Colon Cancer, Gastric Cancer
Conditions
Brief summary
This study aims to estimate the effects of nutritional interventions on the improvement of nutritional status and quality of life (QoL) among gastrointestinal patients in Vietnam
Detailed description
A quasi-experiment with intervention and control groups for pre- and post-intervention assessment was carried out at the Department of Oncology and Palliative Care - Medical University Hospital from 2016 to 2019. 60 gastrointestinal cancer patients were recruited in each group. At stage 1, we selected patients of the intervention group who met the inclusion criteria to receive nutritional counseling and diet at the hospital. At stage 2, we chose patients who were eligible but did not accept the nutritional counseling and diet at the hospital. Participants in both groups were paired together according to the following criteria: 1) Age group: \<40 years old, 40-65 years old and \>65 years old; 2) Gender: Male and female; 3) Types of cancer: stomach cancer and colon cancer; 4) Disease stages: stage 1-2 and stage 3-4.
Interventions
OTHERNutritional counseling
Each patient was assigned a specific menu which were prepared by research members during the time of staying at the hospital. Before discharge, patients were instructed on preparing their diets at home with the recommended amount of energy and protein and given formula milk within two months
Sponsors
Ministry of Health of Vietnam
Hanoi Medical University
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* aged 18 years old or above * diagnosed with stomach or colon cancer; * at the initial of receiving chemotherapy treatment; * indicated for oral feeding; * not having co-morbidities of chronic diseases such as kidney failure, heart failure, liver failure, diabetes; * having ability to communicate with data collectors and both attending doctors and agreeing to involve in the study
Exclusion criteria
* treated by other methods such as radiation, endocrine, immunity; * undergoing terminal palliative care; * having contraindications to oral feeding/enteral nutrition
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change of nutritional status after 8 weeks | Baseline and 8 weeks | The Scored Patient-Generated Subjective Global Assessment (PG-SGA) was used as the preeminent interdisciplinary patient assessment among patients with oncology. This tool includes (1) four patient-generated historical components (Weight History, Food Intake, Symptoms, Activities and Function); (2) the professional part (Diagnosis, Metabolic stress, and Physical Exam); (3) the Global Assessment (A = well-nourished, B = moderately malnourished, C = severely malnourished); (4) the total score, and nutritional triage recommendations. Changes in anthropometric indicators were also reported (weight, MUAC, muscle mass) |
| Change of quality of life after 8 weeks: European Organisation for Research and Treatment of Cancer (EORTC) version 3.0 | Baseline and 8 weeks | We utilized the European Organisation for Research and Treatment of Cancer (EORTC) version 3.0, which is an integrated and modular approach to holistically evaluate the QoL of patients with cancer.all dimensions of the tool will range from 0 to 100, in which a higher score presents a better level of functioning/the global health status or a worse level of symptoms. |
Outcome results
None listed