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Strahlentherapie und Onkologie

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01-11-2018 | Original Article

Treatment of malnutrition decreases complication rates and shortens the length of hospital stays in a radiation oncology department

Authors: Johannes Kufeldt, Marén Viehrig, Daniela Schweikert, Andreas Fritsche, Michael Bamberg, Michael Adolph

Published in: Strahlentherapie und Onkologie | Issue 11/2018

Abstract

Purpose

The nutritional status of inpatients influences the therapeutic outcome. Malnutrition is a common comorbidity in oncological patients. Both radio- and radiochemotherapy may contribute to the additional deterioration of the nutritional status. The aim of this study was to evaluate the impact of specialized treatment of malnutrition as a clinical routine.

Methods

The nutritional status of inpatients was assessed by the Nutritional risk screening (NRS-2002) on the day of admission to the University Department of Radiation Oncology. In case of significantly elevated NRS-2002 (NRS ≥ 3), a guideline-compliant, individual nutritional treatment was initiated by a specialized nutrition support team. The influence of the nutritional status and nutritional treatment on length of stay and complication rate was assessed.

Results

Of 840 included patients, 344 patients (40.95%) were at risk for malnutrition. Malnutrition was a significant, independent risk factor for both prolonged hospital stay, represented by the deviation between the actual length of stay and the DRG-associated mean length of stay (dLOS at risk: 0.88 days, dLOS not at risk: −0.88 days, p = 0.0047), as well as for the occurrence of complications (OR: 1.758 CI: [1.286–2.402], p = 0.0006). In the group of 337 (40.12%) rehospitalized patients the nutritional management was able to assimilate the values of length of stay as well as the complication rates to standard values.

Conclusions

The high risk for malnutrition and the negative consequences for patients and hospitals underline the urgent need for malnutrition screening on admission and treatment of malnutrition. A specialized, interdisciplinary nutrition support team positively influences patient outcome and should be established routinely in all oncological disciplines.

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Title: Treatment of malnutrition decreases complication rates and shortens the length of hospital stays in a radiation oncology department
Authors: Johannes Kufeldt
Marén Viehrig
Daniela Schweikert
Andreas Fritsche
Michael Bamberg
Michael Adolph
Publication date: 01-11-2018
Publisher: Springer Berlin Heidelberg
Published in: Strahlentherapie und Onkologie / Issue 11/2018
Print ISSN: 0179-7158
Electronic ISSN: 1439-099X
DOI: https://doi.org/10.1007/s00066-018-1360-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Treatment of malnutrition decreases complication rates and shortens the length of hospital stays in a radiation oncology department

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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