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    Clinical Oncology Society of Australia: Position statement oncancer-relatedmalnutrition and sarcopenia

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    Author
    Kiss, N; Loeliger, J; Findlay, M; Isenring, E; Baguley, BJ; Boltong, A; Butler, A; Deftereos, I; Eisenhuth, M; Fraser, SF; ...
    Date
    2020-08-17
    Source Title
    Nutrition and Dietetics
    Publisher
    WILEY
    University of Melbourne Author/s
    Boltong, Anna; Deftereos, Irene; KISS, NICOLE
    Affiliation
    Surgery (Western Health)
    Metadata
    Show full item record
    Document Type
    Journal Article
    Citations
    Kiss, N., Loeliger, J., Findlay, M., Isenring, E., Baguley, B. J., Boltong, A., Butler, A., Deftereos, I., Eisenhuth, M., Fraser, S. F., Fichera, R., Griffin, H., Hayes, S., Jeffery, E., Johnson, C., Lomma, C., van der Meij, B., McIntyre, C., Nicholls, T. ,... Bauer, J. (2020). Clinical Oncology Society of Australia: Position statement oncancer-relatedmalnutrition and sarcopenia. NUTRITION & DIETETICS, 77 (4), pp.416-425. https://doi.org/10.1111/1747-0080.12631.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/251543
    DOI
    10.1111/1747-0080.12631
    Abstract
    This position statement describes the recommendations of the Clinical Oncology Society of Australia (COSA) regarding management of cancer-related malnutrition and sarcopenia. A multidisciplinary working group completed a review of the literature, focused on evidence-based guidelines, systematic reviews and meta-analyses, to develop recommendations for the position statement. National consultation of the position statement content was undertaken through COSA members. All people with cancer should be screened for malnutrition and sarcopenia in all health settings at diagnosis and as the clinical situation changes throughout treatment and recovery. People identified as "at risk" of malnutrition or with a high-risk cancer diagnosis or treatment plan should have a comprehensive nutrition assessment; people identified as "at risk" of sarcopenia should have a comprehensive evaluation of muscle status using a combination of assessments for muscle mass, muscle strength and function. All people with cancer-related malnutrition and sarcopenia should have access to the core components of treatment, including medical nutrition therapy, targeted exercise prescription and physical and psychological symptom management. Treatment for cancer-related malnutrition and sarcopenia should be individualised, in collaboration with the multidisciplinary team (MDT), and tailored to meet needs at each stage of cancer treatment. Health services should ensure a broad range of health care professionals across the MDT have the skills and confidence to recognise malnutrition and sarcopenia to facilitate timely referrals and treatment. The position statement is expected to provide guidance at a national level to improve the multidisciplinary management of cancer-related malnutrition and sarcopenia.

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