关键词: Colorectal cancer Nutrition care Policy-practice gaps Quality of life Survivorship Unmet needs

Mesh : Humans Cancer Survivors Quality of Life Professional Practice Gaps Policy Colorectal Neoplasms

来  源:   DOI:10.1007/s00520-024-08332-6   PDF(Pubmed)

Abstract:
OBJECTIVE: Colorectal cancer (CRC) is among the three most commonly diagnosed cancers globally, after breast and lung cancer, with an estimated 2 million new cases each year, comprising ten per cent of all cancers worldwide. CRC has a complex aetiology associated with several nutrition-related risk factors. Cancer survivors frequently report alterations to their dietary habits and nutritional intake, with related adverse impacts on health-related quality of life (QOL). Whilst nutrition-related factors are recognised as survivor priorities and embedded in survivor care policies, dietary support is frequently not the standard of care in practice.
RESULTS: In this Commentary, we present details of a critical policy-practice gap for CRC survivors across the spectrum of nutrition care that we have seen growing in the literature, in hospitals, community and private practice.
CONCLUSIONS: As these nutrition concerns can adversely impact QOL and morbidity and mortality risks, we hope to raise awareness of these issues to provide a basis of future work in this area, so that policymakers and clinicians can improve support and outcomes for CRC survivors and their families.
摘要:
目的:结直肠癌(CRC)是全球最常见的三种癌症,在乳腺癌和肺癌之后,估计每年有200万新病例,占全球所有癌症的百分之十。CRC具有与多种营养相关危险因素相关的复杂病因。癌症幸存者经常报告他们的饮食习惯和营养摄入量发生了变化,对健康相关生活质量(QOL)有相关不利影响。虽然营养相关因素被认为是幸存者的优先事项,并嵌入在幸存者护理政策中,饮食支持通常不是实践中的护理标准。
结果:在本评论中,我们详细介绍了CRC幸存者在营养护理领域的关键政策-实践差距,我们在文献中看到,在医院里,社区和私人执业。
结论:由于这些营养问题会对生活质量、发病率和死亡率产生不利影响,我们希望提高对这些问题的认识,为今后在这一领域的工作奠定基础,以便政策制定者和临床医生可以改善对CRC幸存者及其家人的支持和结果。
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