Updated evidence-based practice guidelines for the nutritional management of patients receiving radiation therapy and/or chemotherapy

Isenring, Elisabeth, Zabel, Rachel, Bannister, Melanie, Brown, Teresa, Findlay, Merran, Kiss, Nicole, Loeliger, Jenelle, Johnstone, Cara, Camilleri, Belinda, Davidson, Wendy, Hill, Jan and Bauer, Judy (2013) Updated evidence-based practice guidelines for the nutritional management of patients receiving radiation therapy and/or chemotherapy. Nutrition and Dietetics, 70 4: 312-324. doi:10.1111/1747-0080.12013


Author Isenring, Elisabeth
Zabel, Rachel
Bannister, Melanie
Brown, Teresa
Findlay, Merran
Kiss, Nicole
Loeliger, Jenelle
Johnstone, Cara
Camilleri, Belinda
Davidson, Wendy
Hill, Jan
Bauer, Judy
Title Updated evidence-based practice guidelines for the nutritional management of patients receiving radiation therapy and/or chemotherapy
Journal name Nutrition and Dietetics   Check publisher's open access policy
ISSN 1446-6368
1747-0080
Publication date 2013
Year available 2013
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1111/1747-0080.12013
Volume 70
Issue 4
Start page 312
End page 324
Total pages 13
Place of publication Richmond, VIC Australia
Publisher Wiley-Blackwell Publishing Asia
Language eng
Abstract Aims: The aim of this paper was to update the evidence-based practice guidelines for the nutritional management of patients receiving radiation therapy and broaden the scope to include chemotherapy. Methods: The following databases were searched using a range of keywords: Cochrane Database, CENTRAL, MEDLINE (via Ebscohost), EMBASE, CINAHL (Ebscohost), Web of Science, Health Source: Nursing/Academic Edition and PubMed. Relevant papers (n = 47) were reviewed by at least two members of the steering committee and assigned a level of evidence and a quality rating. Results: There were no new published randomised controlled trials (RCTs) of nutrition intervention in radiation therapy. Most statements in the previous radiation therapy guidelines have strong evidence supporting nutrition intervention. There were 12 studies in chemotherapy including five RCTs. While these studies provided strong evidence that simple nutrition intervention improves nutritional outcomes such as dietary intake and weight, they did not find an improvement in quality of life or survival. Several RCTs found no benefits of nutrition support in patients undergoing chemotherapy. None of the RCTs in chemotherapy used medical nutrition therapy (MNT) as the intervention, but rather simple dietary advice and/or supplements. Conclusions: The evidence to support nutrition intervention in patients receiving radiation therapy remains strong. However, the benefits of nutrition intervention in chemotherapy are less clear. Further studies are required to evaluate the impact of MNT as opposed to simple dietary advice in chemotherapy patients. This update contributes to a move towards comprehensive evidence-based guidelines for the nutritional management of patients with cancer.
Keyword Chemotherapy
Evidence-based guidelines
Nutrition
Oncology
Radiation therapy
Radiotherapy
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collection: School of Human Movement and Nutrition Sciences Publications
 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 15 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 20 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Wed, 14 Oct 2015, 15:11:16 EST by Sandrine Ducrot on behalf of School of Human Movement and Nutrition Sciences