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Malnutrition is the commonest untreated complication in cancers of the gut, throat and pancreas. Putting a dietitian in the meeting where treatment is decided means it is seen and treated before chemotherapy starts, not after weight has been lost.
Guidelines require malnutrition screening at diagnosis, and trials show dietitian counselling improves treatment completion in head and neck and gastrointestinal cancers, yet audits find fewer than half of patients are screened and dietitian referral typically follows, rather than precedes, treatment. Embedding a dietitian in the multidisciplinary team meeting for upper GI, pancreatic, colorectal and head and neck cancer, with authority to initiate nutrition therapy, prehabilitation and enzyme replacement, is a service-design change with a plausible effect on dose intensity and surgical complications.
Shares Malnutrition screening tools (MUST, NRS-2002, MST, PG-SGA), Enhanced recovery (ERAS) and perioperative nutrition, Oncology nutrition assessment and medical nutrition therapy, Cancer cachexia.
Shares Nutrition impact symptoms, Malnutrition screening tools (MUST, NRS-2002, MST, PG-SGA), Nutrition support and cachexia management, Cachexia, toxicity and the limits of the patient.
Shares Definition and classification of cancer cachexia: an international consensus, Cachexia, toxicity and the limits of the patient, Geriatric assessment, Fragmented care and guideline gaps.
Shares Nutrition impact symptoms, Malnutrition screening tools (MUST, NRS-2002, MST, PG-SGA), Cancer cachexia, Nutrition support and cachexia management.
Shares Oncology nutrition assessment and medical nutrition therapy, Cancer cachexia, Nutrition support and cachexia management, Cachexia, toxicity and the limits of the patient.
Shares Definition and classification of cancer cachexia: an international consensus, Cachexia, toxicity and the limits of the patient, Geriatric assessment, Pancreatic ductal adenocarcinoma.
Shares Malnutrition screening tools (MUST, NRS-2002, MST, PG-SGA), Cancer cachexia, Nutrition support and cachexia management, Pancreatic ductal adenocarcinoma.
Shares Oncology nutrition assessment and medical nutrition therapy, Cancer cachexia, Nutrition support and cachexia management, Cachexia, toxicity and the limits of the patient.