Top

Journal of Cancer Research and Clinical Oncology

Published in:

Open Access 06-08-2022 | Nutrition | Research

How can counselling by family physicians on nutrition and physical activity be improved: trends from a survey in Germany

Authors: S. J. Boesenecker, V. Mathies, J. Buentzel, J. Huebner

Published in: Journal of Cancer Research and Clinical Oncology | Issue 7/2023

Abstract

Purpose

Cancer and its therapy causes severe symptoms, most of which are amendable to nutrition and physical activity (PA). Counselling on nutrition and PA empowers patients to take part more actively in their treatment. Many cancer patients are yet in need of information on these topics. In this study, we investigate the perception of family physicians (FP) on nutrition and PA in cancer patient care and assess barriers and steps to improve their involvement in counselling on these topics.

Methods

Based on qualitative content analysis of 5 semi-structured interviews with FP, a questionnaire was developed and completed by 61 German FP.

Results

Most of the FP acknowledged the importance of nutrition and PA during (91.4%) and after (100%) cancer therapy. While many participants were involved in cancer patient care, 65.6% of FP viewed themselves as primary reference person to address these topics. However, a third (32.8%) of FP were unfamiliar with information thereof. Some were unsatisfied regarding timely updates on their patient’s treatment course via discharge letters (25.0%) or phone calls (36.2%). FP would like to dedicate more consultation time addressing nutrition and PA than they currently do (p < 0.001).

Conclusion

Communication btween healthcare practitioners about mutual cancer patient’s treatment must be improved, e.g. utilising electronic communication to quicken correspondence. Acquisition of information on nutrition and PA in cancer patient care needs to be facilitated for FP, approachable by compiling reliable information and their sources. Involvement of FP in structured treatment programs could benefit cancer patient care.

Trial registration number

(May 7, 2021): 2021–2149-Bef.

Available only for authorised users

Antoun S, Birdsell L, Sawyer MB, Venner P, Escudier B, Baracos VE (2010) Association of skeletal muscle wasting with treatment with sorafenib in patients with advanced renal cell carcinoma: results from a placebo-controlled study. J Clin Oncol 28(6):1054–1060. https://doi.org/10.1200/jco.2009.24.9730CrossRefPubMed

Arends J, Bachmann P, Baracos V, Barthelemy N, Bertz H, Bozzetti F, Fearon K, Hütterer E, Isenring E, Kaasa S, Krznaric Z, Laird B, Larsson M, Laviano A, Mühlebach S, Muscaritoli M, Oldervoll L, Ravasco P, Solheim T, Preiser JC (2017) ESPEN guidelines on nutrition in cancer patients. Clin Nutr 36(1):11–48. https://doi.org/10.1016/j.clnu.2016.07.015CrossRefPubMed

Argiles JM, Busquets S, Stemmler B, Lopez-Soriano FJ (2014) Cancer cachexia: understanding the molecular basis. Nat Rev Cancer 14(11):754–762. https://doi.org/10.1038/nrc3829CrossRefPubMed

Artherholt SB, Fann JR (2012) Psychosocial care in cancer. Curr Psychiatry Rep 14(1):23–29. https://doi.org/10.1007/s11920-011-0246-7CrossRefPubMed

AuYoung M, Linke SE, Pagoto S, Buman MP, Craft LL, Richardson CR, Hutber A, Marcus BH, Estabrooks P, Sheinfeld Gorin S (2016) Integrating physical activity in primary care practice. Am J Med 129(10):1022–1029. https://doi.org/10.1016/j.amjmed.2016.02.008CrossRefPubMed

Avancini A, Sartori G, Gkountakos A, Casali M, Trestini I, Tregnago D, Bria E, Jones LW, Milella M, Lanza M, Pilotto S (2020) Physical activity and exercise in lung cancer care: will promises be fulfilled? Oncologist 25(3):e555–e569. https://doi.org/10.1634/theoncologist.2019-0463CrossRefPubMed

Awad S, Tan BH, Cui H, Bhalla A, Fearon KC, Parsons SL, Catton JA, Lobo DN (2012) Marked changes in body composition following neoadjuvant chemotherapy for oesophagogastric cancer. Clin Nutr 31(1):74–77. https://doi.org/10.1016/j.clnu.2011.08.008CrossRefPubMed

Bantle JP, Wylie-Rosett J, Albright AL, Apovian CM, Clark NG, Franz MJ, Hoogwerf BJ, Lichtenstein AH, Mayer-Davis E, Mooradian AD, Wheeler ML (2008) Nutrition recommendations and interventions for diabetes: a position statement of the American diabetes association. Diabetes Care 31(Suppl 1):S61-78. https://doi.org/10.2337/dc08-S061CrossRefPubMed

Booth AO, Nowson CA (2010) Patient recall of receiving lifestyle advice for overweight and hypertension from their General Practitioner. BMC Fam Pract 11:8. https://doi.org/10.1186/1471-2296-11-8CrossRefPubMedPubMedCentral

Bower MR, Martin RC, 2nd. (2009) Nutritional management during neoadjuvant therapy for esophageal cancer. J Surg Oncol 100(1):82–87. https://doi.org/10.1002/jso.21289CrossRefPubMed

Brauer PM, Sergeant LA, Davidson B, Goy R, Dietrich L (2012) Patient reports of lifestyle advice in primary care. Can J Diet Pract Res 73(3):122–127. https://doi.org/10.3148/73.3.2012.122CrossRefPubMed

Brown JC, Winters-Stone K, Lee A, Schmitz KH (2012) Cancer, physical activity, and exercise. Compr Physiol 2(4):2775–2809. https://doi.org/10.1002/cphy.c120005CrossRefPubMedPubMedCentral

Brown T, Avenell A, Edmunds LD, Moore H, Whittaker V, Avery L, Summerbell C (2009) Systematic review of long-term lifestyle interventions to prevent weight gain and morbidity in adults. Obes Rev 10(6):627–638. https://doi.org/10.1111/j.1467-789X.2009.00641.xCrossRefPubMed

Bye A, Sandmael JA, Stene GB, Thorsen L, Balstad TR, Solheim TS, Pripp AH, Oldervoll LM (2020) Exercise and nutrition interventions in patients with head and neck cancer during curative treatment: a systematic review and meta-analysis. Nutrients 12(11):3233. https://doi.org/10.3390/nu12113233CrossRefPubMedPubMedCentral

Capuano G, Gentile PC, Bianciardi F, Tosti M, Palladino A, Di Palma M (2010) Prevalence and influence of malnutrition on quality of life and performance status in patients with locally advanced head and neck cancer before treatment. Support Care Cancer 18(4):433–437. https://doi.org/10.1007/s00520-009-0681-8CrossRefPubMed

Castro I, Waclawovsky G, Marcadenti A (2015) Nutrition and physical activity on hypertension: implication of current evidence and guidelines. Curr Hypertens Rev 11(2):91–99. https://doi.org/10.2174/1573402111666150429170302CrossRefPubMed

Ciarlo G, Liebl P, Zell J, Fessler J, Koester MJ, Ruetters D, Mugele K, Huebner J (2016) Information needs of oncologists, general practitioners and other professionals caring for patients with cancer. Eur J Cancer Care (engl) 25(6):1015–1023. https://doi.org/10.1111/ecc.12557CrossRefPubMed

Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences. L. Erlbaum Associates. https://books.google.de/books?id=gA04ngAACAAJ

Cormie P, Zopf EM, Zhang X, Schmitz KH (2017) The impact of exercise on cancer mortality, recurrence, and treatment-related adverse effects. Epidemiol Rev 39(1):71–92. https://doi.org/10.1093/epirev/mxx007CrossRefPubMed

Datema FR, Ferrier MB, Baatenburg de Jong RJ (2011) Impact of severe malnutrition on short-term mortality and overall survival in head and neck cancer. Oral Oncol 47(9):910–914. https://doi.org/10.1016/j.oraloncology.2011.06.510CrossRefPubMed

Dean E, Skinner M, Myezwa H, Mkumbuzi V, Mostert K, Parra DC, Shirley D, Söderlund A, de Andrade AD, Abaraogu UO, Bruno S, Clark D, Gylfadóttir S, Jones A, Veluswamy SK, Lomi C, Moffat M, Morris D, Stensdotter AK, Wong WP (2019) Health competency standards in physical therapist practice. Phys Ther 99(9):1242–1254. https://doi.org/10.1093/ptj/pzz087CrossRefPubMed

Deftereos, I., Yeung, J. M. C., Arslan, J., Carter, V. M., Isenring, E., Kiss, N., & On Behalf Of The Nourish Point Prevalence Study, G (2021) Assessment of Nutritional Status and Nutrition Impact Symptoms in Patients Undergoing Resection for Upper Gastrointestinal Cancer: Results from the Multi-Centre NOURISH Point Prevalence Study. Nutrients 13(10):3349. https://doi.org/10.3390/nu13103349CrossRef

Deutsche Krebsgesellschaft. (2022) Broschüren zum Thema Krebs. Retrieved February 12, 2022 from https://www.krebsgesellschaft.de/aktuelle-themen/service/broschueren.html

Druel V, Gimenez L, Paricaud K, Delord JP, Grosclaude P, Boussier N, Bugat MR (2020) Improving communication between the general practitioner and the oncologist: a key role in coordinating care for patients suffering from cancer. BMC Cancer 20(1):495. https://doi.org/10.1186/s12885-020-06993-0CrossRefPubMedPubMedCentral

Easley J, Miedema B, Carroll JC, Manca DP, O’Brien MA, Webster F, Grunfeld E (2016) Coordination of cancer care between family physicians and cancer specialists: Importance of communication. Can Fam Physician 62(10):e608–e615PubMedPubMedCentral

Easley J, Miedema B, O’Brien MA, Carroll J, Manca D, Webster F, Grunfeld E (2017) The role of family physicians in cancer care: perspectives of primary and specialty care providers. Curr Oncol 24(2):75–80. https://doi.org/10.3747/co.24.3447CrossRefPubMedPubMedCentral

Edbrooke L, Granger CL, Denehy L (2020) Physical activity for people with lung cancer. Aust J Gen Pract 49(4):175–181. https://doi.org/10.31128/ajgp-09-19-5060CrossRefPubMed

Edvardsen E, Skjønsberg OH, Holme I, Nordsletten L, Borchsenius F, Anderssen SA (2015) High-intensity training following lung cancer surgery: a randomised controlled trial. Thorax 70(3):244–250. https://doi.org/10.1136/thoraxjnl-2014-205944CrossRefPubMed

EFAD & ESDN (2021) Oncology Statement Paper on the Role of the Dietitian in Oncology. Kompass Nutrition & Dietetics 1(3):117–117. https://doi.org/10.1159/000519850CrossRef

Erickson N, Paradies K, Buchholz D, Huebner J (2018) Nutrition care of cancer patients-a survey among physicians and nurses. Eur J Cancer Care (engl) 27(4):e12855. https://doi.org/10.1111/ecc.12855CrossRefPubMed

Europäische Kommission eurostat. (2021) Korrespondenztabelle LAU - NUTS 2021, EU-27 und EFTA / verfügbare Kandidatenländer. In EU-27_LAU-2021-NUTS-2021.xlsx (Ed.).

Ferlay J, Soerjomataram I, Dikshit R, Eser S, Mathers C, Rebelo M, Parkin DM, Forman D, Bray F (2015) Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. Int J Cancer 136(5):E359-386. https://doi.org/10.1002/ijc.29210CrossRefPubMed

Garabige V, Giraud P, De Rycke Y, Girod A, Jouffroy T, Jaulerry C, Brunin F, Rodriguez J (2007) Impact of nutrition management in patients with head and neck cancers treated with irradiation: is the nutritional intervention useful? Cancer Radiother 11(3):111–116CrossRefPubMed

Halilova KI, Pisu M, Azuero A, Williams CP, Kenzik KM, Williams GR, Rocque GB, Martin MY, Kvale EA, Demark-Wahnefried W (2019) Healthy lifestyle discussions between healthcare providers and older cancer survivors: data from 12 cancer centers in the Southeastern United States. Cancer Med 8(16):7123–7132. https://doi.org/10.1002/cam4.2568CrossRefPubMedPubMedCentral

Harris SB, Petrella RJ, Lambert-Lanning A, Leadbetter W, Cranston L (2004) Lifestyle management for type 2 diabetes. Are family physicians ready and willing? Can Fam Physician 50(9):1235–1243PubMedPubMedCentral

https://www.cfp.ca/content/cfp/50/9/1235.full.pdf

Hickner J, Kent S, Naragon P, Hunt L (2007) Physicians’ and patients’ views of cancer care by family physicians: a report from the American academy of family physicians national research network. Fam Med 39(2):126–131PubMed

Hilfiker R, Meichtry A, Eicher M, Nilsson Balfe L, Knols RH, Verra ML, Taeymans J (2018) Exercise and other non-pharmaceutical interventions for cancer-related fatigue in patients during or after cancer treatment: a systematic review incorporating an indirect-comparisons meta-analysis. Br J Sports Med 52(10):651–658. https://doi.org/10.1136/bjsports-2016-096422CrossRefPubMed

Hübner J, Muenstedt K, Muecke R, Micke O, Stoll C, Kleeberg UR, Buentzel J, Dennert G, Prott FJ (2013) Counseling cancer patients on complementary and alternative medicine. Background, theory, and implementation of nationwide counseling facilities. Strahlenther Onkol 189(8):613–617. https://doi.org/10.1007/s00066-013-0392-4CrossRefPubMed

Hudon C, St-Cyr Tribble D, Bravo G, Hogg W, Lambert M, Poitras ME (2013) Family physician enabling attitudes: a qualitative study of patient perceptions. BMC Fam Pract 14:8. https://doi.org/10.1186/1471-2296-14-8CrossRefPubMedPubMedCentral

Jager-Wittenaar H, Dijkstra PU, Vissink A, van der Laan BF, van Oort RP, Roodenburg JL (2011) Malnutrition and quality of life in patients treated for oral or oropharyngeal cancer. Head Neck 33(4):490–496. https://doi.org/10.1002/hed.21473CrossRefPubMed

Jefford M, Koczwara B, Emery J, Thornton-Benko E, Vardy JL (2020) The important role of general practice in the care of cancer survivors. Aust J Gen Pract 49(5):288–292. https://doi.org/10.31128/ajgp-10-19-5133CrossRefPubMed

Kassenärztliche Bundesvereinigung. (2021–12–23). Disease-Management-Programme. Retrieved January 07 from https://www.kbv.de/html/dmp.php

Keinki C, Seilacher E, Ebel M, Ruetters D, Kessler I, Stellamanns J, Rudolph I, Huebner J (2016) Information needs of cancer patients and perception of impact of the disease, of self-efficacy, and locus of control. J Cancer Educ 31(3):610–616. https://doi.org/10.1007/s13187-015-0860-xCrossRefPubMed

Kimura M, Naito T, Kenmotsu H, Taira T, Wakuda K, Oyakawa T, Hisamatsu Y, Tokito T, Imai H, Akamatsu H, Ono A, Kaira K, Murakami H, Endo M, Mori K, Takahashi T, Yamamoto N (2015) Prognostic impact of cancer cachexia in patients with advanced non-small cell lung cancer. Support Care Cancer 23(6):1699–1708. https://doi.org/10.1007/s00520-014-2534-3CrossRefPubMed

Kirbiyik F, Ozkan E (2018) Knowledge and practices of medical oncologists concerning nutrition therapy: a survey study. Clin Nutr ESPEN 27:32–37. https://doi.org/10.1016/j.clnesp.2018.07.004CrossRefPubMed

Lang V, Walter S, Fessler J, Koester MJ, Ruetters D, Huebner J (2017) The role of the general practitioner in cancer care: a survey of the patients’ perspective. J Cancer Res Clin Oncol 143(5):895–904. https://doi.org/10.1007/s00432-017-2343-4CrossRefPubMed

Leach HJ, Devonish JA, Bebb DG, Krenz KA, Culos-Reed SN (2015) Exercise preferences, levels and quality of life in lung cancer survivors. Support Care Cancer 23(11):3239–3247. https://doi.org/10.1007/s00520-015-2717-6CrossRefPubMed

Leduc C, Antoni D, Charloux A, Falcoz PE, Quoix E (2017) Comorbidities in the management of patients with lung cancer. Eur Respir J. https://doi.org/10.1183/13993003.01721-2016CrossRefPubMed

Lee JLC, Leong LP, Lim SL (2016) Nutrition intervention approaches to reduce malnutrition in oncology patients: a systematic review. Support Care Cancer 24(1):469–480. https://doi.org/10.1007/s00520-015-2958-4CrossRefPubMed

Leitlinienprogramm Onkologie: Deutsche Krebsgesellschaft, Deutsche Krebshilfe, & AWMF. (2021, 2021–09) Komplementärmedizin in der Behandlung von onkologischen PatientInnen, Langversion 1.1. Retrieved May 9, 2022 from https://www.leitlinienprogramm-onkologie.de/leitlinien/komplementaermedizin/

Lewandowska A, Rudzki G, Lewandowski T, Prochnicki M, Rudzki S, Laskowska B, Brudniak J (2020) Quality of life of cancer patients treated with chemotherapy. Int J Environ Res Public Health. https://doi.org/10.3390/ijerph17196938CrossRefPubMedPubMedCentral

Lim SL, Ong KC, Chan YH, Loke WC, Ferguson M, Daniels L (2012) Malnutrition and its impact on cost of hospitalization, length of stay, readmission and 3-year mortality. Clin Nutr 31(3):345–350. https://doi.org/10.1016/j.clnu.2011.11.001CrossRefPubMed

Maddocks M (2020) Physical activity and exercise training in cancer patients. Clin Nutr ESPEN 40:1–6. https://doi.org/10.1016/j.clnesp.2020.09.027CrossRefPubMed

Maddocks M, Mockett S, Wilcock A (2009) Is exercise an acceptable and practical therapy for people with or cured of cancer? A Systematic Rev Cancer Treat Rev 35(4):383–390. https://doi.org/10.1016/j.ctrv.2008.11.008CrossRefPubMed

Martin L, Jia C, Rouvelas I, Lagergren P (2008) Risk factors for malnutrition after oesophageal and cardia cancer surgery. Br J Surg 95(11):1362–1368. https://doi.org/10.1002/bjs.6374CrossRefPubMed

Maschke J, Kruk U, Kastrati K, Kleeberg J, Buchholz D, Erickson N, Huebner J (2017) Nutritional care of cancer patients: a survey on patients’ needs and medical care in reality. Int J Clin Oncol 22(1):200–206. https://doi.org/10.1007/s10147-016-1025-6CrossRefPubMed

Massoud M, Ikdais W, Zeghondy J, Saad A (2021) Provision of lifestyle recommendations to cancer patients: results of a nationally representative survey of hematologists/oncologists. J Cancer Educ 36(4):702–709. https://doi.org/10.1007/s13187-020-01691-8CrossRefPubMed

Mayring, P. (2015). Qualitative Inhaltsanalyse (12. ed.). Beltz Verlag.

McConnell D, Butow PN, Tattersall MH (1999) Improving the letters we write: an exploration of doctor-doctor communication in cancer care. Br J Cancer 80(3–4):427–437. https://doi.org/10.1038/sj.bjc.6690374CrossRefPubMedPubMedCentral

McPhail S, Schippers M (2012) An evolving perspective on physical activity counselling by medical professionals. BMC Fam Pract 13:31. https://doi.org/10.1186/1471-2296-13-31CrossRefPubMedPubMedCentral

McTiernan A, Friedenreich CM, Katzmarzyk PT, Powell KE, Macko R, Buchner D, Pescatello LS, Bloodgood B, Tennant B, Vaux-Bjerke A, George SM, Troiano RP, Piercy KL (2019) Physical activity in cancer prevention and survival: a systematic review. Med Sci Sports Exerc 51(6):1252–1261. https://doi.org/10.1249/mss.0000000000001937CrossRefPubMedPubMedCentral

Montoya JE, Domingo F Jr, Luna CA, Berroya RM, Catli CA, Ginete JK, Sanchez OS, Juat NJ, Tiangco BJ, Jamias JD (2010) Nutritional status of cancer patients admitted for chemotherapy at the national kidney and transplant institute. Singapore Med J 51(11):860–864PubMed

Mouri T, Naito T, Morikawa A, Tatematsu N, Miura S, Okayama T, Omae K, Takayama K (2018) Promotion of behavioral change and the impact on quality of life in elderly patients with advanced cancer: a physical activity intervention of the multimodal nutrition and exercise treatment for advanced cancer program. Asia Pac J Oncol Nurs 5(4):383–390. https://doi.org/10.4103/apjon.apjon_21_18CrossRefPubMedPubMedCentral

Norman K, Stobäus N, Smoliner C, Zocher D, Scheufele R, Valentini L, Lochs H, Pirlich M (2010) Determinants of hand grip strength, knee extension strength and functional status in cancer patients. Clin Nutr 29(5):586–591. https://doi.org/10.1016/j.clnu.2010.02.007CrossRefPubMed

O’Brien BC, Harris IB, Beckman TJ, Reed DA, Cook DA (2014) Standards for reporting qualitative research: a synthesis of recommendations. Acad Med 89(9):1245–1251. https://doi.org/10.1097/acm.0000000000000388CrossRefPubMed

Ogasawara R, Katsumata N, Toyooka T, Akaishi Y, Yokoyama T, Kadokura G (2018) Reliability of cancer treatment information on the internet: observational study. JMIR Cancer 4(2):e10031. https://doi.org/10.2196/10031CrossRefPubMedPubMedCentral

Pannell LM, Tyrrell-Price J (2017) Communication between primary and secondary care. Br J Hosp Med (lond) 78(8):464–466. https://doi.org/10.12968/hmed.2017.78.8.464CrossRefPubMed

Philip EJ, Coups EJ, Feinstein MB, Park BJ, Wilson DJ, Ostroff JS (2014) Physical activity preferences of early-stage lung cancer survivors. Support Care Cancer 22(2):495–502. https://doi.org/10.1007/s00520-013-2002-5CrossRefPubMed

Pilotto S, Avancini A, Menis J, Sperduti I, Giaj Levra M, Berghmans T, Bironzo P, Brandão M, De Ruysscher D, Edwards J, Faivre-Finn C, Girard N, Greillier L, Hendriks L, Lantuejoul S, Mauer M, Novello S, O’Brien M, Reck M, Milella M (2022) Exercise in lung cancer, the healthcare providers opinion (E.C.H.O.): results of the EORTC lung cancer group (LCG) survey. Lung Cancer 169:94–101. https://doi.org/10.1016/j.lungcan.2022.05.009CrossRefPubMed

Pressoir M, Desné S, Berchery D, Rossignol G, Poiree B, Meslier M, Traversier S, Vittot M, Simon M, Gekiere JP, Meuric J, Serot F, Falewee MN, Rodrigues I, Senesse P, Vasson MP, Chelle F, Maget B, Antoun S, Bachmann P (2010) Prevalence, risk factors and clinical implications of malnutrition in French comprehensive cancer centres. Br J Cancer 102(6):966–971. https://doi.org/10.1038/sj.bjc.6605578CrossRefPubMedPubMedCentral

Rock CL, Doyle C, Demark-Wahnefried W, Meyerhardt J, Courneya KS, Schwartz AL, Bandera EV, Hamilton KK, Grant B, McCullough M, Byers T, Gansler T (2012) Nutrition and physical activity guidelines for cancer survivors. CA Cancer J Clin 62(4):243–274. https://doi.org/10.3322/caac.21142CrossRefPubMed

Sarwer DB, von Sydow Green A, Vetter ML, Wadden TA (2009) Behavior therapy for obesity: where are we now? Curr Opin Endocrinol Diabetes Obes 16(5):347–352. https://doi.org/10.1097/MED.0b013e32832f5a79CrossRefPubMed

Scott BR, Tharmalingam S (2019) The LNT model for cancer induction is not supported by radiobiological data. Chem Biol Interact 301:34–53. https://doi.org/10.1016/j.cbi.2019.01.013CrossRefPubMed

Sigal RJ, Armstrong MJ, Bacon SL, Boulé NG, Dasgupta K, Kenny GP, Riddell MC (2018) Physical activity and diabetes. Can J Diabetes 42(Suppl 1):S54-s63. https://doi.org/10.1016/j.jcjd.2017.10.008CrossRefPubMed

Sisler J, Chaput G, Sussman J, Ozokwelu E (2016) Follow-up after treatment for breast cancer: practical guide to survivorship care for family physicians. Can Fam Physician 62(10):805–811PubMedPubMedCentral

Suija K, Kordemets T, Annuk K, Kalda R (2016) the role of general practitioners in cancer care: a mixed method design. J Cancer Educ 31(1):136–141. https://doi.org/10.1007/s13187-015-0834-zCrossRefPubMed

Tajan M, Vousden KH (2020) Dietary approaches to cancer therapy. Cancer Cell 37(6):767–785. https://doi.org/10.1016/j.ccell.2020.04.005CrossRefPubMed

Tong A, Sainsbury P, Craig J (2007) Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care 19(6):349–357. https://doi.org/10.1093/intqhc/mzm042CrossRefPubMed

Trajkovic-Vidakovic M, de Graeff A, Voest EE, Teunissen SC (2012) Symptoms tell it all: a systematic review of the value of symptom assessment to predict survival in advanced cancer patients. Crit Rev Oncol Hematol 84(1):130–148. https://doi.org/10.1016/j.critrevonc.2012.02.011CrossRefPubMed

Uster A, Ruehlin M, Mey S, Gisi D, Knols R, Imoberdorf R, Pless M, Ballmer PE (2018) Effects of nutrition and physical exercise intervention in palliative cancer patients: a randomized controlled trial. Clin Nutr 37(4):1202–1209. https://doi.org/10.1016/j.clnu.2017.05.027CrossRefPubMed

van den Berg MG, Rasmussen-Conrad EL, Wei KH, Lintz-Luidens H, Kaanders JH, Merkx MA (2010) Comparison of the effect of individual dietary counselling and of standard nutritional care on weight loss in patients with head and neck cancer undergoing radiotherapy. Br J Nutr 104(6):872–877. https://doi.org/10.1017/s0007114510001315CrossRefPubMed

van Veen MR, Beijer S, Adriaans AM, Vogel-Boezeman J, Kampman E (2015) Development of a website providing evidence-based information about nutrition and cancer: fighting fiction and supporting facts online. JMIR Res Protoc 4(3):e110. https://doi.org/10.2196/resprot.4757CrossRefPubMedPubMedCentral

van Veen MR, Hoedjes M, Versteegen JJ, van de Meulengraaf-Wilhelm N, Kampman E, Beijer S (2017) Improving oncology nurses’ knowledge about nutrition and physical activity for cancer survivors. Oncol Nurs Forum 44(4):488–496. https://doi.org/10.1188/17.Onf.488-496CrossRefPubMed

van Veen MR, Mols F, Smeets L, Kampman E, Beijer S (2020) Colorectal cancer survivors’ beliefs on nutrition and cancer; correlates with nutritional information provision. Support Care Cancer 28(3):1255–1263. https://doi.org/10.1007/s00520-019-04934-7CrossRefPubMed

van Veen MR, Winkels RM, Janssen SHM, Kampman E, Beijer S (2018) Nutritional information provision to cancer patients and their relatives can promote dietary behavior changes independent of nutritional information needs. Nutr Cancer 70(3):483–489. https://doi.org/10.1080/01635581.2018.1446092CrossRefPubMed

Vermeir P, Vandijck D, Degroote S, Peleman R, Verhaeghe R, Mortier E, Hallaert G, Van Daele S, Buylaert W, Vogelaers D (2015) Communication in healthcare: a narrative review of the literature and practical recommendations. Int J Clin Pract 69(11):1257–1267. https://doi.org/10.1111/ijcp.12686CrossRefPubMed

Wangler J, Jansky M (2021) Attitudes to and experience of disease management programs in primary care-an exploratory survey of general practitioners in Germany. Wien Med Wochenschr 171(13–14):310–320. https://doi.org/10.1007/s10354-021-00867-1(EinstellungenundErfahrungeninBezugaufDisease-Management-ProgrammeinderPrimarversorgung-eineexplorativeBefragungunterHausarztinnenundHausarzteninDeutschland.)CrossRefPubMedPubMedCentral

Waterland JL, Edbrooke L, Appathurai A, Lawrance N, Temple-Smith M, Denehy L (2020) ‘Probably better than any medication we can give you’: General practitioners’ views on exercise and nutrition in cancer. Aust J Gen Pract 49(8):513–518. https://doi.org/10.31128/AJGP-12-19-5176CrossRefPubMed

Wattanapisit A, Tuangratananon T, Thanamee S (2018) Physical activity counseling in primary care and family medicine residency training: a systematic review. BMC Med Educ 18(1):159. https://doi.org/10.1186/s12909-018-1268-1CrossRefPubMedPubMedCentral

Wie GA, Cho YA, Kim SY, Kim SM, Bae JM, Joung H (2010) Prevalence and risk factors of malnutrition among cancer patients according to tumor location and stage in the National Cancer Center in Korea. Nutrition 26(3):263–268. https://doi.org/10.1016/j.nut.2009.04.013CrossRefPubMed

Zhou W, Webster KE, Smith EL, Chen W, Veliz PT, Reddy RM, Larson JL (2022) Physical activity in surgical lung cancer patients: a systematic review. Support Care Cancer 30(8):6473–6482. https://doi.org/10.1007/s00520-022-07018-1CrossRefPubMed

Title: How can counselling by family physicians on nutrition and physical activity be improved: trends from a survey in Germany
Authors: S. J. Boesenecker
V. Mathies
J. Buentzel
J. Huebner
Publication date: 06-08-2022
Publisher: Springer Berlin Heidelberg
Keyword: Nutrition
Published in: Journal of Cancer Research and Clinical Oncology / Issue 7/2023
Print ISSN: 0171-5216
Electronic ISSN: 1432-1335
DOI: https://doi.org/10.1007/s00432-022-04233-5

Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Reserve your place

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin

Prof. Florian Limbourg

Prof. Anoop Chauhan

Developed by: Springer Medicine

Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Pediatric Cardiology Video

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

Cardiopulmonary Comorbidity Video

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Valvular Heart Disease Video

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Heart Failure Video

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Heart Failure Video

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.

Watch now

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

16-04-2024 Type 2 Diabetes News

Incentivised to exercise

11-04-2024 Lifestyle Modifications News

New intervention for STEMI-related cardiogenic shock

10-04-2024 Myocardial Infarction News

» View more highlights on the ACC 2024 congress hub page

Image Credits

Illustration of figure on mountain summit/© Orapun / Stock.adobe.com, STEP AAG HeroTeaserCollection image/© Tarek / Generated with AI / Stock.adobe.com, ACC 2024 Pediatric and Congenital Heart Disease: Year in Review/© 2024 American College of Cardiology, ACC 2024 Pulmonary Vascular Disease: Year in Review/© 2024 American College of Cardiology, ACC 2024 Valvular Heart Disease: Year in Review/© 2024 American College of Cardiology, ACC 2024 HF and Cardiomyopathies: Year in Review/© 2024 American College of Cardiology, Woman out walking/© Seventyfour / stock.adobe.com (symbolic image with model), Woman checking smartwatch /© saltdium / stock.adobe.com (symbolic image with model), Cardiac catheterization/© Damian / stock.adobe.com

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

Trial registration number

Please log in to get access to this content

Other articles of this Issue 7/2023

Wilms tumor 1 associated protein promotes epithelial mesenchymal transition of gastric cancer cells by accelerating TGF-β and enhances chemoradiotherapy resistance

PD-1, PD-L1 and cAMP immunohistochemical expressions are associated with worse oncological outcome in patients with bladder cancer

Clinical characteristics and long-term outcomes of rhabdomyosarcoma in Korean children, adolescents and young adults: a single-center experience

Contribution of TLR4 to colorectal tumor microenvironment, etiology and prognosis

Association of birth weight with cancer risk: a dose–response meta-analysis and Mendelian randomization study

AURKA is a prognostic potential therapeutic target in skin cutaneous melanoma modulating the tumor microenvironment, apoptosis, and hypoxia

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

Highlights from the ACC 2024 Congress

ACC 2024 Congress Coverage