Cancer Anorexia and Cachexia: Screening in an Ambulatory Infusion Service and Nutrition Consultation

Clin J Oncol Nurs. 2018 Feb 1;22(1):63-68. doi: 10.1188/18.CJON.63-68.

Abstract

Background: Cancer anorexia-cachexia syndrome compromises physical function and nutritional and emotional well-being. Systematic screening followed by nutrition referral for appropriate interventions is rare. .

Objectives: The purpose of this study was to pilot a screening process followed by nutritional assessment and intervention when warranted for patients with lung malignancies. .

Methods: Adult patients with lung malignancies were invited to complete the 12-item Anorexia/Cachexia Scale (A/CS-12) on the day of chemotherapy initiation in ambulatory infusion. Those who scored at a preset threshold were referred to nutrition services for a comprehensive assessment and intervention plan. Those who scored better than the threshold completed the A/CS-12 at each infusion visit for as many as 16 weeks. .

Findings: 90 participants enrolled, and 46 scored in a moderate-to-severe-risk category; of those, 42 were referred to nutrition services.

Keywords: Screening; anorexia; cachexia; lung cancer; malnutrition; nursing.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Ambulatory Care / methods*
  • Anorexia / diagnosis*
  • Anorexia / etiology
  • Anorexia / therapy*
  • Cachexia / diagnosis*
  • Cachexia / etiology
  • Cachexia / therapy*
  • Dialysis / methods
  • Early Detection of Cancer*
  • Female
  • Humans
  • Lung Neoplasms / complications*
  • Lung Neoplasms / drug therapy
  • Male
  • Mass Screening / methods
  • Middle Aged
  • Nutrition Assessment
  • Nutritional Status
  • Referral and Consultation