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Supportive Care in Cancer
Published in:

Open Access 01-10-2024 | Malnutrition | Research

Survey of international pediatric nutritional supportive care practices: a report from the Pediatric Study Group of the Multinational Association of Supportive Care in Cancer (MASCC)

Authors: Charles A. Phillips, Regina Kennelly, Catherine Carroll, Faith Gibson, Caitlin W. Elgarten, Andrea Orsey, Jason L. Freedman

Published in: Supportive Care in Cancer | Issue 10/2024

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Abstract

Purpose

Malnutrition is common in children with cancer. While multiple validated malnutrition screens exist, there is no universal, standardized approach to screen or diagnose malnutrition. The Multinational Association of Supportive Care in Cancer (MASCC) Pediatric Study Group is focused on oncologic supportive care for children and young adults. This subgroup designed and administered a pilot study to characterize global malnutrition screening, diagnosis, and treatment practices for pediatric patients with cancer after identifying variations in malnutrition practice patterns within its members.

Methods

A novel, exploratory survey was iteratively developed and distributed in early 2020 to 45 MASCC Pediatric Study Group members. The survey included multiple questions with standard patient presentations and nutritional scenarios, and the respondents selected the answer that best reflected the care patients would receive at their institution.

Results

A validated screening tool to assess for malnutrition was routinely used by 15 of 26 respondents (58%). No single validated screen was used by more than 24% of responders, and 11 of 26 (42%) reported not having a standard malnutrition treatment screen. When the same patient was presented with the survey using different malnutrition indicators, patient care plans varied greatly. This was particularly true for z-scores compared to weight percentiles.

Conclusions

Development of consensus recommendations for screening practices, preferred malnutrition indicators, and treatment guidelines could help reduce the underdiagnosis of malnutrition and subsequent variation in its management and ought to be a focus of the global pediatric cancer supportive care community.
Appendix
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Literature
1.
Brinksma A, Huizinga G, Sulkers E et al (2012) Malnutrition in childhood cancer patients: a review on its prevalence and possible causes. Crit Rev Oncol Hematol 83(2):249–275CrossRefPubMed
2.
Brinksma A, Roodbol PF, Sulkers E et al (2015) Weight and height in children newly diagnosed with cancer. Pediatr Blood Cancer 62(2):269–273CrossRefPubMed
3.
Co-Reyes E, Li R, Huh W et al (2012) Malnutrition and obesity in pediatric oncology patients: causes, consequences, and interventions. Pediatr Blood Cancer 59(7):1160–1167CrossRefPubMedPubMedCentral
4.
Gaynor EP, Sullivan PB (2015) Nutritional status and nutritional management in children with cancer. Arch Dis Child 100(12):1169–1172CrossRefPubMed
5.
Iniesta RR, Paciarotti I, Brougham MF et al (2015) Effects of pediatric cancer and its treatment on nutritional status: a systematic review. Nutr Rev 73(5):276–295CrossRefPubMed
6.
Brinksma A, Sanderman R, Roodbol PF et al (2015) Malnutrition is associated with worse health-related quality of life in children with cancer. Support Care Cancer 23(10):3043–3052CrossRefPubMedPubMedCentral
7.
Lange BJ, Gerbing RB, Feusner J et al (2005) Mortality in overweight and underweight children with acute myeloid leukemia. JAMA 293(2):203–211CrossRefPubMed
8.
Mehta NM, Corkins MR, Lyman B et al (2013) Defining pediatric malnutrition: a paradigm shift toward etiology-related definitions. JPEN J Parenter Enteral Nutr 37(4):460–481CrossRefPubMed
9.
Phillips CA, Bailer J, Foster E et al (2019) Implementation of an automated pediatric malnutrition screen using anthropometric measurements in the electronic health record. J Acad Nutr Diet 119(8):1243–1249CrossRefPubMed
10.
Hartman C, Shamir R, Hecht C et al (2012) Malnutrition screening tools for hospitalized children. Curr Opin Clin Nutr Metab Care 15(3):303–309CrossRefPubMed
11.
Joosten KF, Hulst JM (2014) Nutritional screening tools for hospitalized children: methodological considerations. Clin Nutr 33(1):1–5CrossRefPubMed
12.
Chourdakis M, Hecht C, Gerasimidis K et al (2016) Malnutrition risk in hospitalized children: use of 3 screening tools in a large European population. Am J Clin Nutr 103(5):1301–1310CrossRefPubMed
13.
Elia M, Stratton RJ (2011) Considerations for screening tool selection and role of predictive and concurrent validity. Curr Opin Clin Nutr Metab Care 14(5):425–433CrossRefPubMed
14.
Gerasimidis K, Keane O, Macleod I et al (2010) A four-stage evaluation of the Paediatric Yorkhill Malnutrition Score in a tertiary paediatric hospital and a district general hospital. Br J Nutr 104(5):751–756CrossRefPubMed
15.
McCarthy H, Dixon M, Crabtree I et al (2012) The development and evaluation of the Screening Tool for the Assessment of Malnutrition in Paediatrics (STAMP(c)) for use by healthcare staff. J Hum Nutr Diet 25(4):311–318CrossRefPubMed
16.
Becker P, Carney LN, Corkins MR et al (2015) Consensus statement of the Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition: indicators recommended for the identification and documentation of pediatric malnutrition (undernutrition). Nutr Clin Pract 30(1):147–161CrossRefPubMed
17.
White JV, Guenter P, Jensen G et al (2012) Consensus statement of the Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition: characteristics recommended for the identification and documentation of adult malnutrition (undernutrition). J Acad Nutr Diet 112(5):730–738CrossRefPubMed
18.
Elia M, Russell CA (eds) on behalf of BAPEN and collaborators (2003) The ‘MUST’ Report. Nutritional screening for adults: a multidisciplinary responsibility. Development and use of the ‘Malnutrition Universal Screening Tool’ (MUST) for adults. A report by the Malnutrition Advisory Group of the British Association for Parenteral and Enteral Nutrition
19.
Ladas EJ, Mosby TT, Murphy AJ et al (2012) Meeting report: development of an international committee on nutrition & health for children with cancer, International Society of Pediatric Oncology (SIOP). Pediatr Blood Cancer 58(6):1008–1009CrossRefPubMed
20.
Rogers PC, Melnick SJ, Ladas EJ et al (2008) Children’s Oncology Group (COG) nutrition committee. Pediatr Blood Cancer 50(2 Suppl):447–50CrossRefPubMed
21.
Damasco-Avila E, Zelaya Sagastizado S, Carrillo M et al (2023) Improving the quality of the delivery of nutritional care among children undergoing treatment for cancer in a low- and middle-income country. JCO Glob Oncol 9:e2300074CrossRefPubMedPubMedCentral
22.
Phillips CA, Bailer J, Foster E et al (2020) Evaluation of an automated pediatric malnutrition screen using anthropometric measurements in the electronic health record: a quality improvement initiative. Support Care Cancer 28(4):1659–1666CrossRefPubMed
23.
Ladas EJ, Arora B, Howard SC et al (2016) A framework for adapted nutritional therapy for children with cancer in low- and middle-income countries: a report from the SIOP PODC Nutrition Working Group. Pediatr Blood Cancer 63(8):1339–1348CrossRefPubMed
Metadata
Title
Survey of international pediatric nutritional supportive care practices: a report from the Pediatric Study Group of the Multinational Association of Supportive Care in Cancer (MASCC)
Authors
Charles A. Phillips
Regina Kennelly
Catherine Carroll
Faith Gibson
Caitlin W. Elgarten
Andrea Orsey
Jason L. Freedman
Publication date
01-10-2024
Publisher
Springer Berlin Heidelberg
Published in
Supportive Care in Cancer / Issue 10/2024
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-024-08826-3

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