Cachexia assessment tools.
Cachexia assessment tools.
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DOI：
10.1097/spc.0b013e32834c4a05
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发表时间：
2011-12-01
影响因子：
2.1
通讯作者：
Strasser, Florian
中科院分区：
文献类型：
--
作者：
Blum, David;Strasser, Florian
综述的目的：恶病质是癌症常见的不良后果，通常未被认识到。为了评估恶病质，使用了营养不良评估工具。本文讨论了目前营养不良评估工具的优缺点，并描述了对综合恶病质评估工具的要求及其对临床和研究的意义。最近发现：基于对机制和临床概念的新理解，恶病质的历史定义已经更新。恶病质患者的分类包括新的领域和阶段。基于新分类的有效恶病质评估工具正在开发中。摘要：恶病质对患者和代理人都有影响。由于缺乏正式的恶病质评估工具，目前正在使用营养不良评估工具。未来的恶病质综合评估工具将能够识别恶病质的域和阶段，并对恶病质进行分类，为更好的临床治疗和研究奠定基础。
PURPOSE OF REVIEW: Cachexia is a common negative consequence of cancer and is often unrecognized. To assess cachexia, malnutrition assessment tools are used. This review discusses the advantages and disadvantages of the current malnutrition assessment tools and describes the requirements for a comprehensive cachexia assessment instrument and its implication for clinics and research.RECENT FINDINGS: The historic definition of cachexia has been updated based on new understanding of mechanism and clinical concepts. Classification of cachectic patients includes novel domains and stages. Validated cachexia assessment tools based on the new classification are under development.SUMMARY: Cachexia has an impact for patients and proxies. Due to a lack of formal cachexia assessment instrument, malnutrition assessment tools are in use. Future comprehensive cachexia assessment instruments will identify cachexia domains and stages and classify cachexia, the basis for better clinical treatment and research.