AUTHOR=Marano Luigi , Marmorino Federica , Desideri Isacco , Carbone Ludovico , Rizzo Alessandro , Salvestrini Viola , Roviello Franco , Cinieri Saverio , Donato Vittorio , De Luca Raffaele , NutriOnc Research Group , Sofia Silvia , Milone Marco , Ielpo Benedetto , Mita Maria Teresa , Ministrini Silvia , Giuffrida Mario , Tutino Roberta , Baldi Caterina , Perri Giampaolo , Lippolis Anna Stella , Marafante Chiara , Giannandrea Giusy , Marino Marco Vito , Laface Letizia , Saverio Salomone Di , Aldrighetti Luca , de’Angelis Nicola , Salimian Nick , Caricato Marco , Pellino Gianluca , Vertaldi Sara , Cipriani Federica , Capolupo Gabriella Teresa , Costanzo Antonio , Santandrea Letizia , Gallo Gaetano , Belli Andrea , Mastrangelo Laura , Rosa Fausto , Pecorelli Nicolò , Marino Graziella , Giordano Alessio , Cillara Nicola , Lemma Maria , Pata Francesco , Cammillini Federico , Poto Gianmario Edoardo , Grassi Giulia , Altomare Donato Francesco , Picciariello Arcangelo , Petagna Lorenzo , Ippolito Luca , Treppiedi Elio , Delogu Daniele , Moukachar Abdallah , Granieri Stefano , Cuticone Giuseppe , Samorani Osvaldo Carpineto , Rega Daniela , Solaini Leonardo , Pascale Stefano de , Ascari Francesca , Manigrasso Michele , Badalucco Simona , Paiella Salvatore , Coppola Sara , Iadarola Roberta , Meo Giovanna Di , Montroni Isacco , Vistoli Fabio , Ferraro Valentina , Saladino Edoardo , Fazio Federico , Rota Roberta , Orlando Francesco , Famularo Simone , Bizzoca Cinzia , Dalmonte Giorgio , Inama Marco , Verre Luigi , Siragusa Leandro , Gianmaria Casoni Pattacini , Benedetti Michele , Tamini Nicolò , Conti Cristian , Ammerata Giorgio , Mantova Serena , Pinto Vito Leonardo , Corvasce Arianna , Micheletti Giorgio , Perra Teresa , Pellicciaro Marco , Materazzo Marco , Zuolo Michele , Doria Emanuele , Brillantino Antonio , Prete Luca Del , Muratore Andrea , Luciani Claudio , Turri Giulia , Casciani Fabio , Giuseppe Giuliani , Barile Graziana , Gaia Oldrà , Restaino Valeria , Deidda Simona , Ammendola Michele , Bucci Andrea Fares , Marsanic Patrizia , Cassetti Dario , Resca Luca , Fusario Daniele , Andreucci Eleonora , Michelotti Anna , Amoruso Brunella , Franco Isabella , Noto Laura , Spallanzani Andrea , Scalia Raimondo Calogero , Giudice Teresa Del , Merz Valeria , Motta Gianmarco , Parisi Alessandro , Modesti Mikol , Argentiero Antonella , Basile Debora , Vannini Gianmarco , Ottanelli Carlotta , Corallo Salvatore , Lutrino Eufemia Stefania , Rossini Daniele , Morano Federica , Stucci Luigia Stefania , Winchler Costanza , Catalano Martina , Marini Andrea , Brisinda Giuseppe , Sammarco Enrico , Carullo Martina , Roviello Giandomenico , Barone Mirko , Rodriquenz Maria Grazia , Tirino Giuseppe , Amoruso Alessia , Russo Anna , Conca Veronica , Orgiano Laura , Macrini Sveva , Nazzicone Giulia , Bensi Maria , Montesano Martina , Dell’Aquila Emanuela , Sbrana Andrea , Borelli Beatrice , Fornaro Lorenzo , Raimondi Lucrezia , Zurlo Valeria , Garutti Mattia , Ongaro Elena , Pellegrino Arianna , lanese Andrea , Bernardini Laura , Boccaccino Alessandra , Farina Patrizia , Buzzacchino Federica , Petrillo Angelica , Taravella Ada , Studiale Vittorio , Ciracì Paolo , Lovino Giovanna , Cosmo Dora Di , Montrone Sabrina , Gregucci Fabiana , Dominici Luca , Fiorentino Alba , Carannante Filippo , Siepe Giambattista , Montesi Giampaolo , Roghi Manuele , Aquilano Michele , Romei Andrea , Bonaparte Ilaria , Grassi Roberta , D’Ippolito Emma , Frosini Giulio , Marco Giuseppina De , Giovine Gennaro , Mattioli Chiara , Morelli Ilaria , Lorenzetti Victoria , Mariotti Matteo , Orsatti Carolina , Troncone Vincenzo , Livi Lorenzo , Angrisani Antonio , Banini Marco , Pietro Teresa Di , Iorio Giuseppe Carlo , Cavallo Iacopo , Cerbai Cecilia , Nardone Valerio , Felice Francesca De , Rosa Consuelo , Stocchi Giulia , Lucidi Sara , Ganovelli Michele , Dei Damiano , Cascone Chiara , Peru Anna , Caprara Luisa , Angelini Lucia , Visani Luca , Francolini Giulio , Bettazzi Beatrice , Belia Francesco , Boccardi Virginia , Serafini Simone , Bottino Vincenzo , Ferrario Luca , Frazzetta Giuseppe , Pirozzi Felice , Martines Gennaro , Ciarleglio Francesco Antonio , Indiani Daniele , Barugola Giuliano , Mazza Luca , Guarini Chiara TITLE=Clinical nutrition in surgical oncology: Young AIOM-AIRO-SICO multidisciplinary national survey on behalf of NutriOnc research group JOURNAL=Frontiers in Nutrition VOLUME=10 YEAR=2023 URL=https://www.frontiersin.org/journals/nutrition/articles/10.3389/fnut.2023.1045022 DOI=10.3389/fnut.2023.1045022 ISSN=2296-861X ABSTRACT=
Malnutrition is a common condition in cancer patients which is usually associated with functional limitations, as well as increased morbidity and mortality. Based on the support of the young sections of Italian Association of Medical Oncology (AIOM), Italian Association of Radiotherapy and Clinical Oncology (AIRO) and Italian Society of Surgical Oncology (SICO) merged into the NutriOnc Research Group, we performed a multidisciplinary national survey with the aim to define the awareness of nutritional issues among healthcare professionals delivering anticancer care. The questionnaire was organized in four sections, as follows: Knowledge and practices regarding Nutritional Management of cancer patients; Timing of screening and assessment of Nutritional Status; Nutritional Treatment and prescription criteria; Immunonutrition and educational topics. The modules focused on esophagogastric, hepato-bilio-pancreatic and colorectal malignancies. Overall, 215 physicians completed the survey. As regards the management of Nutritional Status of cancer patients, many responders adopted the ERAS program (49.3%), while a consistent number of professionals did not follow a specific validated nutritional care protocol (41.8%), mainly due to lack of educational courses (14.5%) and financial support (15.3%). Nearly all the included institutions had a multidisciplinary team (92%) to finalize the treatment decision-making. Cancer patients routinely underwent nutritional screening according to 57.2% of interviewed physicians. The timing of nutritional assessment was at diagnosis (37.8%), before surgery (25.9%), after surgery (16.7%), before radiochemotherapy (13.5%) and after radiochemotherapy (7%). Most of the responders reported that nutritional status was assessed throughout the duration of cancer treatments (55.6%). An important gap between current delivery and need of nutritional assessment persists. The development of specific and defined care protocols and the adherence to these tools may be the key to improving nutritional support management in clinical practice.