When a diagnosis of cachexia is made, treatments may include (select all that apply): |
|
Incorporate energy and protein‐fortified foods in the diet |
1433 |
60.3% |
Recommend oral nutritional supplements |
1524 |
64.2% |
Prescribe corticosteroids |
636 |
26.8% |
Prescribe progestational agents |
284 |
12.0% |
Prescribe cannabinoids |
234 |
9.9% |
Prescribe anti‐inflammatory agents |
375 |
15.8% |
Prescribe physical exercise |
817 |
34.4% |
Prescribe nutritional counselling |
1357 |
57.1% |
Refer to specialist for psychosocial support |
547 |
23.0% |
Other: free text |
72 |
3.0% |
I do not know |
55 |
2.3% |
I do not diagnose cachexia in cancer patients therefore not applicable for my professional role/responsibility |
199 |
8.4% |
I diagnose cachexia in cancer patients but I cannot prescribe or order treatments, so not applicable for my professional role/responsibility |
108 |
4.5% |
Providing nutrition recommendations for patients with cachexia is challenging for me |
|
Strongly agree |
257 |
10.8% |
Agree |
710 |
29.9% |
Neither agree or disagree |
403 |
17.0% |
Disagree |
399 |
16.8% |
Strongly disagree |
163 |
6.9% |
Not applicable for my professional role/responsibility |
70 |
2.9% |
Missing data |
373 |
15.7% |
I use tools and resources such as evidence‐based guidelines developed by experts to care for my cancer patients with cachexia |
|
Yes, all the time |
240 |
10.1% |
Yes, most of the time |
587 |
24.7% |
Rarely |
415 |
17.5% |
No, I prefer to use my own clinical judgement |
202 |
8.5% |
No, I am not aware of tools and resources to care for my cancer patients with cachexia |
280 |
11.8% |
No, I do not use tools and resources because I do not have access to them |
81 |
3.4% |
Not applicable for my professional role/responsibility |
197 |
8.3% |
Missing data |
373 |
15.7% |
If yes, to above, I use evidence‐ based guidelines from the following organization(s) to care for my cancer patients with cachexia (select all that apply): |
|
American Society of Clinical Oncology (ASCO) |
302 |
12.7% |
Spanish Society of Medical Oncology (SEOM) Clinical Guidelines on Nutrition in Cancer Patients |
27 |
1.1% |
American Society for Parenteral and Enteral Nutrition (ASPEN) |
367 |
16.6% |
European Society for Parenteral and Enteral Nutrition (ESPEN) |
457 |
19.2% |
Designated regional cancer centre guidelines |
406 |
17.1% |
Other: free text |
106 |
4.5% |
Not applicable for my professional role/responsibility |
165 |
6.9% |
In my practice setting, referrals for cachexia are most often initiated by the following health care team member – ALL THAT APPLY (Europe, NA and ROW only): |
|
Specialist physician/medical doctor |
673 |
58.7% |
Physician assistant |
146 |
12.7% |
Advanced practice nurse (e.g. nurse practitioner) |
293 |
25.5% |
Registered nurse/nurse |
295 |
25.7% |
Pharmacist |
30 |
2.6% |
Dietitian/registered dietitian/nutritionist (non‐physician) |
370 |
32.3% |
Occupational therapist |
19 |
1.7% |
Physical therapist |
47 |
4.1% |
Social worker |
32 |
2.8% |
Psychologist |
31 |
2.7% |
Other (free text) |
0 |
0% |
Not applicable for my professional role/responsibility |
80 |
7.0% |
In my practice setting, referrals for cachexia are most often initiated by the following health care team member – SINGLE RESPONSE ONLY (Japan only data): |
|
Specialist physician/medical doctor |
300 |
24.4% |
Physician assistant |
1 |
0.1% |
Advanced practice nurse (e.g. nurse practitioner) |
125 |
10.2% |
Registered nurse/nurse |
195 |
15.9% |
Pharmacist |
14 |
1.1% |
Dietitian/registered dietitian/nutritionist (non‐physician) |
229 |
18.7% |
Occupational therapist |
2 |
0.2% |
Physical therapist |
19 |
1.6% |
Social worker |
1 |
0.1% |
Psychologist |
2 |
0.2% |
Other (free text) |
35 |
2.9% |
Not applicable for my professional role/responsibility |
86 |
7.0% |
Missing data |
219 |
17.8% |
Once a referral is initiated, it is up to the following individual(s) to ensure that it is executed (all that apply): |
|
Specialist physician/medical doctor |
1241 |
52.3% |
Physician assistant |
150 |
6.3% |
Advanced practice nurse (e.g. nurse practitioner) |
661 |
27.8% |
Registered nurse/nurse |
853 |
35.9% |
Pharmacist |
428 |
18.0% |
Dietitian/registered dietitian/nutritionist (non‐physician) |
1303 |
54.9% |
Occupational therapist |
214 |
9.0% |
Physical therapist |
397 |
16.7% |
Social worker |
159 |
6.7% |
Psychologist |
137 |
5.8% |
Other (free text) |
83 |
3.5% |
I do not refer my patients to other healthcare professionals; I manage their care myself |
33 |
1.4% |
I do not know |
79 |
3.3% |
Not applicable for my professional role/responsibility |
85 |
3.6% |
There are sufficient specialists available for me to refer my cancer patients with cachexia |
|
Yes, all the time |
145 |
6.1% |
Yes, most of the time |
435 |
18.3% |
Rarely |
478 |
20.1% |
No |
710 |
29.9% |
Not applicable for my professional role/responsibility |
234 |
9.9% |
Missing data |
373 |
15.7% |
The following specialists are often not available for my patients even if I refer them (select all that apply): |
|
Specialist physician/medical doctor |
526 |
22.1% |
Physician assistant |
180 |
7.6% |
Advanced practice nurse (e.g. nurse practitioner) |
152 |
6.4% |
Registered nurse/nurse |
159 |
6.7% |
Pharmacist |
166 |
7.0% |
Dietitian/registered dietitian/nutritionist (non‐physician) |
301 |
12.7% |
Occupational therapist |
206 |
8.7% |
Physical therapist |
231 |
9.7% |
Social worker |
204 |
8.6% |
Psychologist |
249 |
10.5% |
Other (free text) |
41 |
17.2% |
Not applicable for my professional role/responsibility |
551 |
23.2% |