Table 2.
Clinical nutrition guidelines for surgery and/or oncology patients.
| Organization | Energy requirements | Protein requirements | Screening/assessment tool |
|---|---|---|---|
| European society of enteral and parenteral nutrition (ESPEN) | |||
| Oncology (66) | 25-30 kcal/kg/day | >1-1.5 g/kg/day | Screening: NRS-2002, MUST, MST Assessment: SGA, PG-SGA, MNA |
| Surgery (8) | 25-30 kcal/kg/day | 1.5 g/kg/day | Screening: NRS-2002 Assessment: SGA |
| Clinical oncology society of Australia (COSA) (67) | 25-30 kcal/kg/day | 1-1.5 g/kg/day | MST, MUST, MSTC, abPG-SGA |
| French Speaking Society of Clinical Nutrition and Metabolism (SFNEP) (68) | 30-35 kcal/kg/day | 1.2-1.5 g/kg/day | All patients: PG-SGA, SGA Geriatric patients: MNA |
| Polish societies of: surgical oncology, oncology, clinical oncology and parenteral, enteral nutrition and metabolism (69) | 25-35 kcal/kg/day 35-45 kcal/kg/day (severe cachexia) | 0.8-1.5 g/kg/day 2-3 g/kg/day (severe cachexia) |
SGA, NRS-2002, MUST Geriatric patients: MNA |
| Spanish society of medical oncology (SEOM) (70) | 25-30 kcal/kg/day | 1.2-1.5 g/kg/day | Outpatients: MUST Inpatients: NRS-2002 Geriatric patients: MNA-SF In/outpatients: assessment MST PG-SGA |
| Oncology evidenced-based nutrition practice guidelines for adults (71) | No recommendation | No recommendation | Inpatient: MST, MSTC, MUST Outpatient: MST |
| Nutritional support and parenteral nutrition in cancer patients: an expert consensus report (72) | 25-30 kcal/kg/day | 1-2 g/kg/day 1-1.2 g/kg/day for patients with acute/chronic renal failure |
MST, PG-SGA |
| American Society for Enhanced Recovery and Perioperative Quality Initiative (73) | 25-30 kcal/kg/day | >1.2-2.0 g/kg/day | PONS |
| Enhanced recovery after surgery society (ERAS) and the European society of surgical oncology (ESSO)-Gastrointestinal cancers (74) | 25-30 kcal/kg/day | 1.5 g/kg/day ideal body weight | PG-SGA |
abPG-SGA, abridged scored Patient Generated Subjective Global Assessment; MNA, Mini Nutritional Assessment; MSTC, Malnutrition screening tool for cancer; MUST, Malnutrition universal screening tool; NRS-2002, Nutritional risk screening-2002; PG-SGA, Patient Generated Subjective Global Assessment; PONS, Perioperative nutrition screen; SGA, Subjective Global Assessment.