Table 1.

U.S. nutrition-specific oncology care standards and guidelines.

Organization and Developer	Title and Target Audience	Methodology and Scope
Academy of Nutrition and Dietetics (the Academy) Oncology Workgroup	Oncology Evidence-Based Nutrition Practice Guideline for Adults [9] Registered Dietitian Nutritionists (RDNs)	Systematic review of research published 1990–2013 Focuses on: Validity of malnutrition screening, nutrition assessment tools ○Association among nutrition status and morbidity/mortality outcomes ○Effect of medical nutrition therapy (MNT) on patients undergoing cancer therapies, cancer cachexia ○Effect of dietary supplements and medical food supplements with fish oil on body weight/lean body mass
Academy Oncology Nutrition Dietetic Practice Group, with guidance from Academy Quality Management Committee	Academy of Nutrition and Dietetics: Revised 2017 Standards of Practice and Standards of Professional Performance for Registered Dietitian Nutritionists (Competent, Proficient, and Expert) in Oncology Nutrition [24] RDNs	Address current skill level, identify areas for additional professional development Address/apply nutrition care process and workflow elements: ○ screening, assessment, diagnosis, intervention, evaluation/monitoring, discharge planning, transitions of care Include six domains of professionalism: ○ Quality in practice; competence and accountability; provision of services; application of research; communication and application of knowledge; utilization and management of resources
American Society for Parenteral and Enteral Nutrition (ASPEN) ASPEN Members	Review of American Society for Parenteral and Enteral Nutrition (ASPEN) Clinical Guidelines for Nutrition Support in Cancer Patients: Nutrition Screening and Assessment [25] Multidisciplinary teams	Update 2002 ASPEN Clinical Guidelines Provide background on nutrition in cancer patients Discuss role of nutrition screening and assessment in cancer care
ASPEN ASPEN Members	Nutrition Support in Surgical Oncology [26] Multidisciplinary teams	Update 2002 ASPEN Clinical Guidelines Evaluate evidence related to use of nutrition support in surgical oncology patients
ASPEN ASPEN Members and Board of Directors	ASPEN Clinical Guidelines: Nutrition Support Therapy During Adult Anticancer Treatment and in Hematopoietic Cell Transplantation [23] Multidisciplinary teams	Update 2002 ASPEN Clinical Guidelines Created in accordance with Institute of Medicine recommendations