Malnutrition Clinical Trial
Official title:
Effect of Nutrition-support-team Based Intervention on Nutritional Status, Chemotherapy Tolerance and Prognosis in Patients With Advanced Gastrointestinal Cancer
The research studies patients with advanced gastrointestinal cancer who receive chemotherapy in the medical oncology department of the First Affiliated Hospital of Xian Jiaotong University. All patients receive the nutritional risk assessment by the nutritional support team first, and patients with nutritional risk or malnutrition are randomly assigned to the study group and the control group. The study group receive nutritional intervention from the nutritional support team during the period of chemotherapy, while the control group receive routine nutritional support from their clinicians. In the control group, nurses execute the doctors' advice on nutrition, and the nutrition support team does not actively communicate with doctors about the nutritional risk of patients or interfere with it. The baseline characteristics, chemotherapy efficacy, adverse events and prognosis are collected in both groups. At last, data are analyzed to clarify the nutritional status and related factors of patients with advanced gastrointestinal cancer in our hospital, and most important to explore the effect of nutrition-support-team intervention on nutritional status, chemotherapy tolerance and prognosis of patients with advanced gastrointestinal cancer.
Baseline data include age, gender, pain, sleep condition, family care, tumor type, tumor
stage, combined disease, chemotherapy regimen and concomitant medication.
Nutritional risk assessments are performed by the nutrition support team just after
enrollment, every two cycles of chemotherapy and at the end of the study. The adverse events
of chemotherapy are collected and recorded at the end of each cycle. CT or MRI is performed
to evaluate efficacy of chemotherapy every two treatment cycles. Patient after one treatment
cycle can receive CT or MRI in advance if the clinical condition is worsening.
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