Table 3.
Criteria to consider when deciding on nutritional and metabolic interventions
| Benefit possible | Benefit uncertain |
|---|---|
| Ongoing anticancer treatment | Approaching end of life |
| No or only minimal inflammation or inflammation responsive to treatment | Persistent, severe and unresponsive inflammation |
| No or only slow and mild weight loss | Rapid and severe weight loss refractory to anticancer treatment |
| Stable or only slowly progressing cancer | Rapidly progressing cancer without reasonable treatment options |
| Good chance of intervention to improve the patient's well-being | No realistic chance that the intervention will improve the situation of the patient |
| Patient is aware of the prognosis and of the positive/negative effects of the intervention | Patient is not fully aware of the prognosis or the positive/negative effects of the intervention |
| Strong wish of the patient to accomplish or reach an individual goal | Patient is preparing for dying |
| Patient is motivated and feels very little inconvenience considering the planned nutritional intervention | Patient feels the nutritional intervention to be burdensome and is unmotivated/unwilling to start the intervention |
| Patient is able and motivated to be physically active | Immobilised patient without urge to be or to become active |
| Severely impaired food tolerance | Only mildly impaired food intake |