534P - Risk factors predicting failure of nutritional intervention in cancer patients

Date 18 December 2016
Event ESMO Asia 2016 Congress
Session Poster lunch
Presenter HsinChun Feng
Citation Annals of Oncology (2016) 27 (suppl_9): ix170-ix176. 10.1093/annonc/mdw599
Authors H. Feng1, H. Kao2, Y. Kuo1, C. Cheng1
  • 1Dietetics, National Taiwan University Hospital, 100 - Taipei/TW
  • 2Oncology, National Taiwan University Hospital, 100 - Taipei/TW

Abstract

Background

Nutritional interventions can improve the nutritional status and prognosis in cancer patients. However, the risk factors predicting a failure of nutrition intervention is not known.

Methods

Weight loss > 5% was defined as failure of nutritional intervention. We retrospectively analyzed the outcome of cancer patients with nutritional consultation in a university hospital in Taiwan. Patients with dietitian consultation more than twice were enrolled for analysis. Nutritional status (including body weight, body mass index; BMI, and serum albumin) and dietary intake were assessed.

Results

From January to December 2015, 383 patients were enrolled for analysis, 114 (39.4%) patients had Stage IV malignancies. In this cohort, 265 (74.7%) were male and 118 (25.3%) were female. The mean age was 59 years-old (SD = 15.12). The most common type of cancer was head and neck cancer (HNC): 111 (29%), followed by esophageal cancer 41 (10.7%) and lung cancer 33 (8.6%). At the first consultation, the BMI was 21.3 ± 4.0 kg/m2, and 95 (24.8%) patients with a low BMI (

Conclusions

Nutritional intervention improved energy and protein intake in cancer patients but cannot reverse weight loss, HNC patients had a higher risk of nutritional intervention failure. Early intervention nutrition for the high risk patients warrant further investigation.

Clinical trial indentification

Legal entity responsible for the study

N/A

Funding

N/A

Disclosure

All authors have declared no conflicts of interest.