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e-Poster Display Session

93P - Assessment of nutritional status of colorectal cancer patients in a tertiary government hospital

Date

22 Nov 2020

Session

e-Poster Display Session

Topics

Tumour Site

Colon and Rectal Cancer

Presenters

Rogelio Velasco

Citation

Annals of Oncology (2020) 31 (suppl_6): S1273-S1286. 10.1016/annonc/annonc355

Authors

R.N. Velasco1, L.I. Catedral2, R.E. King3, K.A. Mondragon1, F.I.L. Ting4, A.V. Chua1, L.M. Leones1, A.R.B. Hernandez4, J.M. Callueng5, J. Yasay6, M. Tampo7, D. Sacdalan8

Author affiliations

  • 1 Medicine Department, Medical Oncology Division, University of the Philippines - Philippine General Hospital, 1000 - Manila/PH
  • 2 Medical Oncology Dept., University of the Philippines - Philippine General Hospital, 1000 - Manila/PH
  • 3 Medical Oncology, University of the Philippines - Philippine General Hospital, 1000 - Manila/PH
  • 4 Medical Oncology Department, University of the Philippines - Philippine General Hospital, 1000 - Manila/PH
  • 5 Radiology, University of the Philippines - Philippine General Hospital, 1000 - Manila/PH
  • 6 Department Of Health, Republic of the Phillippines, 1000 - Manila/PH
  • 7 Surgery, University of the Philippines - Philippine General Hospital, 1000 - Manila/PH
  • 8 Medicine - Division Of Medical Oncology, University of the Philippines - Philippine General Hospital, 1000 - Manila/PH

Resources

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Abstract 93P

Background

Malnutrition, a problem often missed among patients with colorectal cancer, can result in decreased survival. However, its prevalence has not yet been evaluated in our institution. This study aimed to determine the nutritional status among patients with colorectal cancer at the Philippine General Hospital and identify predictors for malnutrition.

Methods

A cross-sectional study was conducted among all patients with colorectal cancer seen at the Philippine General Hospital Cancer Institute between December 2019 to February 2020. Anthropometric measurements were taken and nutritional status was evaluated using the Subjective Global Assessment tool. Descriptive statistics, ANOVA and logistic regression were employed to analyze the data.

Results

A total of 292 participants were included in the study with a high prevalence of cachexia (25.34%), sarcopenia (31.16%), and malnutrition (76.37%). Notably, only 17% of patients were referred by oncologists to the dietary service. The presence of liver metastasis and multiple sites of metastases were associated with increasing degree of malnutrition across SGA B and C (p = 0.05). Additionally, more patients with lung and peritoneal metastases were classified as malnourished (p = 0.05). Patients who did not receive chemotherapy, radiation, or surgery were more likely to be malnourished compared to those who previously received or were currently receiving treatment (chemotherapy: p < 0.01; radiation: p = 0.04; surgery: p < 0.01). Furthermore, patients with stage III disease had a higher odds for malnutrition (OR: 6.22, p < 0.01) compared to those with stage I and II disease, while patients who received or were currently receiving chemotherapy were less likely to have malnutrition than those who did not (OR: 0.35, p < 0.01).

Conclusions

Due to the high prevalence of malnutrition among patients with colorectal cancer, routine nutritional evaluation is important. Moreover, the high prevalence of cachexia and sarcopenia warrants early and adequate nutritional intervention. Thus, a hospital-wide program focusing on early nutritional assessment is recommended for implementation.

Clinical trial identification

Editorial acknowledgement

Legal entity responsible for the study

The authors.

Funding

Philippine General Hospital.

Disclosure

All authors have declared no conflicts of interest.

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