欧洲肠外肠内营养学会（ESPEN）发布《癌症患者营养指南》

　　2016年8月6日，欧洲肠外肠内营养学会（欧洲临床营养代谢学会）官方期刊《临床营养》在线发表《癌症患者营养指南》手稿（尚未排版），目前全文共109页，分为6个章节：方法、背景、癌症患者总论、特定患者类型相关干预、参考文献、证据列表。

Clin Nutr. 2016 Aug 6. [Epub ahead of print]

ESPEN guidelines on nutrition in cancer patients.

Jann Arends, Patrick Bachmann, Vickie Baracos, Nicole Barthelemy, Hartmut Bertz, Federico Bozzetti, Ken Fearon, Elisabeth Hütterer, Elizabeth Isenring, Stein Kaasa, Zeljko Krznaric, Barry Laird, Maria Larsson, Alessandro Laviano, Stefan Mühlebach, Maurizio Muscaritoli, Line Oldervoll, Paula Ravasco, Tora Solheim, Florian Strasser, Marian van Bokhorst- De van der Schueren, Jean-Charles Preiser.

  • University of Freiburg, Germany.

  • Centre Régional de Lutte Contre le Cancer Léon Bérard, Lyon, France.

  • University of Alberta, Edmonton, Canada.

  • Centre hospitalier universitaire, Liége, Belgium.

  • University of Milan, Milan, Italy.

  • Western General Hospital, Edinburgh, United Kingdom.

  • Medical University of Vienna, Austria.

  • Bond University, Gold Coast, Australia.

  • Norwegian University of Science and Technology, Trondheim, Norway.

  • University Hospital Center and School of Medicine, Zagreb, Croatia.

  • Beatson West of Scotland Cancer Centre, Edinburgh, United Kingdom.

  • Karlstad University, Karlstad, Sweden.

  • University of Rome La Sapienza, Roma, Italy.

  • University of Basel, Basel, Switzerland.

  • The Norwegian Heart and Lung Association (LHL), Oslo, Norway.

  • Faculty of Medicine, University of Lisbon, Lisbon, Portugal.

  • European Palliative Care Research Centre (PRC), Norwegian University of Science and Technology and Cancer Clinic, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway.

  • Cantonal Hospital St. Gallen, Switzerland.

  • VU University Medical Center (VUmc), Amsterdam, Netherlands.

  • HAN University of Applied Sciences, Nijmegen, Netherlands.

  • Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium.

O. METHODS

O1. Basic information

  • Terms and abbreviations

  1. Goals (Objectives and health questions) of the guideline

  2. Target Population

  3. Professional groups involved

  4. Patient views

  5. Target users

  6. Conflict of interest and funding

O2. Methods

  1. Design

  2. Searches

  3. Recommendations

  4. Consensus

  5. Review before publication

  6. Updating guideline

O3. Post-publication impact

  1. Facilitators and barriers

  2. Tools for application

  3. Costs

  4. Monitoring and auditing / Quality indicators

A. BACKGROUND

  1. Metabolism

  2. Clinical effects

  3. Aims of nutrition

B. GENERAL CONCEPTS FOR ALL CANCER PATIENTS

  1. Screening

  2. Energy and substrate requirements

  3. Nutritional interventions

  4. Exercise training

  5. Pharmaconutrients and pharmacological agents

C. INTERVENTIONS RELEVANT TO SPECIFIC PATIENT CATEGORIES

  1. Surgery

  2. Radiotherapy

  3. Curative chemotherapy

  4. High-dose chemotherapy and hematopoietic stem cell transplantation

  5. Cancer survivors

  6. Advanced cancer

R. References

E. Evidence Tables

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