Gaps in nutritional research among older adults with cancer
Nutritional issues among older adults with cancer are an understudied area of research despite significant prognostic implications for treatment side effects, cancer-specific mortality, and overall survival. In May of 2015, the National Cancer Institute and the National Institute on Aging co-sponsor...
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| Vydané v: | Journal of geriatric oncology Ročník 7; číslo 4; s. 281 - 292 |
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| Hlavní autori: | , , , , , , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | English |
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Netherlands
Elsevier Ltd
01.07.2016
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| ISSN: | 1879-4068, 1879-4076, 1879-4076 |
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| Abstract | Nutritional issues among older adults with cancer are an understudied area of research despite significant prognostic implications for treatment side effects, cancer-specific mortality, and overall survival. In May of 2015, the National Cancer Institute and the National Institute on Aging co-sponsored a conference focused on future directions in geriatric oncology research. Nutritional research among older adults with cancer was highlighted as a major area of concern as most nutritional cancer research has been conducted among younger adults, with limited evidence to guide the care of nutritional issues among older adults with cancer. Cancer diagnoses among older adults are increasing, and the care of the older adult with cancer is complicated due to multimorbidity, heterogeneous functional status, polypharmacy, deficits in cognitive and mental health, and several other non-cancer factors. Due to this complexity, nutritional needs are dynamic, multifaceted, and dependent on the clinical scenario. This manuscript outlines the proceedings of this conference including knowledge gaps and recommendations for future nutritional research among older adults with cancer. Three common clinical scenarios encountered by oncologists include (1) weight loss during anti-cancer therapy, (2) malnutrition during advanced disease, and (3) obesity during survivorship. In this manuscript, we provide a brief overview of relevant cancer literature within these three areas, knowledge gaps that exist, and recommendations for future research. |
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| AbstractList | Nutritional issues among older adults with cancer are an understudied area of research despite significant prognostic implications for treatment side effects, cancer-specific mortality, and overall survival. In May of 2015, the National Cancer Institute and the National Institute on Aging co-sponsored a conference focused on future directions in geriatric oncology research. Nutritional research among older adults with cancer was highlighted as a major area of concern as most nutritional cancer research has been conducted among younger adults, with limited evidence to guide the care of nutritional issues among older adults with cancer. Cancer diagnoses among older adults are increasing, and the care of the older adult with cancer is complicated due to multimorbidity, heterogeneous functional status, polypharmacy, deficits in cognitive and mental health, and several other non-cancer factors. Due to this complexity, nutritional needs are dynamic, multifaceted, and dependent on the clinical scenario. This manuscript outlines the proceedings of this conference including knowledge gaps and recommendations for future nutritional research among older adults with cancer. Three common clinical scenarios encountered by oncologists include (1) weight loss during anti-cancer therapy, (2) malnutrition during advanced disease, and (3) obesity during survivorship. In this manuscript, we provide a brief overview of relevant cancer literature within these three areas, knowledge gaps that exist, and recommendations for future research. Nutritional issues among older adults with cancer are an understudied area of research despite significant prognostic implications for treatment side effects, cancer-specific mortality, and overall survival. In May of 2015, the National Cancer Institute and the National Institute on Aging co-sponsored a conference focused on future directions in geriatric oncology research. Nutritional research among older adults with cancer was highlighted as a major area of concern as most nutritional cancer research has been conducted among younger adults, with limited evidence to guide the care of nutritional issues among older adults with cancer. Cancer diagnoses among older adults are increasing, and the care of the older adult with cancer is complicated due to multimorbidity, heterogeneous functional status, polypharmacy, deficits in cognitive and mental health, and several other non-cancer factors. Due to this complexity, nutritional needs are dynamic, multifaceted, and dependent on the clinical scenario. This manuscript outlines the proceedings of this conference including knowledge gaps and recommendations for future nutritional research among older adults with cancer. Three common clinical scenarios encountered by oncologists include (1) weight loss during anti-cancer therapy, (2) malnutrition during advanced disease, and (3) obesity during survivorship. In this manuscript, we provide a brief overview of relevant cancer literature within these three areas, knowledge gaps that exist, and recommendations for future research.Nutritional issues among older adults with cancer are an understudied area of research despite significant prognostic implications for treatment side effects, cancer-specific mortality, and overall survival. In May of 2015, the National Cancer Institute and the National Institute on Aging co-sponsored a conference focused on future directions in geriatric oncology research. Nutritional research among older adults with cancer was highlighted as a major area of concern as most nutritional cancer research has been conducted among younger adults, with limited evidence to guide the care of nutritional issues among older adults with cancer. Cancer diagnoses among older adults are increasing, and the care of the older adult with cancer is complicated due to multimorbidity, heterogeneous functional status, polypharmacy, deficits in cognitive and mental health, and several other non-cancer factors. Due to this complexity, nutritional needs are dynamic, multifaceted, and dependent on the clinical scenario. This manuscript outlines the proceedings of this conference including knowledge gaps and recommendations for future nutritional research among older adults with cancer. Three common clinical scenarios encountered by oncologists include (1) weight loss during anti-cancer therapy, (2) malnutrition during advanced disease, and (3) obesity during survivorship. In this manuscript, we provide a brief overview of relevant cancer literature within these three areas, knowledge gaps that exist, and recommendations for future research. AbstractNutritional issues among older adults with cancer are an understudied area of research despite significant prognostic implications for treatment side effects, cancer-specific mortality, and overall survival. In May of 2015, the National Cancer Institute and the National Institute on Aging co-sponsored a conference focused on future directions in geriatric oncology research. Nutritional research among older adults with cancer was highlighted as a major area of concern as most nutritional cancer research has been conducted among younger adults, with limited evidence to guide the care of nutritional issues among older adults with cancer. Cancer diagnoses among older adults are increasing, and the care of the older adult with cancer is complicated due to multimorbidity, heterogeneous functional status, polypharmacy, deficits in cognitive and mental health, and several other non-cancer factors. Due to this complexity, nutritional needs are dynamic, multifaceted, and dependent on the clinical scenario. This manuscript outlines the proceedings of this conference including knowledge gaps and recommendations for future nutritional research among older adults with cancer. Three common clinical scenarios encountered by oncologists include (1) weight loss during anti-cancer therapy, (2) malnutrition during advanced disease, and (3) obesity during survivorship. In this manuscript, we provide a brief overview of relevant cancer literature within these three areas, knowledge gaps that exist, and recommendations for future research. |
| Author | Won, Elizabeth Alibhai, Shabbir Dotan, Efrat Presley, Carolyn J. Mohile, Supriya G. Harrison, Robert Klepin, Heidi D. Kilari, Deepak Soto-Perez-de-Celis, Enrique Jatoi, Aminah Demark-Wahnefried, Wendy Mustian, Karen Wildes, Tanya M. |
| AuthorAffiliation | e James Wilmot Cancer Center at the University of Rochester, Rochester, NY, USA l University of Alabama at Birmingham Comprehensive Cancer Center, Birmingham, AL, USA b Fox Chase Cancer Center, Philadelphia, PA, USA c Cancer Care in the Elderly Clinic, Department of Geriatrics, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico d Mayo Clinic, Rochester, MN, USA a Yale Cancer Center/Yale University School of Medicine, New Haven, CT, USA j Wake Forrest Baptist Comprehensive Cancer Center, Winston-Salem, NC, USA k Washington University School of Medicine, St. Louis, MO, USA g Department of Medicine,University Health Network and University of Toronto,Canada i SCOREboard,University of Rochester Medical Center, Rochester, NY, USA h Froedtert Clinical Cancer Center, Medical College of Wisconsin, Milwaukee, WI, USA f Memorial Sloan Kettering Cancer Center, New York, NY, USA |
| AuthorAffiliation_xml | – name: c Cancer Care in the Elderly Clinic, Department of Geriatrics, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico – name: e James Wilmot Cancer Center at the University of Rochester, Rochester, NY, USA – name: k Washington University School of Medicine, St. Louis, MO, USA – name: g Department of Medicine,University Health Network and University of Toronto,Canada – name: d Mayo Clinic, Rochester, MN, USA – name: h Froedtert Clinical Cancer Center, Medical College of Wisconsin, Milwaukee, WI, USA – name: b Fox Chase Cancer Center, Philadelphia, PA, USA – name: l University of Alabama at Birmingham Comprehensive Cancer Center, Birmingham, AL, USA – name: f Memorial Sloan Kettering Cancer Center, New York, NY, USA – name: a Yale Cancer Center/Yale University School of Medicine, New Haven, CT, USA – name: i SCOREboard,University of Rochester Medical Center, Rochester, NY, USA – name: j Wake Forrest Baptist Comprehensive Cancer Center, Winston-Salem, NC, USA |
| Author_xml | – sequence: 1 givenname: Carolyn J. surname: Presley fullname: Presley, Carolyn J. email: carolyn.presley@yale.edu organization: Yale Cancer Center/Yale University School of Medicine, New Haven, CT, USA – sequence: 2 givenname: Efrat surname: Dotan fullname: Dotan, Efrat organization: Fox Chase Cancer Center, Philadelphia, PA, USA – sequence: 3 givenname: Enrique surname: Soto-Perez-de-Celis fullname: Soto-Perez-de-Celis, Enrique organization: Cancer Care in the Elderly Clinic, Department of Geriatrics, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico – sequence: 4 givenname: Aminah surname: Jatoi fullname: Jatoi, Aminah organization: Mayo Clinic, Rochester, MN, USA – sequence: 5 givenname: Supriya G. surname: Mohile fullname: Mohile, Supriya G. organization: James Wilmot Cancer Center at the University of Rochester, Rochester, NY, USA – sequence: 6 givenname: Elizabeth surname: Won fullname: Won, Elizabeth organization: Memorial Sloan Kettering Cancer Center, New York, NY, USA – sequence: 7 givenname: Shabbir surname: Alibhai fullname: Alibhai, Shabbir organization: Department of Medicine,University Health Network and University of Toronto,Canada – sequence: 8 givenname: Deepak surname: Kilari fullname: Kilari, Deepak organization: Froedtert Clinical Cancer Center, Medical College of Wisconsin, Milwaukee, WI, USA – sequence: 9 givenname: Robert surname: Harrison fullname: Harrison, Robert organization: SCOREboard,University of Rochester Medical Center, Rochester, NY, USA – sequence: 10 givenname: Heidi D. surname: Klepin fullname: Klepin, Heidi D. organization: Wake Forrest Baptist Comprehensive Cancer Center, Winston-Salem, NC, USA – sequence: 11 givenname: Tanya M. surname: Wildes fullname: Wildes, Tanya M. organization: Washington University School of Medicine, St. Louis, MO, USA – sequence: 12 givenname: Karen surname: Mustian fullname: Mustian, Karen organization: James Wilmot Cancer Center at the University of Rochester, Rochester, NY, USA – sequence: 13 givenname: Wendy surname: Demark-Wahnefried fullname: Demark-Wahnefried, Wendy organization: University of Alabama at Birmingham Comprehensive Cancer Center, Birmingham, AL, USA |
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| Snippet | Nutritional issues among older adults with cancer are an understudied area of research despite significant prognostic implications for treatment side effects,... AbstractNutritional issues among older adults with cancer are an understudied area of research despite significant prognostic implications for treatment side... |
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| SubjectTerms | Age Factors Aged Aged, 80 and over Cancer Cancer Survivors - statistics & numerical data Comorbidity Consensus Female Geriatrics Geriatrics - standards Hematology, Oncology, and Palliative Medicine Humans Internal Medicine Male Medical Oncology - standards National Cancer Institute (U.S.) National Institute on Aging (U.S.) Neoplasms - mortality Neoplasms - therapy Nutrition Nutrition Assessment Nutrition Disorders - diagnosis Nutrition Disorders - epidemiology Older adults Prevalence Research - standards United States |
| Title | Gaps in nutritional research among older adults with cancer |
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