Prevalence of malnutrition in patients at first medical oncology visit

Maurizio Muscaritoli; Simone Lucia; Alessio Farcomeni; Vito Lorusso; Valeria Saracino; Carlo Barone; Francesca Plastino; Stefania Gori; Roberto Magarotto; Giacomo Carteni; Bruno Chiurazzi; Ida Pavese; Luca Marchetti; Vittorina Zagonel; Eleonora Bergo; Giuseppe Tonini; Marco Imperatori; Carmelo Iacono; Luigi Maiorana; Carmine Pinto; Daniela Rubino; Luigi Cavanna; Roberto Di Cicilia; Teresa Gamucci; Silvia Quadrini; Salvatore Palazzo; Stefano Minardi; Marco Merlano; Giuseppe Colucci; Paolo Marchetti; PreMiO Study Group

Prevalence of malnutrition in patients at first medical oncology visit

Maurizio Muscaritoli, Simone Lucia, Alessio Farcomeni, Vito Lorusso, Valeria Saracino, Carlo Barone, Francesca Plastino, Stefania Gori, Roberto Magarotto, Giacomo Carteni, Bruno Chiurazzi, Ida Pavese, Luca Marchetti, Vittorina Zagonel, Eleonora Bergo, Giuseppe Tonini, Marco Imperatori, Carmelo Iacono, Luigi Maiorana, Carmine PintoDaniela Rubino, Luigi Cavanna, Roberto Di Cicilia, Teresa Gamucci, Silvia Quadrini, Salvatore Palazzo, Stefano Minardi, Marco Merlano, Giuseppe Colucci, Paolo Marchetti, PreMiO Study Group

Research output: Contribution to journal › Article

Abstract

Background: In cancer patients, malnutrition is associated with treatment toxicity, complications, reduced physical functioning, and decreased survival. The Prevalence of Malnutrition in Oncology (PreMiO) study identified malnutrition or its risk among cancer patients making their first medical oncology visit. Innovatively, oncologists, not nutritionists, evaluated the nutritional status of the patients in this study.Methods: PreMiO was a prospective, observational study conducted at 22 medical oncology centers across Italy. For inclusion, adult patients (>18 years) had a solid tumor diagnosis, were treatment-naive, and had a life expectancy >3 months. Malnutrition was identified by the Mini Nutritional Assessment (MNA), appetite status with a visual analog scale (VAS), and appetite loss with a modified version of Anorexia-Cachexia Subscale (AC/S-12) of the Functional Assessment of Anorexia-Cachexia Therapy (FAACT).Findings: Of patients enrolled (N=1,952), 51% had nutritional impairment; 9% were overtly malnourished, and 43% were at risk for malnutrition. Severity of malnutrition was positively correlated with the stage of cancer. Over 40% of patients were experiencing anorexia, as reported in the VAS and FAACT questionnaire. During the prior six months, 64% of patients lost weight (1-10 kg).Interpretation: Malnutrition, anorexia, and weight loss are common in cancer patients, even at their first visit to a medical oncology center.

Original language	English
Pages (from-to)	79884-79896
Number of pages	13
Journal	Oncotarget
Volume	8
Issue number	45
Publication status	Published - Oct 3 2017

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Muscaritoli, M., Lucia, S., Farcomeni, A., Lorusso, V., Saracino, V., Barone, C., Plastino, F., Gori, S., Magarotto, R., Carteni, G., Chiurazzi, B., Pavese, I., Marchetti, L., Zagonel, V., Bergo, E., Tonini, G., Imperatori, M., Iacono, C., Maiorana, L., ... Group, P. S. (2017). Prevalence of malnutrition in patients at first medical oncology visit. Oncotarget, 8(45), 79884-79896.

Prevalence of malnutrition in patients at first medical oncology visit. / Muscaritoli, Maurizio; Lucia, Simone; Farcomeni, Alessio; Lorusso, Vito; Saracino, Valeria; Barone, Carlo; Plastino, Francesca; Gori, Stefania; Magarotto, Roberto; Carteni, Giacomo; Chiurazzi, Bruno; Pavese, Ida; Marchetti, Luca; Zagonel, Vittorina; Bergo, Eleonora; Tonini, Giuseppe; Imperatori, Marco; Iacono, Carmelo; Maiorana, Luigi; Pinto, Carmine; Rubino, Daniela; Cavanna, Luigi; Di Cicilia, Roberto; Gamucci, Teresa; Quadrini, Silvia; Palazzo, Salvatore; Minardi, Stefano; Merlano, Marco; Colucci, Giuseppe; Marchetti, Paolo; Group, PreMiO Study.

In: Oncotarget, Vol. 8, No. 45, 03.10.2017, p. 79884-79896.

Research output: Contribution to journal › Article

Muscaritoli, M, Lucia, S, Farcomeni, A, Lorusso, V, Saracino, V, Barone, C, Plastino, F, Gori, S, Magarotto, R, Carteni, G, Chiurazzi, B, Pavese, I, Marchetti, L, Zagonel, V, Bergo, E, Tonini, G, Imperatori, M, Iacono, C, Maiorana, L, Pinto, C, Rubino, D, Cavanna, L, Di Cicilia, R, Gamucci, T, Quadrini, S, Palazzo, S, Minardi, S, Merlano, M, Colucci, G, Marchetti, P & Group, PS 2017, 'Prevalence of malnutrition in patients at first medical oncology visit', Oncotarget, vol. 8, no. 45, pp. 79884-79896.

Muscaritoli, Maurizio ; Lucia, Simone ; Farcomeni, Alessio ; Lorusso, Vito ; Saracino, Valeria ; Barone, Carlo ; Plastino, Francesca ; Gori, Stefania ; Magarotto, Roberto ; Carteni, Giacomo ; Chiurazzi, Bruno ; Pavese, Ida ; Marchetti, Luca ; Zagonel, Vittorina ; Bergo, Eleonora ; Tonini, Giuseppe ; Imperatori, Marco ; Iacono, Carmelo ; Maiorana, Luigi ; Pinto, Carmine ; Rubino, Daniela ; Cavanna, Luigi ; Di Cicilia, Roberto ; Gamucci, Teresa ; Quadrini, Silvia ; Palazzo, Salvatore ; Minardi, Stefano ; Merlano, Marco ; Colucci, Giuseppe ; Marchetti, Paolo ; Group, PreMiO Study. / Prevalence of malnutrition in patients at first medical oncology visit. In: Oncotarget. 2017 ; Vol. 8, No. 45. pp. 79884-79896.

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T1 - Prevalence of malnutrition in patients at first medical oncology visit

AU - Muscaritoli, Maurizio

AU - Lucia, Simone

AU - Farcomeni, Alessio

AU - Lorusso, Vito

AU - Saracino, Valeria

AU - Barone, Carlo

AU - Plastino, Francesca

AU - Gori, Stefania

AU - Magarotto, Roberto

AU - Carteni, Giacomo

AU - Chiurazzi, Bruno

AU - Pavese, Ida

AU - Marchetti, Luca

AU - Zagonel, Vittorina

AU - Bergo, Eleonora

AU - Tonini, Giuseppe

AU - Imperatori, Marco

AU - Iacono, Carmelo

AU - Maiorana, Luigi

AU - Pinto, Carmine

AU - Rubino, Daniela

AU - Cavanna, Luigi

AU - Di Cicilia, Roberto

AU - Gamucci, Teresa

AU - Quadrini, Silvia

AU - Palazzo, Salvatore

AU - Minardi, Stefano

AU - Merlano, Marco

AU - Colucci, Giuseppe

AU - Marchetti, Paolo

AU - Group, PreMiO Study

PY - 2017/10/3

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N2 - Background: In cancer patients, malnutrition is associated with treatment toxicity, complications, reduced physical functioning, and decreased survival. The Prevalence of Malnutrition in Oncology (PreMiO) study identified malnutrition or its risk among cancer patients making their first medical oncology visit. Innovatively, oncologists, not nutritionists, evaluated the nutritional status of the patients in this study.Methods: PreMiO was a prospective, observational study conducted at 22 medical oncology centers across Italy. For inclusion, adult patients (>18 years) had a solid tumor diagnosis, were treatment-naive, and had a life expectancy >3 months. Malnutrition was identified by the Mini Nutritional Assessment (MNA), appetite status with a visual analog scale (VAS), and appetite loss with a modified version of Anorexia-Cachexia Subscale (AC/S-12) of the Functional Assessment of Anorexia-Cachexia Therapy (FAACT).Findings: Of patients enrolled (N=1,952), 51% had nutritional impairment; 9% were overtly malnourished, and 43% were at risk for malnutrition. Severity of malnutrition was positively correlated with the stage of cancer. Over 40% of patients were experiencing anorexia, as reported in the VAS and FAACT questionnaire. During the prior six months, 64% of patients lost weight (1-10 kg).Interpretation: Malnutrition, anorexia, and weight loss are common in cancer patients, even at their first visit to a medical oncology center.

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JO - Oncotarget

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SN - 1949-2553

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