Perspectives of Health Care Professionals on Multimodal Interventions for Cancer Cachexia.
Perspectives of Health Care Professionals on Multimodal Interventions for Cancer Cachexia.
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DOI：
10.1089/pmr.2022.0045
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发表时间：
2022
影响因子：
2.5
通讯作者：
Takeuchi, Takashi
中科院分区：
文献类型：
--
作者：
Amano, Koji;Koshimoto, Saori;Hopkinson, Jane B.;Baracos, Vickie E.;Mori, Naoharu;Morita, Tatsuya;Oyamada, Shunsuke;Ishiki, Hiroto;Satomi, Eriko;Takeuchi, Takashi
癌症恶病质的整体多模式干预尚未建立。医疗保健专业人员（HCP）基于其经验的信念和看法会影响干预措施。对HCP在癌症恶病质管理方面的知识、观念和实践进行了评价。进行了一项全国范围的问卷调查，重点关注日本451家指定癌症医院的HCP对干预措施的看法。采用描述性统计。在2255名参与者中，1320人（58.5%）回答了问题，258个研究所的1188人被纳入分析。目前国际上对癌症恶病质的定义并不普遍，最近的临床实践指南也没有被广泛采用。超过50%的参与者认为6个月内体重减轻≥5%且ECOG PS（东部肿瘤协作组体能状态）2-4为癌症恶病质，而50%的参与者回答预期寿命与癌症恶病质之间没有关系。参与者倾向于认为在癌症恶病质变得明显之前开始营养和运动干预很重要。大多数参与者认识到整体多模式干预的重要性，特别是对身体和心理症状的管理;然而，只有20%的人报告说，他们教育患者和家属。此外，33%的参与者认为自己为患者和家庭提供了足够的营养和运动干预措施以及循证信息。结果显示，HCP没有定期为患有癌症恶病质的患者和家庭提供教育和情感支持。结果还表明，需要对HCP进行教育，以加强对癌症恶病质的整体多模式干预的实施。
Holistic multimodal interventions have not been established for cancer cachexia. The beliefs and perceptions of health care professionals (HCPs) based on their experiences influence the interventions. HCPs' knowledge, perceptions, and practices in cancer cachexia management were evaluated. A nationwide questionnaire survey was conducted that focused on the perspectives of HCPs on interventions in 451 designated cancer hospitals across Japan. Descriptive statistics were applied. Among 2255 participants, 1320 responded (58.5%), and 1188 in 258 institutes were included in the analysis. The current international definition of cancer cachexia is not commonly known and recent clinical practice guidelines have not been widely adopted. More than 50% of participants considered ≥5% weight loss in six months and ECOG PS (Eastern Cooperative Oncology Group Performance Status) 2–4 to be cancer cachexia, whereas 50% answered that there was no relationship between life expectancy and cancer cachexia. Participants tended to consider it important to initiate nutritional and exercise interventions before cancer cachexia becomes apparent. The majority of participants recognized the importance of holistic multimodal interventions, particularly for the management of physical and psychological symptoms; however, only 20% reported that they educated patients and families. Furthermore, 33% of participants considered themselves to have provided patients and families with sufficient nutritional and exercise interventions and evidence-based information. The results reveal that HCPs are not regularly providing education and emotional support to patients and families suffering from cancer cachexia. The results also show the need for education for HCPs to enhance implementation of holistic multimodal interventions for cancer cachexia.
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影响因子：
45.3
作者：
Roeland, Eric J.;Bohlke, Kari;Loprinzi, Charles L.
通讯作者：
Loprinzi, Charles L.
影响因子：
1.8
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Lo RS
影响因子：
5.2
作者：
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通讯作者：
Marks DL
影响因子：
8.9
作者：
Naito, Tateaki;Mitsunaga, Shuichi;Takayama, Koichi
通讯作者：
Takayama, Koichi