diana Artene Discussion about the future and plans of the Oncology Committee in EFAD 1
2 Clare Shaw, Consultant Dietitian, PhD RD The British Dietetic Association Oncology Group 291 members 2 newsletters each year 1 annual study day Good network 4 sub groups Opinions / comments on national documents Projects outcomes in oncology 2
3 Julia Lobenwein, BSc Innsbruck, Austria Julia Lobenwein, BSc Clinical practice University Hospital Innsbruck Education Lectures at the HEI for health education Fields of work Austrian Association of Dietitians Leading the working group Nutrition and Oncology Others Presentations, articles, EFAD... Julia Lobenwein, BSc 3
4 Clinical Practice No#standards#for#advising#oncological#pa1ents# in#austria# Depending#on#organisa1on#of#hospital#and# mo1va1on#of#die11an# Julia Lobenwein, BSc In Innsbruck: Implementing screening tool to realize malnutrition as soon as possible Caring of outpatients and inpatients Following the nutrition care process: Intervention (dietary advice for patients suffering from side effects of therapy, planning enteral/parenteral nutrition, homecare...) Julia Lobenwein, BSc 4
5 Education 5#HEI s#for#die11ans#in#austria# In#Innsbruck#app.#15#students#every#two#years# Lectures#on# Nutri1on#and#Oncology #and# Nutri1on#and#Dysphagia #(18#units#in#the#4th# term)# Lectures#on# Nutri1on#and#Oncology #also#for# speech#therapists#and#further#educa1on#of#nurses# Julia Lobenwein, BSc Austrian Association of Dietitians Leading#die11an#of#the#working#group# Nutri1on#and# Oncology # ####K#network#of#die11ans#specialized#in#oncology# ####K#planning#several#projects# ####K#organisa1on#of#further#educa1on# ####K#public#rela1ons...# Presenta1ons#at#congresses,#mee1ngs...# Wri1ng#ar1cles# Interna1onal#work#(EFAD)...# Julia Lobenwein, BSc 5
6 11 What are the important issues for oncology patients 12 Patients with metastatic GI cancer receiving chemotherapy Those with no weight loss compared to those with weight loss at presentation (Andreyev 1998 Eur J Cancer) 6
7 Weight loss and effect on radiotherapy outcome Langius et al, Are we looking at the right parameters? Prado et al,
8 15 Are we looking at the right parameters? Prado et al, How do chemotherapy and radiotherapy affect nutrition? 8
9 17 Symptoms that affect nutritional status Study of 219 medical oncology patients commenced chemotherapy in previous month Proportion of patients with one nutrition impact symptom 79% at 1 month, 72% at 6 months and 46% at 12 months Higher number of symptoms associated with lower QoL Patients experiencing more symptoms were more likely to have poorer quality of life and lower performance status More symptoms = more likely to lose weight Tong et al, 2009 Tong et al, 2009 Acute gastrointestinal effects of radiotherapy! Cellular damage:! Tissue damage: Repeated insults Mucosa and sub-mucosa! Functional impairment: Secretion and absorption Bowel motility Wound healing! Normal secretions potentiate damage Hovdenak)et)al)2000)IJROBP)48:111187) 9
10 19 Effects on patient and cancer treatment Morbidity and mortality eg. due to diarrhoea, sepsis Potential dose reduction (? Effect outcome) Influence performance status and quality of life Influence nutritional status Social isolation Andreyev et al, 2014 Andreyev et al, Dietary counselling during chemotherapy and radiotherapy 10
11 21 Chemotherapy and nutritional support ESPEN: Routine enteral nutrition during chemotherapy has no effect on tumour response to chemotherapy or on chemotherapy-associated unwanted effects and, therefore, is not considered useful. (Arends, 2006) ASPEN: Nutrition support therapy should not be used routinely as an adjunct to chemotherapy. (August et al, 2009) 22 Oral nutritional support during chemotherapy 358 patients with GI cancer (256) and lung cancer (102) randomised to No intervention Dietary advice Nutritional supplement Dietary advice and nutritional supplement 6 week intervention Followed up for 1 year Survival, nutritional status and quality of life Baldwin et al, 2011 Baldwin et al,
12 23 Oral nutritional support during chemotherapy Baldwin et al, Oral / enteral nutritional support during chemotherapy Normally nourished patients commencing chemotherapy prior to Autologous stem cell transplantation Randomised to standard care or early enteral nutrition Measured weight, weight loss, time to haemopoietic recovery and length of stay Kiss et al,
13 25 Oral / enteral nutritional support during chemotherapy Normally nourished patients commencing chemotherapy prior to Autologous stem cell transplantation Randomised to standard care or early enteral nutrition Measured weight, weight loss, time to haemopoietic recovery and length of stay Both groups experienced significant weight loss although intervention group lost less than the control group No difference in time to haemopoietic recovery, QoL or length of stay Patients in intervention group were fed for longer Kiss et al, 2014 Kiss et al, Malnourished patients with cancer 13
14 Radiotherapy: Nutrition counselling and outcome Mortality Toxicity Ravasco et al, Can nutrition affect treatment related symptoms? 14
15 29 Bile acid malabsorption in lenalidomide treatment Lenalidomide, novel treatment for myeloma 12 consecutive patients referred to the Royal Marsden Gastrointestinal and Nutrition Team clinic (GIANTs) Dose of lenalidomide Bristol Stool chart Mean Frequency per day Mean 25 mg mg Pawlyn et al, 2014 Blood 30 Bile acid malabsorption in lenalidomide treatment Lenalidomide, novel treatment for myeloma 12 consecutive patients referred to the Royal Marsden Gastrointestinal and Nutrition Team clinic (GIANTs) Dose of lenalidomide Bristol Stool chart Mean Frequency per day Mean 25 mg mg SeHCAT scan results 9 patients severe bile acid malabsorption 2 patients moderate bile acid malabsorption 1 patient mild bile acid malabsorption Pawlyn et al, 2014 Blood 15
16 Dietary Interventional strategies in radiotherapy Wedlake et al, Summary 16
17 33 Summary Cancer patients high risk of malnutrition which impacts on tolerance to treatment Toxicity of treatment contributes to decreased nutritional status Nutritional support is effective at maintaining or improving nutritional status during treatment Nutrition may influence symptoms and long term outcomes Preventing and treating undernutrition Enhancing anti-tumour treatment effects Reducing adverse effects of anti-tumour therapies Improving quality of life 34 References 17
18 EFAD /4/15 35 References 36 References Wedlake L, Shaw C, Whelan K, Andreyev HJN. Systematic review: the efficacy of nutritional interventions to counteract acute gastrointestinal toxicity during therapeutic pelvic radiotherapy. Aliment Phamacology Therapy. 2013;37:
ESPEN Congress Florence 2008
ESPEN Congress Florence 2008 Nutritional consequences of cancer therapy Nutritional support and monitoring during chemoand radiotherapy M. Larsson (Sweden) Nutritional consequences of cancer therapy Nutritional
More informationWhat s new in cancer. NHMRC Evidence hierarchy. Evidence Based Guidelines 12/06/2013. Level I: systematic review of all RCTs
What s new in cancer treatment? Dr Liz Isenring, AdvAPD Email: e.isenring@uq.edu.au Clinical Academic Fellow, Princess Alexandra Hospital Conjoint Senior Lecturer University of Queensland, Australia Evidence
More informationAims of Nutritional Support in Oncology (Parenteral) Part 2
Aims of Nutritional Support in Oncology (Parenteral) Part 2 Rachel Barrett MSc, BSc (Hons) RD Principal Haematology-Oncology Dietitian Hong Kong Hospital Authority Commissioned Training November 20 th
More informationDietary treatment of cachexia challenges of nutritional research in cancer patients
Dietary treatment of cachexia challenges of nutritional research in cancer patients Trude R. Balstad 4th International Seminar of the PRC and EAPC RN, Amsterdam 2014 Outline Cancer cachexia Dietary treatment
More informationORIGINAL ARTICLE. Clare Shaw & Catherine Fleuret & Jennifer M. Pickard & Kabir Mohammed & Gayle Black & Linda Wedlake
Support Care Cancer (2015) 23:47 54 DOI 10.1007/s00520-014-2319-8 ORIGINAL ARTICLE Comparison of a novel, simple nutrition screening tool for adult oncology inpatients and the Malnutrition Screening Tool
More informationNutritional support for cancer patients
Nutritional support for cancer patients Patients who are receiving adequate nutrition have a better prognosis, respond better to chemotherapy and can tolerate higher doses of anticancer treatments. It
More information3/14/2013. Define oncology nutrition Evolution of oncology nutrition Future trends in oncology nutrition. American Cancer Society 2013 predictions
Define oncology nutrition Evolution of oncology nutrition Future trends in oncology nutrition American Cancer Society 2013 predictions 1,660,290 new cases of cancer 580,350 deaths Nutrition care for individuals
More informationYour Certified Professional Cancer Coach. An Integrative Answer to Cancer Exclusive Professional Program for Patients with Cancer
Your Certified Professional Cancer Coach An Integrative Answer to Cancer Exclusive Professional Program for Patients with Cancer The CPCC Patient Program Nutrition & Lifestyle Oncology A Cancer Diagnosis
More informationNutri&on support of the pa&ent with cancer
Nutri&on support of the pa&ent with cancer Dr Liz Isenring, AdvAPD Email: e.isenring@uq.edu.au Clinical Academic Fellow, Princess Alexandra Hospital Conjoint Senior Lecturer University of Queensland, Australia
More informationBCCA Protocol Summary for Palliative Treatment of Advanced Pancreatic Neuroendocrine Tumours using SUNItinib (SUTENT )
BCCA Protocol Summary for Palliative Treatment of Advanced Pancreatic Neuroendocrine Tumours using SUNItinib (SUTENT ) Protocol Code Tumour Group Contact Physician UGIPNSUNI Gastrointestinal Dr. Hagen
More informationESPEN Congress Geneva 2014 ESPEN GUIDELINES. ESPEN Guidelines: nutrition support in cancer J. Arends (DE)
ESPEN Congress Geneva 2014 ESPEN GUIDELINES ESPEN Guidelines: nutrition support in cancer J. Arends (DE) espen and epaac guidelines nutrition in cancer Jann Arends Tumor Biology Center Freiburg Ethical
More informationLung Pathway Group Nintedanib (Vargatef) in advanced Non-Small Cell Lung Cancer (NSCLC)
Lung Pathway Group Nintedanib (Vargatef) in advanced Non-Small Cell Lung Cancer (NSCLC) Indication: In combination with docetaxel in locally advanced, metastatic or locally recurrent NSCLC of adenocarcinoma
More informationMETASTASES TO THE BONE
RADIATION THERAPY FOR METASTASES TO THE BONE Facts to Help Patients Make an Informed Decision TARGETING CANCER CARE AMERICAN SOCIETY FOR RADIATION ONCOLOGY WHAT ARE BONE METASTASES? Cancer that starts
More informationA Practical Guide for Lung Cancer Nutritional Care
A Practical Guide for Lung Cancer Nutritional Care ROY CASTLE LUNG CANCER FOUNDATION National Lung Cancer Forum for Nurses Supported by the Oncology Group of the British Dietetic Association Royal College
More informationOver 50% of hospitalized patients are malnourished. Coding for Malnutrition in the Adult Patient: What the Physician Needs to Know
Carol Rees Parrish, M.S., R.D., Series Editor Coding for Malnutrition in the Adult Patient: What the Physician Needs to Know Wendy Phillips At least half of all hospitalized patients are malnourished,
More informationOmega-3 fatty acids improve the diagnosis-related clinical outcome. Critical Care Medicine April 2006;34(4):972-9
Omega-3 fatty acids improve the diagnosis-related clinical outcome 1 Critical Care Medicine April 2006;34(4):972-9 Volume 34(4), April 2006, pp 972-979 Heller, Axel R. MD, PhD; Rössler, Susann; Litz, Rainer
More informationNutritional Assessment of Cancer Patients in Tehran, Iran
DOI:http://dx.doi.org/10.7314/APJCP.2012.13.4.1621 Nutritional Assessment in Cancer Patients in Tehran, Iran RESEARCH COMMUNICATION Nutritional Assessment of Cancer Patients in Tehran, Iran N Khoshnevis¹,
More informationUniversity of Central Oklahoma Dietetic Internship Clinical Rotation Schedule Summary
University of Central Oklahoma Dietetic Internship Clinical Rotation Schedule Summary Level 1 Medicine/Surgery: Week 1: Day 1: Hospital Orientation (Review Policies & Procedures, charting method, MNT Manual
More informationSPECIALIST PALLIATIVE CARE DIETITIAN
SPECIALIST PALLIATIVE CARE DIETITIAN JOB PROFILE Post:- Responsible to: - Accountable to:- Specialist Palliative Care Dietitian Clinical Operational Manager Director of Clinical Services Job Summary Work
More informationNational Horizon Scanning Centre. Vandetanib (Zactima) for advanced or metastatic non-small cell lung cancer. December 2007
Vandetanib (Zactima) for advanced or metastatic non-small cell lung cancer December 2007 This technology summary is based on information available at the time of research and a limited literature search.
More informationPATIENT INFORMATION ABOUT ADJUVANT THERAPY AFTER THE WHIPPLE OPERATION FOR ADENOCARCINOMA ( CANCER ) OF THE PANCREAS AND RELATED SITES.
PATIENT INFORMATION ABOUT ADJUVANT THERAPY AFTER THE WHIPPLE OPERATION FOR ADENOCARCINOMA ( CANCER ) OF THE PANCREAS AND RELATED SITES. Radiation Oncology Sidney Kimmel Cancer Center at Johns Hopkins Last
More informationGYNECOLOGIC CANCERS Facts to Help Patients Make an Informed Decision
RADIATION THERAPY FOR GYNECOLOGIC CANCERS Facts to Help Patients Make an Informed Decision TARGETING CANCER CARE AMERICAN SOCIETY FOR RADIATION ONCOLOGY FACTS ABOUT GYNECOLOGIC CANCERS Gynecologic cancers
More informationWhat is new in Geriatric Oncology? The geriatric perspective
What is new in Geriatric Oncology? The geriatric perspective Marie-Claire Van Nes, MA, MD, MBA Head of the Department of Geriatric Medicine, CHR de la Citadelle, Liège, Belgium The experience at our hospital
More informationAvastin: Glossary of key terms
Avastin: Glossary of key terms Adenocarcinoma Adenoma Adjuvant therapy Angiogenesis Anti-angiogenics Antibody Antigen Avastin (bevacizumab) Benign A form of carcinoma that originates in glandular tissue.
More informationNutrition in Cancer Patients: It Does Make a Difference
Percent Malnourished 10/14/2014 Nutrition in Cancer Patients: It Does Make a Difference Presented by Alicia Gilmore has nothing to disclose. Suzanne Dixon has nothing to disclose. Presentation Prepared
More informationSimplifying the measurement of co-morbidities and their influence on chemotherapy toxicity
Simplifying the measurement of co-morbidities and their influence on chemotherapy toxicity Dr Rajesh Sinha BSc MBBS MRCP, Clinical Research Fellow in Medical Oncology Brighton and Sussex University Hospitals
More informationNutrition in the Multidisciplinary Oncology Team: Risk Identification and Intervention
Nutrition in the Multidisciplinary Oncology Team: Risk Identification and Intervention SUMMARY Nutrition services play a key role in quality patient care in the oncology setting. As multidisciplinary teams
More informationOral Nutrition Support in Cancer- Does it help?
Oral Nutrition Support in Cancer- Does it help? By Artika Datta Specialist Dietitian Head and Neck Oncology and Home Enteral Nutrition Addenbrookes Hospital, Cambridge Email: artika.datta@addenbrookes.nhs.uk
More informationInfosheet. Allogeneic stem cell transplantation in myeloma. What is the principle behind stem cell transplantation?
Infosheet Allogeneic stem cell transplantation in myeloma High-dose therapy and autologous stem cell transplantation is currently the first-line treatment standard of care for younger/fitter myeloma patients.
More informationCancer treatment and diabetes
Cancer treatment and diabetes Dr Daniel Morganstein Consultant Endocrinologist, 1 2 Diabetes and cancer Cancer and its treatment also poses challenges to managing diabetes Surgery Altered appetite Cachexia
More informationAnswering your questions on Chronic Myeloid Leukaemia (CML)
Answering your questions on Chronic Myeloid Leukaemia (CML) Your guide to understanding CML and Glivec (imatinib) treatment The information in this booklet is designed to help you understand chronic myeloid
More informationLiver, Gallbladder, Exocrine Pancreas KNH 406
Liver, Gallbladder, Exocrine Pancreas KNH 406 2007 Thomson - Wadsworth LIVER Anatomy - functions With disease blood flow becomes obstructed Bile All bile drains into common hepatic duct Liver Bile complex
More informationCancer Treatment Centers of America Treating the Whole Patient. Presented by: Jill Schuman, RD, CNSC, CSP, LCN Date: Spring 2012
Cancer Treatment Centers of America Treating the Whole Patient Presented by: Jill Schuman, RD, CNSC, CSP, LCN Date: Spring 2012 What is Cancer Two types of tumors Liquid tumor Leukemia Lymphoma Aplastic
More informationCyclophosphamide treatment and stem cell collection. Bone Marrow Transplant Unit Information for patients
Cyclophosphamide treatment and stem cell collection Bone Marrow Transplant Unit Information for patients i Important dates Outpatient appointment for counselling and consent. Date for day case appointment
More informationCourse Curriculum for Master Degree in Clinical Pharmacy
Course Curriculum for Master Degree in Clinical Pharmacy The Master Degree in Clinical Pharmacy is awarded by the Faculty of Graduate studies at Jordan University of Science and Technology (JUST) upon
More informationReference: NHS England B04/P/a
Clinical Commissioning Policy: Haematopoietic Stem Cell Transplantation (HSCT) (All Ages): Revised Reference: NHS England B04/P/a 1 NHS England Clinical Commissioning Policy: Haematopoietic Stem Cell Transplantation
More informationYour overall limit Silver Gold Platinum $1,000,000 800,000 650,000. Your standard medical benefits Silver Gold Platinum
Medical Insurance ur plans comprise of 3 distinct levels of cover: Silver, Gold and Platinum. Choose your level of cover from the table below. All amounts apply per beneficiary and per (except where otherwise
More informationGUIDELINES FOR COMMUNITY ALCOHOL DETOXIFICATION IN SHARED CARE
GUIDELINES FOR COMMUNITY ALCOHOL DETOXIFICATION IN SHARED CARE Dr Millicent Chikoore MBBS MRCPsych Dr O Lagundoye MBBS MRCPsych Community based alcohol detoxification is a safe and effective option for
More informationSupportive Care For Patients With High-Grade Glioma (primary brain tumours) Dr Susan Catt & Professor Lesley Fallowfield
Supportive Care For Patients With High-Grade Glioma (primary brain tumours) Dr Susan Catt & Professor Lesley Fallowfield Partners Mr Giles Critchley Consultant Neurosurgeon Hurstwood Park Neurological
More informationCurrent Status and Future Direction of Proton Beam Therapy
Current Status and Future Direction of Proton Beam Therapy National Cancer Center Hospital East Division of Radiation Oncology and Particle Therapy Tetsuo Akimoto Comparison of status of particle therapy
More informationTreating myeloma. Dr Rachel Hall Royal Bournemouth Hospital
Treating myeloma Dr Rachel Hall Royal Bournemouth Hospital Treatment overview When to treat? Aim of treatment Which treatment? Monitoring response to treatment Prevention of complications What happens
More informationSTEM CELL TRANSPLANTS
UAMS Information on STEM CELL TRANSPLANTS What is a Stem Cell Transplant? A stem cell transplant is an infusion of stem cells following high-dose chemotherapy. The infused cells effectively rescue the
More informationThere are many different types of cancer and sometimes cancer is diagnosed when in fact you are not suffering from the disease at all.
About Cancer Cancer is a disease where there is a disturbance in the normal pattern of cell replacement. The cells mutate and become abnormal or grow uncontrollably. Not all tumours are cancerous (i.e.
More informationCancer is the leading cause of death for Canadians aged 35 to 64 and is also the leading cause of critical illness claims in Canada.
Underwriting cancer In this issue of the Decision, we provide an overview of Canadian cancer statistics and the information we use to make an underwriting decision. The next few issues will deal with specific
More informationDiet and Pancreatic Enzyme Replacement Therapy. Anna Burton Specialist Pancreatic Dietitian Leeds Teaching Hospital NHS Trust
Diet and Pancreatic Enzyme Replacement Therapy Anna Burton Specialist Pancreatic Dietitian Leeds Teaching Hospital NHS Trust Pancreatic cancer Symptoms which affect nutritional status Patient and carers
More informationA Framework of Competences for the Level 3 Training Special Study Module in Paediatric Oncology
A Framework of Competences for the Level 3 Training Special Study Module in Paediatric Oncology Feb 2010 Royal College of Paediatrics and Child Health www.rcpch.ac.uk Royal College of Paediatrics and Child
More informationRadiation Oncology Nursing Care. Helen Lusby Radiation Oncology Nurse BAROC 2012
Radiation Oncology Nursing Care Helen Lusby Radiation Oncology Nurse BAROC 2012 Definitions Radiation Therapy: Treatment of cancer using x- ray particles that cause ionisation within the cells. External
More informationManagement of high output stomas (HOS) Marian Martyn Clinical Nurse Specialist
Management of high output stomas (HOS) Marian Martyn Clinical Nurse Specialist Case History Mr C 50 year old male diagnosed with rectal cancer. He presented to GP with 5 month history of altered bowel
More informationpan-canadian Oncology Drug Review Final Economic Guidance Report Lenalidomide (Revlimid) for Multiple Myeloma October 22, 2013
pan-canadian Oncology Drug Review Final Economic Guidance Report Lenalidomide (Revlimid) for Multiple Myeloma October 22, 2013 DISCLAIMER Not a Substitute for Professional Advice This report is primarily
More informationOne out of every two men and one out of every three women will have some type of cancer at some point during their lifetime. 3
1. What is cancer? 2. What causes cancer?. What causes cancer? 3. Can cancer be prevented? The Facts One out of every two men and one out of every three women will have some type of cancer at some point
More informationBefore, Frank's immune cells could
Before, Frank's immune cells could barely recognize a prostate cancer cell. Now, they are focused on it. Stimulate an immune response against advanced prostate cancer Extend median survival beyond 2 years
More informationHeidi Ganzer, MS, RD, CSO, LD Minnesota Oncology Hematology PA Kim Jordan, MHA, RD, CNSD Seattle Cancer Care Alliance
Heidi Ganzer, MS, RD, CSO, LD Minnesota Oncology Hematology PA Kim Jordan, MHA, RD, CNSD Seattle Cancer Care Alliance Overview 2010 ACCC article Great information Ideal set up/goal March/April 2012 ACCC
More informationHouston Cancer Institute
Houston Cancer Institute A personal path to healing Memorial-West Houston Katy Northwest Houston Southeast Houston Sugar Land Convenience for Patients State of the Art Therapies and Diagnosis Real Support
More informationBOWEL CANCER. The doctor has explained that you have a growth or tumour, in your bowel or rectum and could be cancer.
Patient and Carer Information BOWEL CANCER Please read this leaflet carefully. It is important that you take note of any instructions or advice given. If you have any questions or problems that are not
More informationBreast cancer treatment for elderly women: a systematic review
Breast cancer treatment for elderly women: a systematic review Gerlinde Pilkington Rumona Dickson Anna Sanniti Funded by the NCEI and POI Elderly people less likely to receive chemotherapy than younger
More informationOverview. Nutritional Aspects of Primary Biliary Cirrhosis. How does the liver affect nutritional status?
Overview Nutritional Aspects of Primary Biliary Cirrhosis Tracy Burch, RD, CNSD Kovler Organ Transplant Center Northwestern Memorial Hospital Importance of nutrition therapy in PBC Incidence and pertinence
More informationPreserve and Prevent: Lean Body Mass in Oncology Patients
Preserve and Prevent: Lean Body Mass in Oncology Patients Anne Coble Voss, PhD, RD, LD Associate Research Fellow, Abbott Nutrition GDS_80000_Title_v1 1 Presentation Outline 1. Importance of malnutrition
More informationNutritional status of patients treated with radiotherapy as determined by subjective global assessment
Original Article Radiat Oncol J 2012;30(3):132-139 pissn 2234-1900 eissn 2234-3156 Nutritional status of patients treated with radiotherapy as determined by subjective global assessment Woong Sub Koom,
More informationCorporate Medical Policy
Corporate Medical Policy File Name: Origination: Last CAP Review: Next CAP Review: Last Review: hematopoietic_stem-cell_transplantation_for_epithelial_ovarian_cancer 2/2001 11/2015 11/2016 11/2015 Description
More informationONCOLOGY MANAGEMENT. Controlling Cancer-Related. Costs in Your Population. Intelligent Value. October 2012
ONCOLOGY MANAGEMENT Controlling Cancer-Related Costs in Your Population October 2012 ACCREDITED CASE MANAGEMENT DISEASE MANAGEMENT HEALTH UTILIZATION MANAGEMENT Intelligent Value Our URAC accredited care
More informationNutritional problems. Age-related diseases Functional impairments Drug-induced nutritional deficiencies
Nutritional problems Age-related diseases Functional impairments Drug-induced nutritional deficiencies Protein energy Vitamins Fibre Water Malnutrition >Deficiencies Obesity Hypervitaminosis >Excesses
More informationSix Month Pilot Analysis: Improving Rehabilitation for Men with Prostate Cancer in North East London
Six Month Pilot Analysis: Improving Rehabilitation for Men with Prostate Cancer in North East London June 2015 Helen Whitney (Physiotherapist and Prostate Cancer Project Lead) Thufayel Islam (Prostate
More informationClinical Nutrition and Dietetics Papers are given with Subject paper code A.
Specialization - I : Clinical Nutrition and Dietetics Papers are given with Subject paper code A. Specialization -II : Food Science and Quality Control Papers are given with Subject paper code B. (DFN21A)
More informationRadiotherapy in locally advanced & metastatic NSC lung cancer
Radiotherapy in locally advanced & metastatic NSC lung cancer Dr Raj Hegde. MD. FRANZCR Consultant Radiation Oncologist. William Buckland Radiotherapy Centre. Latrobe Regional Hospital. Locally advanced
More informationPancreatic Cancer Information for patients and their families
Pancreatic Cancer Information for patients and their families This handout answers common questions that are often asked by our patients and families. The information in this booklet is what we talked
More informationNational Pharmaceutical Pricing Authority 3 rd Floor, YMCA Cultural Centre 1 Jai Singh Road New Delhi 110001 File No. 23(01)2014/Div.
Dated 21 st November 2014 NPPA Invites Comments of Pharmaceutical Industry & Trade, Consumer Organisations, Public Health Experts and other Stakeholders on the Recommendations of Tata Memorial Centre under
More informationYTTRIUM 90 MICROSPHERES THERAPY OF LIVER TUMORS
YTTRIUM 90 MICROSPHERES THERAPY OF LIVER TUMORS The information regarding placement of Yttrium 90 microsphres for the management of liver tumors on the next several pages includes questions commonly asked
More informationA pilot study examining nutrition and cancer patients: factors influencing oncology patients receiving nutrition in an acute cancer unit.
A pilot study examining nutrition and cancer patients: factors influencing oncology patients receiving nutrition in an acute cancer unit. WARNOCK, C., TOD, A., KIRSHBAUM, M., POWELL, C. and SHARMAN, D.
More informationScottish Medicines Consortium
Scottish Medicines Consortium pemetrexed 500mg infusion (Alimta ) No. (192/05) Eli Lilly 8 July 2005 The Scottish Medicines Consortium has completed its assessment of the above product and advises NHS
More informationEdinburgh Breast Unit
Edinburgh Breast Unit Treatment: Questions and Answers about Breast Cancer in South East Scotland* These questions and answers will provide an overview of the standard approaches for treating breast cancer
More informationQUT Digital Repository: http://eprints.qut.edu.au/
QUT Digital Repository: http://eprints.qut.edu.au/ Isenring, Elisabeth A. and Bauer, Judith D. and Capra, Sandra (2007) Nutrition Support Using the American Dietetic Association Medical Nutrition Therapy
More informationBSc (Hons)/MSc Nutritional Sciences - SC527 (Under Review)
BSc (Hons)/MSc Nutritional Sciences - SC527 (Under Review) Specific Titles: BSc (Hons) /MSc Nutritional Sciences BSc (Hons) Nutritional Sciences (Specialisation: Dietetics) 1. Rationale and Objectives
More informationMedical Oncology. Rotation Goals & Objectives for rotating residents. General Objectives THE UNIVERSITY OF BRITISH COLUMBIA
THE UNIVERSITY OF BRITISH COLUMBIA Department of Urologic Sciences Faculty of Medicine Gordon & Leslie Diamond Health Care Centre Level 6, 2775 Laurel Street Vancouver, BC, Canada V5Z 1M9 Tel: (604) 875-4301
More informationCharacterisation of a Palliative Care Population in a Comprehensive Cancer Centre
Characterisation of a Palliative Care Population in a Comprehensive Cancer Centre Kirstine Skov Benthien, Mie Nordly, Katja Videbæk, Lisbeth Grave Bendixen, Louise Christoffersen, Hans von der Maase, Geana
More informationEarly Nutrition Intervention
10 Oncology Nutrition Connection Summer 2010 The 7th Vital Sign: Implementing a Malnutrition Screening Tool at a Community Cancer Center Rhone M. Levin, MEd, RD, CSO, LD Oncology Dietitian St. Luke s Health
More informationThe Human Nutrition EHAP Impacts of the outcomes of collaborative PhD projects in society
The Human Nutrition EHAP Impacts of the outcomes of collaborative PhD projects in society Ms. Sharon Kennelly, Doctoral candidate, Dublin Institute of Technology (Since 2005) A/Senior Community Dietitian
More informationBreast Cancer Pathway
Breast Cancer Pathway Risk Stratified Follow Up Dr Dorothy Goddard, Associate Medical Director for Cancer Macmillan Consultant Medical Advisor Survivorship What is risk stratified follow up? Refers to
More informationPATIENT CONSENT TO PROCEDURE - ROUX-EN-Y GASTRIC BYPASS
As a patient you must be adequately informed about your condition and the recommended surgical procedure. Please read this document carefully and ask about anything you do not understand. Please initial
More informationThe Comprehensive Cancer Care Team at Penn Vet s Ryan Hospital CORE TEAM
The Comprehensive Cancer Care Team at Penn Vet s Ryan Hospital Ryan Hospital s Comprehensive Cancer Care Program is led by a world- class team of board- certified veterinarians who each offer a unique
More informationThe following document includes information about:
Patient information WHAT TO EXPECT WHILE RECEIVING RADIATION THERAPY FOR PROSTATE CANCER Oncology Vitalité Zone : 1B 4 5 6 Facility : Dr. Léon-Richard Oncology Centre The following document includes information
More informationREPORT ASCO 2002 ORLANDO : LUNG CANCER Johan F. Vansteenkiste, MD, PhD, Univ. Hospital and Leuven Lung Cancer Group
REPORT ASCO 2002 ORLANDO : LUNG CANCER Johan F. Vansteenkiste, MD, PhD, Univ. Hospital and Leuven Lung Cancer Group In the 2002 edition of the ASCO meeting, a total of 315 abstracts in the field of respiratory
More informationChronic Kidney Disease (CKD) Program
Chronic Kidney Disease (CKD) Program Graphic courtesy of the Kidney Foundation of Canada Chronic Kidney Disease Program Kidney Health Centre 235 Albert Street North Regina, Saskatchewan, S4R 3C2 Ph: (306)
More informationNew York State Office of Alcoholism & Substance Abuse Services Addiction Services for Prevention, Treatment, Recovery
New York State Office of Alcoholism & Substance Abuse Services Addiction Services for Prevention, Treatment, Recovery USING THE 48 HOUR OBSERVATION BED USING THE 48 HOUR OBSERVATION BED Detoxification
More informationExecutive summary. What is proton radiotherapy?
Executive summary Health Council of the Netherlands. Proton radiotherapy. Horizon scanning report. The Hague: Health Council of the Netherlands, 2009; publication no. 2009/17 What is proton radiotherapy?
More informationImproving Outcomes with Nutrition in Patients with Cancer
White Paper Improving Outcomes with Nutrition in Patients with Cancer Each step in the cancer continuum, from diagnosis through survivorship, poses nutritional challenges for patients. In fact, up to 85%
More informationGP Guidance: Management of nutrition following bariatric surgery
GP Guidance: Management of nutrition following bariatric surgery Introduction Patients who are morbidly obese will have struggled with their weight for many years before going forward for bariatric surgery.
More informationTreating Oesophageal Cancer A Quick Guide
Treating Oesophageal Cancer A Quick Guide Contents This is a brief summary of the information on Treating from our website. You will find more detailed information on the website. In this information there
More informationPatient Electronic Alert to Key-worker System (PEAKS) Guidelines
Patient Electronic Alert to Key-worker System (PEAKS) Guidelines This procedural document supersedes: PAT/EC 4 v.1 Guidelines for Patient Electronic Alert to Key-worker systems (PEAKS). Did you print this
More informationNarrator: Transplants using stem cells from the blood, bone marrow or umbilical cord blood
[Track 2: What Is a Transplant?] Narrator: Transplants using stem cells from the blood, bone marrow or umbilical cord blood can be an effective treatment for people with blood cancers such as leukemia,
More informationManagement of spinal cord compression
Management of spinal cord compression (SUMMARY) Main points a) On diagnosis, all patients should receive dexamethasone 10mg IV one dose, then 4mg every 6h. then switched to oral dose and tapered as tolerated
More informationA Community Pediatric Diabetes Program: Innovation, Technology & Best Practice
A Community Pediatric Diabetes Program: Innovation, Technology & Best Practice Markham Stouffville Hospital Opened in 1990 in the heart of Markham Demographics include 14% growth (provincial average only
More informationScreening for psychological distress in inoperable lung cancer patients: an evaluation of the Brief Distress Thermometer (BDT)
Screening for psychological distress in inoperable lung cancer patients: an evaluation of the Brief Distress Thermometer (BDT) K. Sharkey; A. Ugalde; M. Krishnasamy; K. Gough; D. Ball; S. Aranda; P. Schofield
More informationScreening for Prostate Cancer
Screening for Prostate Cancer It is now clear that screening for Prostate Cancer discovers the disease at an earlier and more curable stage. It is not yet clear whether this translates into reduced mortality
More informationInformation for patients and carers
Central Coast Cancer Centre Radiation Oncology Service Information for patients and carers All Enquiries: (02) 4320 9888 Fax: (02) 4320 9870 Specialist Appointment Information Date: Time: Location: Central
More informationClair Clark, Cancer Care Pharmacist Beatson West of Scotland Cancer Centre
Clair Clark, Cancer Care Pharmacist Beatson West of Scotland Cancer Centre An audit of neutropenic complications in breast cancer patients receiving adjuvant or neo-adjuvant chemotherapy with FEC-D in
More informationBest supportive care: Do we know what it is?
Best supportive care: Do we know what it is? Angela Boland Rumona Dickson Barbara Jack James Stevenson Edge Hill University Faculty of Health www.liv.ac.uk/lrig Collaborative partners Liverpool Reviews
More informationJill Malcolm, Karen Moir
Evaluation of Fife- DICE: Type 2 diabetes insulin conversion Article points 1. Fife-DICE is an insulin conversion group education programme. 2. People with greater than 7.5% on maximum oral therapy are
More informationECTS. equivalent. 60 (excluding the credits bringing into the programme) N/A
THE PROGRAMME SPECIFICATION 1. Programme title and designation BSc Haemato-oncology Care UBSH5KCHO 2. Final award Award Title Credit value BSc (Hons) Haematooncology Care 120 (Students enter as Advanced
More informationSecondary liver cancer Patient Information Booklet
Secondary liver cancer Patient Information Booklet Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm
More informationPRINCESS MARGARET CANCER CENTRE CLINICAL PRACTICE GUIDELINES
PRINCESS MARGARET CANCER CENTRE CLINICAL PRACTICE GUIDELINES HEAD AND NECK ONCOLOGY NURSING FOR HEAD AND NECK CANCERS Head & Neck Site Group Oncology Nursing for Head and Neck Cancers Specialized Oncology
More information