What do patients and oncologists think about the evaluation and management of cancer-related anorexia-cachexia? The Quasar_SEOM study

• Yolanda Escobar ^[12] ; Avinash Ramchandani ^[1] ; Mercedes Salgado ^[13] ; Alfredo Castillo-Trujillo ^[2] ; Eva Martínez de Castro ^[3] ; Isabela Diaz de Corcuera ^[14] ; Ruth Vera ^[4] ; Alejandra Lacalle ^[5] ; Irene Torres ^[15] ; Pedro Pérez Segura ^[6] ; Cinta Hierro ^[16] ; Diego Soto de Prado ^[7] ; Almudena Cotes ^[17] ; Gema Marín Zafra ^[8] ; Raquel Marsé Fabregat ^[9] ; Juan Virizuela ^[18] ; Jose Carlos Villa ^[10] ; Pablo Borrega ^[11] ; Paula Jimenez-Fonseca ^[2]
  1. [1] Complejo Hospitalario Universitario Insular - Materno Infantil de Canarias

     Complejo Hospitalario Universitario Insular - Materno Infantil de Canarias

     Gran Canaria, España

     
  2. [2] Hospital Universitario Central de Asturias

     Hospital Universitario Central de Asturias

     Oviedo, España

     
  3. [3] Hospital Universitario Marqués de Valdecilla

     Hospital Universitario Marqués de Valdecilla

     Santander, España

     
  4. [4] Gobierno de Navarra

     Gobierno de Navarra

     Pamplona, España

     
  5. [5] Hospital San Pedro

     Hospital San Pedro

     Logroño, España

     
  6. [6] Hospital Clínico San Carlos de Madrid

     Hospital Clínico San Carlos de Madrid

     Madrid, España

     
  7. [7] Hospital Universitario de Valladolid

     Hospital Universitario de Valladolid

     Valladolid, España

     
  8. [8] Hospital Morales Meseguer

     Hospital Morales Meseguer

     Murcia, España

     
  9. [9] Hospital Universitario Son Espases

     Hospital Universitario Son Espases

     Palma de Mallorca, España

     
  10. [10] Hospital General de Ciudad Real

      Hospital General de Ciudad Real

      Ciudad Real, España

      
  11. [11] Hospital San Pedro de Alcántara

      Hospital San Pedro de Alcántara

      Cáceres, España

      
  12. [12] Servicio de Oncología Médica, Hospital Universitario Gregorio Marañón, Madrid, España
  13. [13] Complejo Hospitalario Universitario de Orense, Orense, España
  14. [14] Servicio de Oncología Médica, Hospital Universitario de Galdakao, Galdakao-Usansolo, España
  15. [15] Servicio de Oncología Médica, Hospital Clínico Universitario Lozano Bleza, Zaragoza, España
  16. [16] Servicio de Oncología Médica, Instituto Catalán de Oncología (ICO), Badalona, España
  17. [17] Servicio de Oncología Médica, Hospital Universitario de Elda, Elda, España
  18. [18] Servicio de Oncología Médica, Hospital Universitario Virgen de La Macarena, Sevilla, España

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• Localización: Clinical & translational oncology, ISSN 1699-048X, Vol. 25, Nº. 12 (December), 2023, págs. 3479-3491
• Idioma: inglés
• Texto completo no disponible (Saber más ...)
• Resumen

  • Introduction Cancer patients often suffer from malnutrition and early detection and raising awareness of nutritional issues is crucial in this population.

    Methods The Spanish Oncology Society (SEOM) conducted the Quasar_SEOM study to investigate the current impact of the Anorexia–Cachexia Syndrome (ACS). The study employed questionnaires and the Delphi method to gather input from both cancer patients and oncologists on key issues related to early detection and treatment of ACS. A total of 134 patients and 34 medical oncologists were surveyed about their experiences with ACS. The Delphi methodology was used to evaluate oncologists' perspectives of ACS management, ultimately leading to a consensus on the most critical issues.

    Results Despite widespread acknowledgement of malnutrition in cancer as a significant issue by 94% of oncologists, the study revealed deficiencies in knowledge and protocol implementation. A mere 65% of physicians reported being trained to identify and treat these patients, with 53% failing to address ACS in a timely manner, 30% not monitoring weight, and 59% not adhering to any clinical guidelines. The lack of experience was identified as the primary hindrance to the use of orexigens in 18% of cases. Furthermore, patients reported concerns and a perception of inadequate attention to malnutrition-related issues from their physicians.

    Conclusion The results of this study point to a gap in the care of this syndrome and a need to improve education and follow-up of cancer patients with anorexia-cachexia.