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García Luna PP, Calañas Continente A, Villarrubia Pozo A, et al. Análisis de las intervenciones nutricionales en el proceso asistencial del paciente oncológico en Andalucía: el proyecto NOA. [Analysis of nutritional interventions in the care process of oncological patients in Andalusia - The NOA project]. Nutr Hosp. 2021;38(4):758-764doi: 10.20960/nh.03444.
García Luna, P. P., Calañas Continente, A., Villarrubia Pozo, A., Jiménez Lorente, C. P., Vicente Baz, D., Castanedo, O. I., Salvador Bofill, J., Rabat Restrepo, J. M., Díaz Gómez, L., Mediano Rambla, M. D., Brozeta Benítez, T., Muñoz Lucero, T., & Olveira, G. (2021). Análisis de las intervenciones nutricionales en el proceso asistencial del paciente oncológico en Andalucía: el proyecto NOA. [Analysis of nutritional interventions in the care process of oncological patients in Andalusia - The NOA project]. Nutricion hospitalaria, 38(4), 758-764. https://doi.org/10.20960/nh.03444
García Luna, Pedro Pablo, et al. "Análisis de las intervenciones nutricionales en el proceso asistencial del paciente oncológico en Andalucía: el proyecto NOA." [Analysis of nutritional interventions in the care process of oncological patients in Andalusia - The NOA project]. Nutricion hospitalaria vol. 38,4 (2021): 758-764. doi: https://doi.org/10.20960/nh.03444
García Luna PP, Calañas Continente A, Villarrubia Pozo A, Jiménez Lorente CP, Vicente Baz D, Castanedo OI, Salvador Bofill J, Rabat Restrepo JM, Díaz Gómez L, Mediano Rambla MD, Brozeta Benítez T, Muñoz Lucero T, Olveira G. Análisis de las intervenciones nutricionales en el proceso asistencial del paciente oncológico en Andalucía: el proyecto NOA. [Analysis of nutritional interventions in the care process of oncological patients in Andalusia - The NOA project]. Nutr Hosp. 2021 Jul 29;38(4):758-764. doi: 10.20960/nh.03444. Spanish. PMID: 33703912.
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Nutr Hosp. 2021 Jul 29;38(4):758-764. doi: 10.20960/nh.03444.

[Analysis of nutritional interventions in the care process of oncological patients in Andalusia - The NOA project].

Nutricion hospitalaria

[Article in Spanish]
Pedro Pablo García Luna, Alfonso Calañas Continente, Ana Villarrubia Pozo, Carmen Pilar Jiménez Lorente, David Vicente Baz, Olaya Isabel Castanedo, Javier Salvador Bofill, Juana María Rabat Restrepo, Laura Díaz Gómez, María Dolores Mediano Rambla, Teresa Brozeta Benítez, Teresa Muñoz Lucero, Gabriel Olveira

Affiliations

  1. Unidad de Nutrición Clínica y Dietética. U. G. de Endocrinología y Nutrición. Hospital Universitario Virgen del Rocío.
  2. Hospital Universitario Reina Sofía.
  3. Grupo de Trabajo SAMFyC de Alimentación y Ejercicio Físico. Centro de Salud Virgen del Mar.
  4. Unidad de Oncología Médica. Hospital Universitario Virgen Macarena. Plan Integral de Oncología de Andalucía.
  5. Unidad de Oncología Radioterápica. Hospital Universitario Virgen de la Victoria.
  6. Unidad de Oncología. Servicio de Oncología. Hospital Universitario Virgen del Rocío.
  7. Unidad de Nutrición Clínica y Dietética. Hospital Universitario Virgen Macarena. Universidad de Sevilla. Proceso de Nutrición Clínica y Dietética de Andalucía.
  8. Unidad de Oncología Radioterápica. Hospital Universitario de Jerez.
  9. Unidad de Oncología Médica. Hospital Universitario Virgen Macarena.
  10. Unidad de Atención Integral del Cáncer. Hospital Universitario Puerta del Mar.
  11. UGC Endocrinología y Nutrición (2.ª planta, pabellón 7). Hospital Civil.

PMID: 33703912 DOI: 10.20960/nh.03444

Abstract

INTRODUCTION: Introduction: malnutrition in cancer patients can lead to a reduction in patient quality of life, increased morbidity and mortality, and associated healthcare costs. Objective: to analyze nutritional interventions in the different phases of the oncological process, integrating the needs of patients and those of healthcare professionals. Material and methods: "Design Thinking" techniques were used to address the analysis of the current situation and identify key aspects. Thirteen professionals from 8 public health centers (endocrinology and nutrition, medical and radiotherapy oncology, primary care (PC), nursing and dietetics) participated in the study. Results: nutritional screening is not carried out in a systematic way in the different phases of the oncological process, and there is no universal consensus on the protocols for action and nutritional intervention. A wide compliance with the pathways and referral times of the selected processes has been observed. In the therapeutic phase, there is the possibility of consulting the Clinical Nutrition and Dietetics Unit (UNCYD) and 75 % have specific referral protocols. The nurse case manager is present in all hospitals and in PC. Patient access to the center psychologist was possible in 87 % of the hospitals. Participation of the UNCYD in Tumor Committees was low (only in 25 % of the centers). In all centers there is some kind of collaboration and support by patient associations and the School of Patients, especially in the therapeutic and the control and follow-up phases. Conclusions: variations are observed between the different hospitals and areas in Andalusia, both in terms of means and structures and in activities and procedures. Key points have been selected and prioritized to improve nutritional care in oncology.

Keywords: Desnutrición. Cáncer. Valoración nutricional. Nutrición clínica.

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