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首页> 外文期刊>Pediatric blood & cancer >Standards of nutritional care in pediatric oncology: results from a nationwide survey on the standards of practice in pediatric oncology. A Children's Oncology Group study.
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Standards of nutritional care in pediatric oncology: results from a nationwide survey on the standards of practice in pediatric oncology. A Children's Oncology Group study.

机译：儿科肿瘤学中的营养保健标准：来自全国范围内有关儿科肿瘤学实践标准的调查结果。儿童肿瘤小组研究。

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BACKGROUND: The prevalence of malnutrition in children with cancer ranges between 8% and 60%. Malnutrition is strongly associated with the nature of treatment and increases an individual's risk of infection. Clinical studies have suggested that nutrition intervention may decrease toxicity and improve survival in the oncology population. In order to identify the standards of practice in the nutritional management of a child with cancer, we conducted an international survey in institutions that are part of the Children's Oncology Group (COG) consortium. PROCEDURE: Surveys were submitted to 233 participating COG institutions. We requested one member in three disciplines complete the survey: physician, registered dietitian, and nurse or nurse practitioner. The survey was returned to the nutrition sub-committee of COG. RESULTS: Fifty-four percent of institutions responded to the survey. We found no consistency in the provision of nutrition services. Assessment of nutritional status does not routinely occur and different indices are employed to indicate the nutrition status of a patient. Institutions rely upon different guidelines when categorizing malnutrition. When nutrition intervention is clinically indicated, a variety of approaches are employed. CONCLUSIONS: This survey did not find standardized nutrition protocols being employed in the pediatric oncology population. The effect of varied nutrition practices on the quality of life, toxicity, and outcome in children with cancer is unknown. Prior to the initiation of clinical trials, uniform guidelines need to be developed and validated. Future clinical trials need to investigate the most efficacious method of nutrition assessment and intervention and its effect on quality of life, toxicity, and survival in children with cancer.
机译：背景：患有癌症的儿童营养不良的患病率在8％至60％之间。营养不良与治疗的性质密切相关，并增加了个人感染的风险。临床研究表明，营养干预可以降低肿瘤患者的毒性并改善其生存率。为了确定癌症儿童营养管理的实践标准，我们在儿童肿瘤学组（COG）联盟的一部分机构中进行了一项国际调查。程序：调查已提交给233个参与COG机构。我们要求三个学科的一名成员完成调查：医师，注册营养师以及护士或护士。该调查已返回给COG营养小组委员会。结果：54％的机构对调查做出了回应。我们发现营养服务的提供不一致。营养状况的评估通常不会进行，并且采用不同的指标来指示患者的营养状况。在对营养不良进行分类时，机构依赖于不同的准则。当临床上指示营养干预时，可采用多种方法。结论：该调查未发现儿科肿瘤学人群采用了标准化的营养方案。尚不清楚各种营养做法对癌症儿童的生活质量，毒性和结局的影响。在开始临床试验之前，需要制定并验证统一的指南。未来的临床试验需要研究最有效的营养评估和干预方法，以及其对癌症儿童的生活质量，毒性和生存的影响。

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