The Provision of Nutritional Advice and Care for Cancer Patients: a UK National Survey of Healthcare Professionals

Overview

Journal Support Care Cancer

Specialties Critical Care
Oncology

Date 2020 Sep 12

PMID 32918612

Citations 11

Authors

Jane L Murphy

Fehmidah Munir

Fiona Davey

Laura Miller

Ramsey Cutress

Rhys White

Megan Lloyd

Justin Roe

Carol Granger

Sorrel Burden

Lesley Turner

Affiliations

Soon will be listed here.

Abstract

Purpose: People living with and beyond cancer often experience nutrition-related issues and should receive appropriate advice on nutrition that is consistent and evidence based. The aim of this study was to investigate current practice for the provision of nutritional care by healthcare professionals (HCPs) from a UK national survey produced by the National Institute for Health Research (NIHR) Cancer and Nutrition Collaboration.

Methods: An online survey sent to professional groups and networks included questions on discussing nutrition, providing information, awareness of guidelines, confidence in providing nutritional advice, training and strategies for improving nutritional management.

Results: There were 610 HCPs who responded including nurses (31%), dietitians (25%), doctors (31%) and speech and language therapists (9%). The majority of HCPs discusses nutrition (94%) and provides information on nutrition (77%). However, only 39% of HCPs reported being aware of nutritional guidelines, and just 20% were completely confident in providing nutritional advice. Awareness of guidelines varied between the different professional groups with most but not all dietitians reporting the greatest awareness of guidelines and GPs the least (p = 0.001). Those HCPs with a greater awareness of guidelines had received training (p = 0.001) and were more likely to report complete confidence in providing nutritional advice (p = 0.001).

Conclusion: Whilst HCPs discuss nutrition with cancer patients and may provide information, many lack an awareness of guidelines and confidence in providing nutritional advice. To ensure consistency of practice and improvements in patient care, there is scope for enhancing the provision of appropriate nutrition education and training.

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References

Hardcastle S, Maxwell-Smith C, Hagger M, OConnor M, Platell C . Exploration of information and support needs in relation to health concerns, diet and physical activity in colorectal cancer survivors. Eur J Cancer Care (Engl). 2017; 27(1). DOI: 10.1111/ecc.12679. View

Maddams J, Utley M, Moller H . Projections of cancer prevalence in the United Kingdom, 2010-2040. Br J Cancer. 2012; 107(7):1195-202. PMC: 3461160. DOI: 10.1038/bjc.2012.366. View

Klemp J, Frazier L, Glennon C, Trunecek J, Irwin M . Improving cancer survivorship care: oncology nurses' educational needs and preferred methods of learning. J Cancer Educ. 2011; 26(2):234-42. PMC: 4183224. DOI: 10.1007/s13187-011-0193-3. View

Caccialanza R, Cereda E, Pinto C, Cotogni P, Farina G, Gavazzi C . Awareness and consideration of malnutrition among oncologists: Insights from an exploratory survey. Nutrition. 2016; 32(9):1028-32. DOI: 10.1016/j.nut.2016.02.005. View

Gavazzi C, Sieri S, Traclo F, Sproviero A, Vandoni G, Ricci R . Changes in food habits in cancer patients in Italy: a survey. AIOM - SINPE - FAVO. Nutrition. 2018; 55-56:140-145. DOI: 10.1016/j.nut.2018.04.002. View

Davies N, Batehup L, Thomas R . The role of diet and physical activity in breast, colorectal, and prostate cancer survivorship: a review of the literature. Br J Cancer. 2011; 105 Suppl 1:S52-73. PMC: 3251953. DOI: 10.1038/bjc.2011.423. View

Rauh S, Antonuzzo A, Bossi P, Eckert R, Fallon M, Frobe A . Nutrition in patients with cancer: a new area for medical oncologists? A practising oncologist's interdisciplinary position paper. ESMO Open. 2018; 3(4):e000345. PMC: 5950635. DOI: 10.1136/esmoopen-2018-000345. View

Williams K, Beeken R, Fisher A, Wardle J . Health professionals' provision of lifestyle advice in the oncology context in the United Kingdom. Eur J Cancer Care (Engl). 2015; 24(4):522-30. DOI: 10.1111/ecc.12305. View

Sutton E, Hackshaw-McGeagh L, Aning J, Bahl A, Koupparis A, Persad R . The provision of dietary and physical activity advice for men diagnosed with prostate cancer: a qualitative study of the experiences and views of health care professionals, patients and partners. Cancer Causes Control. 2017; 28(4):319-329. PMC: 5357268. DOI: 10.1007/s10552-017-0861-7. View

10.

Beeken R, Williams K, Wardle J, Croker H . "What about diet?" A qualitative study of cancer survivors' views on diet and cancer and their sources of information. Eur J Cancer Care (Engl). 2016; 25(5):774-83. PMC: 4995727. DOI: 10.1111/ecc.12529. View

11.

Spiro A, Baldwin C, Patterson A, Thomas J, Andreyev H . The views and practice of oncologists towards nutritional support in patients receiving chemotherapy. Br J Cancer. 2006; 95(4):431-4. PMC: 2360668. DOI: 10.1038/sj.bjc.6603280. View

12.

Martin L, de van der Schueren M, Blauwhoff-Buskermolen S, Baracos V, Gramlich L . Identifying the Barriers and Enablers to Nutrition Care in Head and Neck and Esophageal Cancers: An International Qualitative Study. JPEN J Parenter Enteral Nutr. 2014; 40(3):355-66. DOI: 10.1177/0148607114552847. View

13.

Murphy J, Worswick L, Pulman A, Ford G, Jeffery J . Translating research into practice: evaluation of an e-learning resource for health care professionals to provide nutrition advice and support for cancer survivors. Nurse Educ Today. 2014; 35(1):271-6. DOI: 10.1016/j.nedt.2014.05.009. View

14.

Murphy J, Girot E . The importance of nutrition, diet and lifestyle advice for cancer survivors - the role of nursing staff and interprofessional workers. J Clin Nurs. 2013; 22(11-12):1539-49. DOI: 10.1111/jocn.12053. View

15.

Arends J, Bachmann P, Baracos V, Barthelemy N, Bertz H, Bozzetti F . ESPEN guidelines on nutrition in cancer patients. Clin Nutr. 2016; 36(1):11-48. DOI: 10.1016/j.clnu.2016.07.015. View

16.

Demark-Wahnefried W, Peterson B, McBride C, Lipkus I, Clipp E . Current health behaviors and readiness to pursue life-style changes among men and women diagnosed with early stage prostate and breast carcinomas. Cancer. 2000; 88(3):674-84. View

17.

Kassianos A, Coyle A, Raats M . Perceived influences on post-diagnostic dietary change among a group of men with prostate cancer. Eur J Cancer Care (Engl). 2015; 24(6):818-26. DOI: 10.1111/ecc.12357. View