Cancer Anorexia and Cachexia: Screening in an Ambulatory Infusion Service and Nutrition Consultation

Donna L. Berry

Traci Blonquist

Manan M. Nayak

Kristin Roper

Nancy Hilton

Heidi Lombard

Allison Hester

Anne Chiavacci

Stephanie Meyers

Katherine McManus

anorexia, cachexia, malnutrition, nursing, Screening, lung cancer
CJON 2018, 22(1), 63-68. DOI: 10.1188/18.CJON.63-68

Background: Cancer anorexia-cachexia syndrome compromises physical function and nutritional and emotional well-being. Systematic screening followed by nutrition referral for appropriate interventions is rare.

Objectives: The purpose of this study was to pilot a screening process followed by nutritional assessment and intervention when warranted for patients with lung malignancies.

Methods: Adult patients with lung malignancies were invited to complete the 12-item Anorexia/Cachexia Scale (A/CS-12) on the day of chemotherapy initiation in ambulatory infusion. Those who scored at a preset threshold were referred to nutrition services for a comprehensive assessment and intervention plan. Those who scored better than the threshold completed the A/CS-12 at each infusion visit for as many as 16 weeks.

Findings: 90 participants enrolled, and 46 scored in a moderate-to-severe-risk category; of those, 42 were referred to nutrition services.

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