Health service nutrition practices and associations with clinical outcomes in patients undergoing resection for upper gastrointestinal cancer: Results from the multi‐centre NOURISH point prevalence study

• DOI: 10.1111/jhn.13006
• Publication Date: 2022-03-23T16:03:21Z
• Authors: Irene Deftereos; Justin M. C. Yeung; Janan Arslan; Vanessa M. Carter; Elizabeth Isenring; Nicole Kiss
• Keywords: Clinical nutrition; Medical nutrition therapy; Feeding tube

The present study aimed to investigate health service nutrition practices of sites providing care patients undergoing surgery for upper gastrointestinal cancer within Australia, including the provision perioperative support services and outpatient clinics, as well use evidence-based pathways/protocols. Secondary aims were associations between a pathway/protocol patient outcomes.Principal investigator dietitians (n = 27) participating in NOURISH point prevalence participated purpose-built site-specific survey regarding protocols. Data from 200 who (including malnutrition prevalence, preoperative weight loss receipt dietetics intervention, intraoperative feeding tube insertions, day 1 post surgery, length stay, complications) investigated using multivariate analysis determine with sites' pathway/protocol.The majority (>92%) reported having available chemotherapy/radiotherapy. Eighty-five percent some form clinic service; however, routine was only at 26% preoperatively 37% postoperatively. Most embedded into surgical/oncology clinics (70%); this 44% postoperative clinics. Only had place. associated lower rates malnutrition, higher European Society Clinical Nutrition Metabolism (ESPEN) guideline compliant surgery.The results demonstrate varied high-risk group. pathways protocols improved outcomes.