Table 3.
Outcome | Measure/NHMRC a Grade of Recommendation | Pre-Implementation (N = 98) | Post-Implementation (N = 34) | p Value * | |||||
---|---|---|---|---|---|---|---|---|---|
N | (%) | N | (%) | ||||||
Process | Nutrition screening (Grade B) | <0.001 ** | |||||||
Screened with validated tool | 14 | (14) | 30 | (88) | |||||
Nutritional assessment (Grade B) | |||||||||
Nutritional assessment with validated tool on dietitian review | |||||||||
- pre-treatment | 73 | (85) | 33 of 33 | (100) | 0.018 ** | ||||
- during treatment | 3 | (3) | 26 of 34 | (79) | <0.001 ** | ||||
- end treatment | 5 | (6) | 15 of 34 | (54) | <0.001 ** | ||||
- post-treatment (T1) | 2 | (3) | 22 of 29 | (73) | <0.001 ** | ||||
- post-treatment (T2) | 3 | (6) | 14 of 20 | (67) | <0.001 ** | ||||
- post-treatment (T3) | 3 | (9) | 10 of 17 | (59) | <0.001 ** | ||||
Dietitian Appointment Schedule (Grade A) | |||||||||
Received recommended dietitian assessment | |||||||||
- pre-treatment | 20 | (20) | 33 | (97) | <0.001 ** | ||||
- weekly during treatment | 47 | (48) | 20 | (59) | 0.275 ** | ||||
- fortnightly for 6 weeks post-treatment | 12 | (12) | 4 | (12) | 0.864 ** | ||||
Clinical | Radiotherapy delivered as planned | 0.041 | |||||||
No | 11 | (11) | 0 | (0) | |||||
Yes | 87 | (89) | 34 | (100) | |||||
Systemic therapy delivered as planned | 0.005 | ||||||||
No | 17 | (33) | 0 | (0) | |||||
Yes | 34 | (67) | 18 | (100) | |||||
Weight change during treatment, % | 0.432 ** | ||||||||
Mean (SD) | −5.9 (4.2) | −4.6 (5.3) | |||||||
BMI b post-treatment, kg/m2 | 0.989 ** | ||||||||
- Mean (SD) | 24.3 (5.6) | 24.3 (4.1) | |||||||
System | Dietitian resources—occasions of service | 0.613 ** | |||||||
Mean (SD) | 13.1 (9.8) | 14.1 (7.1) | |||||||
Unplanned admission | 0.499 | ||||||||
No | 54 | (55) | 21 | (62) | |||||
Yes | 44 | (45) | 13 | (38) | |||||
Unplanned admission—reason | 0.067 | ||||||||
Treatment toxicity—nutrition/hydration | 20 | (45) | 3 | (23) | |||||
Treatment toxicity—other | 14 | (32) | 7 | (54) | |||||
Social circumstances | 3 | (7) | 3 | (23) | |||||
Other | 7 | (16) | 0 | (0) |
a NHMRC = National Health and Medical Research Council; b BMI—Body Mass Index; * χ2 of independence; ** t-test.