Perspectives of registered dietitians and factors associated with their personal accomplishment in the management of cancer cachexia.
Perspectives of registered dietitians and factors associated with their personal accomplishment in the management of cancer cachexia.
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DOI：
10.1007/s00520-023-07593-x
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发表时间：
2023-01-20
期刊：
影响因子：
--
通讯作者：
中科院分区：
文献类型：
--
作者：
注册营养师（rd）在癌症恶病质管理中具有潜力。我们调查了研究人员对癌症恶病质的认识，并评估了影响研究人员对癌症恶病质管理的重要作用的因素。这是对一项调查的二次分析，研究了卫生保健专业人员对癌症恶病质管理的看法。我们向451个rd发送了问卷。rd被分为两组：有知觉和没有知觉的rd。比较采用Mann-Whitney U检验或卡方检验。为了检验因素对感知的影响，计算了逻辑回归模型的估计粗比值比（or）和调整后的比值比（ci）。共分析了237份rd。在癌症患者数/月、主要执业领域、使用临床指南数量、使用项目数量、使用症状数量和癌症恶病质管理培训方面，观察到显著差异（p值均< 0.05）。调整后，癌症护理经验≥20年（OR 8.32, 95% CI 1.22-56.70; p = 0.030）、患者数/月≥50例（OR 27.35, 95% CI 3.99-187.24; p = 0.001）、使用临床指南（OR 2.69, 95% CI 1.29-5.61; p = 0.008）、项目数≥5项（OR 3.52, 95% CI 1.47-8.40; p = 0.005）、接受培训（OR 3.91, 95% CI 1.77-8.67; p = 0.001）与感知显著相关。具体的知识和训练以及丰富的经验与感知有关。
Registered dietitians (RDs) have the potential in cancer cachexia management. We investigated RDs’ knowledge on cancer cachexia and assessed the effects of factors on RDs’ perception of playing an important role in cancer cachexia management. This is a secondary analysis of a survey examining the perspectives of health care professionals on cancer cachexia management. We sent the questionnaire to 451 RDs. RDs were divided into two groups: RDs with and without the perception. Comparisons were made using the Mann–Whitney U test or chi-square test. To examine the effects of factors on the perception, estimated crude and adjusted odds ratios (ORs) and 95% confidence intervals (CIs) for the logistic regression model were calculated. A total of 237 RDs were analyzed. Significant differences were observed in the number of cancer patients/month, the primary area of practice, the number of clinical guidelines used, the number of items used, the number of symptoms used, and training for cancer cachexia management (p values all < 0.05). After adjustments, the factors of cancer care experience ≥ 20 years (OR 8.32, 95% CI 1.22–56.70; p = 0.030), the number of patients/month ≥ 50 (OR 27.35, 95% CI 3.99–187.24; p = 0.001), using the clinical guidelines (OR 2.69, 95% CI 1.29–5.61; p = 0.008), the number of items ≥ 5 (OR 3.52, 95% CI 1.47–8.40; p = 0.005), and receiving training (OR 3.91, 95% CI 1.77–8.67; p = 0.001) significantly associated with the perception. Specific knowledge and training as well as abundant experience were associated with the perception.
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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：
2.5
作者：
Amano, Koji;Koshimoto, Saori;Hopkinson, Jane B.;Baracos, Vickie E.;Mori, Naoharu;Morita, Tatsuya;Oyamada, Shunsuke;Ishiki, Hiroto;Satomi, Eriko;Takeuchi, Takashi
通讯作者：
Takeuchi, Takashi
影响因子：
50.5
作者：
Muscaritoli, M.;Fanelli, F. Rossi;Molfino, A.
通讯作者：
Molfino, A.
影响因子：
7.3
作者：
Arends J;Strasser F;Gonella S;Solheim TS;Madeddu C;Ravasco P;Buonaccorso L;de van der Schueren MAE;Baldwin C;Chasen M;Ripamonti CI;ESMO Guidelines Committee. Electronic address: clinicalguidelines@esmo.org
通讯作者：
ESMO Guidelines Committee. Electronic address: clinicalguidelines@esmo.org
影响因子：
3.1
作者：
Koshimoto, Saori;Arimoto, Masako;Matsushima, Eisuke
通讯作者：
Matsushima, Eisuke