Cancer: disease and nutrition are key determinants of patients' quality of life

Details

Serval ID
serval:BIB_6066B8CD28DF
Type
Article: article from journal or magazin.
Collection
Publications
Title
Cancer: disease and nutrition are key determinants of patients' quality of life
Journal
Supportive Care In Cancer : Official Journal of the Multinational Association of Supportive Care In Cancer
Author(s)
Ravasco P., Monteiro-Grillo I., Vidal P.M., Camilo M.E.
ISSN
0941-4355 (Print)
ISSN-L
0941-4355
Publication state
Published
Issued date
2004
Volume
12
Number
4
Pages
246-252
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
GOALS OF WORK: The aims of this study were (1) to evaluate quality of life (QoL), nutritional status and dietary intake taking into account the stage of disease and therapeutic interventions, (2) to determine potential interrelationships, and (3) to quantify the relative contributions of the cancer, nutrition and treatments on QoL.
PATIENTS AND METHODS: In this prospective cross-sectional study conducted in 271 head and neck, oesophagus, stomach and colorectal cancer patients, the following aspects were evaluated: QoL (EORTC-QLQ C30), nutritional status (percent weight loss over the previous 6 months), usual diet (comprehensive diet history), current diet (24-h recall) and a range of clinical variables.
MAIN RESULTS: Usual and current intakes differed according to the site of the tumour ( P=0.02). Patients with stage III/IV disease showed a significant reduction from their usual energy/protein intake ( P=0.001), while their current intakes were lower than in patients with stage I/II disease ( P=0.0002). Weight loss was greater in patients with stage III/IV disease than in those with stage I/II disease ( P=0.001). Estimates of effect size revealed that QoL function scores were determined in 30% by cancer location, in 20% by nutritional intake, in 30% by weight loss, in 10% by chemotherapy, in 6% by surgery, in 3% by disease duration and in 1% by stage of disease. Likewise in the case of symptom scales, 41% were attributed to cancer location, 22% to stage, 7% to nutritional intake, 7% to disease duration, 4% to surgery, 1% to weight loss and 0.01% to chemotherapy. Finally for single items, 30% were determined by stage, 20% by cancer location, 9% by intake, 4% by surgery, 3% by weight loss, 3% by disease duration and 1% by chemotherapy.
CONCLUSIONS: Although cancer stage was the major determinant of patients' QoL globally, there were some diagnoses for which the impact of nutritional deterioration combined with deficiencies in nutritional intake may be more important than the stage of the disease process.
Keywords
Dietary Proteins/administration & dosage, Neoplasms/physiopathology, Neoplasms/psychology, Neoplasms/therapy, Nutritional Physiological Phenomena/physiology
Pubmed
Web of science
Create date
01/12/2016 15:01
Last modification date
22/07/2020 5:26
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