Nutritional care in colorectal cancer—what is the state of play?
Nutritional care in colorectal cancer—what is the state of play?
Aim: nutrition is associated with aetiology and impacts outcomes in colorectal cancer (CRC). This study aimed to explore nutritional symptoms and concerns of patients with CRC and CRC dietetic resource across the UK. Methods: Study 1 is a descriptive analysis of nutrition-related measures in the ColoRectal Wellbeing (CREW) study, a prospective 5-year longitudinal cohort study of a representative sample of 872 adults with non-metastatic CRC. Study 2 is a descriptive analysis of data collected using a freedom of information request to all UK trusts/boards on dietetic resources for CRC.
Results: study 1 found that 31% of CREW participants wanted more diet and lifestyle advice. At 3 months post-surgery, 10% reported poor appetite. A fifth experienced weight loss and 16% had concerns regarding weight loss 9 months post-surgery. In study 2 just 3% of hospitals providing CRC services had a dedicated CRC dietitian (hepato-pancreato-biliary, 11.1%; head and neck cancer, 14.3%). There was no dietetic outpatient follow-up of CRC patients in 72% of hospitals.
Conclusions: dietetic resource for patients with CRC is scarce even though weight loss, poor appetite and unmet needs are common and persist over time. Work is needed to embed nutritional care into the management of patients with CRC.
colorectal cancer, diet, nutrition, workforce
3227-3233
Maunsell, Rose
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Sodergren, Samantha
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Hopkinson, Jane
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Shaw, Clare
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Foster, Claire
00786ac1-bd47-4aeb-a0e2-40e058695b73
Wheelwright, Sally
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December 2021
Maunsell, Rose
42210e32-3bc0-4270-9b71-3d0a5fbc2ce8
Sodergren, Samantha
d66fc3fa-2c98-403d-8ae5-410ef95de46e
Hopkinson, Jane
0d49da6d-9779-4a72-a2ce-8349186529b6
Shaw, Clare
6d8a7b87-c288-4250-a7bb-ed4542343e60
Foster, Claire
00786ac1-bd47-4aeb-a0e2-40e058695b73
Wheelwright, Sally
928805c2-191b-4e99-99dd-1169ec5afc42
Maunsell, Rose, Sodergren, Samantha, Hopkinson, Jane, Shaw, Clare, Foster, Claire and Wheelwright, Sally
(2021)
Nutritional care in colorectal cancer—what is the state of play?
Colorectal Disease, 23 (12), .
(doi:10.1111/codi.15933).
Abstract
Aim: nutrition is associated with aetiology and impacts outcomes in colorectal cancer (CRC). This study aimed to explore nutritional symptoms and concerns of patients with CRC and CRC dietetic resource across the UK. Methods: Study 1 is a descriptive analysis of nutrition-related measures in the ColoRectal Wellbeing (CREW) study, a prospective 5-year longitudinal cohort study of a representative sample of 872 adults with non-metastatic CRC. Study 2 is a descriptive analysis of data collected using a freedom of information request to all UK trusts/boards on dietetic resources for CRC.
Results: study 1 found that 31% of CREW participants wanted more diet and lifestyle advice. At 3 months post-surgery, 10% reported poor appetite. A fifth experienced weight loss and 16% had concerns regarding weight loss 9 months post-surgery. In study 2 just 3% of hospitals providing CRC services had a dedicated CRC dietitian (hepato-pancreato-biliary, 11.1%; head and neck cancer, 14.3%). There was no dietetic outpatient follow-up of CRC patients in 72% of hospitals.
Conclusions: dietetic resource for patients with CRC is scarce even though weight loss, poor appetite and unmet needs are common and persist over time. Work is needed to embed nutritional care into the management of patients with CRC.
Text
Nutritional care in colorectal cancer ...
More information
Accepted/In Press date: 27 September 2021
e-pub ahead of print date: 4 October 2021
Published date: December 2021
Additional Information:
Funding Information:
The authors received no specific funding for this work.
Publisher Copyright:
© 2021 Association of Coloproctology of Great Britain and Ireland.
Keywords:
colorectal cancer, diet, nutrition, workforce
Identifiers
Local EPrints ID: 452559
URI: http://eprints.soton.ac.uk/id/eprint/452559
ISSN: 1462-8910
PURE UUID: e91f25dd-37c0-4953-9bfd-96c022ab44cd
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Date deposited: 11 Dec 2021 11:26
Last modified: 17 Mar 2024 06:54
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Author:
Jane Hopkinson
Author:
Clare Shaw
Author:
Sally Wheelwright
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