ESPEN practical guideline: Clinical Nutrition in cancer

Maurizio Muscaritoli; Jann Arends; Patrick Bachmann; Vickie Baracos; Nicole Barthelemy; Hartmut Bertz; Federico Bozzetti; Elisabeth Hütterer; Elizabeth Isenring; Stein Kaasa; Zeljko Krznaric; Barry Laird; Maria Larsson; Alessandro Laviano; Stefan Mühlebach; Line Oldervoll; Paula Ravasco; Tora S Solheim; Florian Strasser; Marian de van der Schueren; Jean-Charles Preiser; Stephan C Bischoff

doi:10.1016/j.clnu.2021.02.005

ESPEN practical guideline: Clinical Nutrition in cancer

Clin Nutr. 2021 May;40(5):2898-2913. doi: 10.1016/j.clnu.2021.02.005. Epub 2021 Mar 15.

Authors

Maurizio Muscaritoli¹, Jann Arends², Patrick Bachmann³, Vickie Baracos⁴, Nicole Barthelemy⁵, Hartmut Bertz², Federico Bozzetti⁶, Elisabeth Hütterer⁷, Elizabeth Isenring⁸, Stein Kaasa⁹, Zeljko Krznaric¹⁰, Barry Laird¹¹, Maria Larsson¹², Alessandro Laviano¹³, Stefan Mühlebach¹⁴, Line Oldervoll¹⁵, Paula Ravasco¹⁶, Tora S Solheim¹⁷, Florian Strasser¹⁸, Marian de van der Schueren¹⁹, Jean-Charles Preiser²⁰, Stephan C Bischoff²¹

Affiliations

¹ Department of Translational and Precision Medicine University La Sapienza, Rome, Italy. Electronic address: maurizio.muscaritoli@uniroma1.it.
² Department of Medicine I, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Germany.
³ Centre Regional de Lutte Contre le Cancer Leon Berard, Lyon, France.
⁴ Department of Oncology, University of Alberta, Edmonton, Canada.
⁵ Centre Hospitalier Universitaire, Liege, Belgium.
⁶ University of Milan, Milan, Italy.
⁷ Division of Oncology, Department of Medicine I, Medical University of Vienna, Austria.
⁸ Bond University, Gold Coast, Australia.
⁹ Norwegian University of Science and Technology, Trondheim, Norway.
¹⁰ University Hospital Center and School of Medicine, Zagreb, Croatia.
¹¹ Institute of Genetics and Molecular Medicine, University of Edinburgh, Edinburgh, UK.
¹² Karlstad University, Karlstad, Sweden.
¹³ Department of Translational and Precision Medicine University La Sapienza, Rome, Italy.
¹⁴ University of Basel, Basel, Switzerland.
¹⁵ Center for Crisis Psychology, University of Bergen, Norway/Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, The Norwegian University of Science and Technology (NTNU), Trondheim, Norway.
¹⁶ Faculty of Medicine, University of Lisbon, Lisbon, Portugal.
¹⁷ Cancer Clinic, St.Olavs Hospital, Trondheim University Hospital, Department of Clinical and Molecular Medicine, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Norway.
¹⁸ Oncological Palliative Medicine, Clinic Oncology/Hematology, Department Internal Medicine and Palliative Center, Cantonal Hospital St. Gallen, Switzerland.
¹⁹ HAN University of Applied Sciences, Nijmegen, the Netherlands; Wageningen University and Research, Wageningen, the Netherlands.
²⁰ Erasme University Hospital, Universite Libre de Bruxelles, Brussels, Belgium.
²¹ Department for Clinical Nutrition, University of Hohenheim, Stuttgart, Germany.

PMID: 33946039
DOI: 10.1016/j.clnu.2021.02.005

Abstract

Background: This practical guideline is based on the current scientific ESPEN guidelines on nutrition in cancer patients.

Methods: ESPEN guidelines have been shortened and transformed into flow charts for easier use in clinical practice. The practical guideline is dedicated to all professionals including physicians, dieticians, nutritionists and nurses working with patients with cancer.

Results: A total of 43 recommendations are presented with short commentaries for the nutritional and metabolic management of patients with neoplastic diseases. The disease-related recommendations are preceded by general recommendations on the diagnostics of nutritional status in cancer patients.

Conclusion: This practical guideline gives guidance to health care providers involved in the management of cancer patients to offer optimal nutritional care.

Keywords: Anorexia; Cachexia; Cancer; Chemotherapy; Malnutrition; Radiotherapy.

Publication types

Practice Guideline

MeSH terms

Europe
Humans
Malnutrition / complications*
Malnutrition / diet therapy*
Neoplasms / complications*
Nutritional Status
Nutritional Support / methods*
Societies, Scientific