Prevalence of Malnutrition in Surgery

Study Overview
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Brief Summary
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Nutritional disorders are highly prevalent in gastrointestinal cancer patients undergoing surgery and have shown to contribute significantly in short, mid and long-term clinical outcome. Although increasing evidence and expert suggestions there is still inadequate awareness about the clinical relevance of nutritional and metabolic alterations in surgical oncologic patients.

Detailed Description
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Nutritional disorders are highly prevalent in cancer patients and have shown to contribute significantly in short-, mid- and long-term clinical outcome. The prevalence of malnutrition is reported between 25% and over 70% based on nutritional assessments. Nutritional disorders represent an important risk factor for the occurence of postoperative complications. Main obstacles to improving nutritional care include lack of awareness for the problem among the general public and lack of awareness among decision makers and even care providers. Considering the high prevalence of malnutrition and its repercussions in patient morbidity-mortality and healthcare cost, nutritional screening measures must be included in an integrated nutritional care plan for patients before surgery and while in the hospital. The PRoMiS study was conceived to quantify nutritional disorders among gastrointestinal cancer patients undergoing surgery in Italy. The data obtained will contribute to increase the awareness of nutritional disorders among oncology surgical patients and their impact on clinical outcome, favoring the inclusion of the initial assessment of nutritional status before surgery and of the nutritional intervention.

Official Title
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Prevalence of Malnutrition in Surgery

Conditions
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Malnutrition, Surgery, Cancer

Intervention / Treatment
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* Other: Nutritional status


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients who are candidates for surgery for gastrointestinal cancer (esophagus, stomach, small intestine, pancreas, biliary tract, colon, rectum, liver) Diagnosis of malignant solid tumor Age> 18 years Informed consent Exclusion Criteria: Uncontrolled metabolic disorders Uncompensated heart failure Severe psychiatric disorders Appropriate logistical support for participation in the study.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: Nutritional status|nan|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Malnutrition | Malnutrition will be assessed by Malnutrition Universal Screening Tool (MUST) | Pre-operative | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Post-operative complications | Incidence of pneumonia, sepsis and dehiscence of the surgical wound. | Hospital discharge (10-15 days) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Malnutrition, Post-operative complication