By Egidio Del Fabbro, Akio Inui, Florian Strasser, David Blum, Hajime Suzuki
Cancer Cachexia is a concise, totally illustrated guide written with the purpose of accelerating know-how of melanoma cachexia and highlighting most sensible perform prognosis, remedy, and administration recommendations for this devastating affliction. this is often one other identify within the ongoing Springer Healthcare melanoma Supportive Care Series.
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Extra resources for Cancer Cachexia
Prognostic effect of weight loss prior to chemotherapy in cancer patients. Eastern Cooperative Oncology Group. Am J Med. 1980;69:491-497. 48 Andreyev HJ, Norman AR, Oates J, Cunningham D. Why do patients with weight loss have a worse outcome when undergoing chemotherapy for gastrointestinal malignancies? Eur J Cancer. 1998;34:503-509. 49 Ross PJ, Ashley S, Norton A, et al. Do patients with weight loss have a worse outcome when undergoing chemotherapy for lung cancers? Br J Cancer. 2004;90:1905-1911.
However, as mentioned above, many of these competencies can be filled by specialist nurses, who can perform basic nutritional assessment, including estimation of intake and secondary nutrition impact symptoms, and basic physical activity estimation. However, advanced training of oncologists in the core curriculum of medical oncology requires basic competence in symptom management; this may be sufficient to make a basic symptom assessment and to judge 48 • C an c e r c ac h e x i a whether cancer cachexia is present in a patient or if symptom control of the main symptoms, such as pain or breathlessness, is sufficient.
Gastric emptying into 32 • C an c e r c ac h e x i a the duodenum, however, is delayed. A possible contributor to altered gastrointestinal motility in patients with cancer may be neuropathy related to chemotherapy, radiation, paraneoplastic syndrome, or infection . There are few trials that have evaluated the effect of pharmacological treatments for early satiety, and symptom responses to prokinetics do not necessarily correlate with objective response . Metoclopramide is used most frequently to treat satiety and there is evidence that metoclopramide improves early satiety in patients with cancer and gastroparesis .
Cancer Cachexia by Egidio Del Fabbro, Akio Inui, Florian Strasser, David Blum, Hajime Suzuki