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 Printable version |
Good clinical practice in the dietetic management of cancer patients |
Bulletin du Cancer. Volume 87, Number 12, 917-26, Décembre 2000, Standards, Options et Recommandations
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 Résumé
Article gratuit
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Author(s) : Suzanne Champetier, Anne Bataillard, Yolande Lallemand, Christine Montane, Patrick Bachmann, Marie-Pierre Blanc-Vincent, Catherine Bonneteau, Mireille Claude, Dominique Combret, Françoise Cometto, Françoise Dayot, Agnès Duguet, Noëlle Duval, Cécile Finck, Anne Freby-Lehner, Valérie Garabige, Chantal Massoud, Jocelyne Meuric, Brigitte Poirée, Sylvie Puel, Ginette Rossignol, Pascale Roux-Bournay, Mireille Simon, Micheline Tran |
Summary : Context. The "Standards, Options and Recommendations" (SOR) project, started in 1993, is a collaboration between the Federation of the French Cancer Centres (FNCLCC), the 20 French Cancer Centres and specialists from French Public Universities, General Hospitals and Private Clinics. The main objective is the development of clinical practice guidelines to improve the quality of health care and outcome for cancer patients. The methodology is based on literature review and critical appraisal by a multidisciplinary group of experts, with feedback from specialists in cancer care delivery. Objectives. To develop clinical practice guidelines according to the definitions of Standards, Options and Recommendations for the dietetic consultation for cancer patient. Methods. Data have been identified by literature search using Medline and the expert groups personal reference lists. Once the guidelines were defined, the document was submitted for review to 74 independent reviewers, and to the medical committees of the 20 French Cancer Centres. Results. The main recommendations for the referral of cancer patients for dietary advice are: 1) in oncology, there are 3 types of dietetic consultation: diagnostic, preventive and therapeutic ; 2) the following cancer patients must have a dietetic consultation: i) those with, or at risk of malnutrition, ii) those without malnutrition but in need of counselling and iii) those at risk of treatment-related nutritional side effects ; 3) a nutritional assessment is standard at the time of the first dietetic consultation. Patients must be given individualised and written advice ; 4) the dietetic opinion and advice should be brought to the attention of medical staff to facilitate a multidisciplinary approach to cancer treatment ; 5) patient's relatives should be involved in the dietetic management ; 6) the efficacy of dietetic advice can be assessed by monitoring weight, gastrointestinal signs and patient satisfaction. |
Keywords : dietary advice, dietetic consultation, nutritional counselling, guidelines, neoplasms, adult. |
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