Review of ESPEN-2021 Practice Guidelines for Cancer Patients: Part 1

Cover Page

Cite item

Full Text

Abstract

This study discusses the 2021 ESPEN Practical Guidelines for Nutritional Support in Oncology. The updated version of the 2021 ESPEN practice guidelines differs slightly from the 2017 version and contains flowcharts to facilitate the use of the guidelines in clinical practice, which is also relevant for domestic healthcare. ESPEN-2021 Clinical Guidelines, which offer practical solutions in all areas of oncology, are of particular interest to both oncologists and allied specialists working in oncology. The first part of the review discusses general recommendations for nutritional support for patients with cancer and the possibility of their use in our country: screening of nutritional status at the initial visit, indications for prescribing additional nutrition, benefits of one or another type of nutritional support in various situations, norms for providing macronutrients, vitamins, and minerals, and need for physical activity. This practical guide forms an algorithm of actions to ensure optimal nutrition for patients with cancer. The general principles of nutritional therapy for all patients with cancer are based on timely screening for nutritional deficiencies and adherence to appropriate nutritional support of patients, which can be achieved by modifying the diet or prescribing additional nutrition, mainly enteral nutrition.

About the authors

Anastasia S. Ivanova

Lomonosov Moscow State University

Email: i.anastasia@hotmail.com
ORCID iD: 0000-0001-7321-4323

6th year student, Faculty of Medicine

Russian Federation, Moscow

Olga A. Obukhova

N.N. Blokhin National Medical Research Center of Oncology

Author for correspondence.
Email: obukhova0404@yandex.ru
ORCID iD: 0000-0003-0197-7721
SPIN-code: 6876-7701

MD, Cand. Sci. (Med.)

Russian Federation, Moscow

Ildar A. Kurmukov

N.N. Blokhin National Medical Research Center of Oncology

Email: kurmukovia@gmail.com
ORCID iD: 0000-0001-8463-2600
SPIN-code: 3692-5202

MD, Cand. Sci. (Med.)

Russian Federation, Moscow

Larisa Ya. Volf

Nutricia LLC

Email: larisa.volf@danone.com
ORCID iD: 0000-0002-6025-8420
SPIN-code: 3590-9746

medical manager for oncology

Russian Federation, Moscow

References

  1. Muscaritoli M, Arends J, Bachmann P, et al. ESPEN practical guideline: Clinical Nutrition in cancer. Clin Nutr. 2021;40(5): 2898–2913. doi: 10.1016/j.clnu.2021.02.005
  2. Arends J, Baracos V, Bertz H, et al. ESPEN expert group recommendations for action against cancer-related malnutrition. Clin Nutr. 2017;36(5):1187–1196. doi: 10.1016/j.clnu.2016.07.015
  3. Zhao XH, Yang T, Ma XD, et al. Heterogeneity of nutrition care procedures in nutrition guidelines for cancer patients. Clin Nutr. 2020;39(6):1692–1704. doi: 10.1016/j.clnu.2019.08.022
  4. Van Bokhorst-de van der Schueren MAE, Guaitoli PR, Jansma EP, de Vet HCW. Nutrition screening tools: Does one size fit all? A systematic review of screening tools for the hospital setting. Clin Nutr. 2014;33(1):39–58. doi: 10.1016/j.clnu.2013.04.008
  5. Reber E, Gomes F, Vasiloglou MF, et al. Nutritional Risk Screening and Assessment. J Clin Med. 2019;8(7):1065. doi: 10.3390/jcm8071065
  6. Obukhova OA, Bagrova SG, Besova NS, et al. Evaluation of the nutritional status of patients with inoperable gastric cancer at the time of initiation of anticancer treatment. Preliminary results of a prospective observational study. Difficult Patient. 2018;16(6):6–11. (In Russ).
  7. Obukhova OA, Shalenkov VA. The results of the rehabilitation program for cancer patients radically operated on for gastric cancer in the early postoperative period. 7th Saint Petersburg International Cancer Forum “Belye Nochi 2021”. Saint Petersburg; 2021. P:339. (In Russ).
  8. De Haan JJ, Renken RJ, Moshage Y, et al. Self-reported taste and smell alterations and the liking of oral nutritional supplements with sensory-adapted flavors in cancer patients receiving systemic antitumor treatment. Support Care Cancer. 2021;29(10):5691–5699. doi: 10.1007/s00520-021-06049-4
  9. Kashiya ShR, Kurmukov IA, Obukhova OA, et al. The use of antioxidants in the complex intensive therapy of infectious complications of drug antitumor treatment. Clinical Oncohematology. Fundamental Research and Clinical Practice. 2012;5(1):54–60. (In Russ).
  10. Brish NA, Semiglazova TYu, Karachun AM, et al. Influence of correction of nutritive deficiency on the effectiveness of neoadjuvant chemotherapy in patients with locally advanced gastric cancer. Journal of Modern Oncology. 2021;23(3):519–524. (In Russ). doi: 10.26442/18151434.2021.3.201075
  11. Yaroshetskiy AI, Konanykhin VD, Stepanova SO, Rezepov NA. Hypophosphatemia and refeeding syndrome in the resumption of nutrition in critical care patients (review). Alexander Saltanov Intensive Care Herald. 2019;(2):82–91. (In Russ). doi: 10.21320/1818-474X-2019-2-82-91
  12. Besova NS, Kalinin AE, Nered SN, et al. Gastric cancer: Russian clinical guidelines. Journal of Modern Oncology. 2021;23(4):541–571. (In Russ). doi: 10.26442/18151434.2021.4.201239
  13. Laktionov KK, Artamonova EV, Borisova TN, et al. Malignant neoplasm of the bronchi and lung: Russian clinical guidelines. Journal of Modern Oncology. 2021;23(3):369–402. (In Russ). doi: 10.26442/18151434.2021.3.201048
  14. Yavuzsen T, Davis MP, Walsh D, et al. Systematic review of the treatment of cancer-associated anorexia and weight loss. J Clin Oncol. 2005;23(33):8500–8511. doi: 10.1200/JCO.2005.01.8010

Supplementary files

Supplementary Files
Action
1. JATS XML
Download
2. Fig. 1. Structure of the ESPEN practical guideline “Clinical nutrition in cancer”. Modified from [1].

Download (408KB)
Indexing metadata
3. Fig. 2. General concepts of treatment relevant to all cancer patients: screening and assessment, energy and substrate requirements). Modified from [1]. Note: ИМТ — body mass index; МТ — body mass; НП — nutritional support.

Download (686KB)
Indexing metadata
4. Fig. 3. General concepts of treatment relevant to all cancer patients: types of nutrition intervention; exercise). Modified from [1]. Note: НП — nutritional support; ПП — parenteral nutrition; ЭП — enteral nutrition.

Download (703KB)
Indexing metadata
5. Fig. 4. General concepts of treatment relevant to all cancer patients: pharmaconutrients and pharmacological agents. Modified from [1]. Note: МТ — body mass; НП — nutritional support; ХТ — chemotherapy.

Download (926KB)
Indexing metadata

Copyright (c) 2022 Eco-Vector

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies