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
Hlavní autori: Presley, Carolyn J., Dotan, Efrat, Soto-Perez-de-Celis, Enrique, Jatoi, Aminah, Mohile, Supriya G., Won, Elizabeth, Alibhai, Shabbir, Kilari, Deepak, Harrison, Robert, Klepin, Heidi D., Wildes, Tanya M., Mustian, Karen, Demark-Wahnefried, Wendy
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: 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.
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
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  surname: Presley
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  email: carolyn.presley@yale.edu
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  surname: Dotan
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  organization: Cancer Care in the Elderly Clinic, Department of Geriatrics, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico
– sequence: 4
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  organization: Mayo Clinic, Rochester, MN, USA
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  surname: Mohile
  fullname: Mohile, Supriya G.
  organization: James Wilmot Cancer Center at the University of Rochester, Rochester, NY, USA
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  surname: Won
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  organization: Memorial Sloan Kettering Cancer Center, New York, NY, USA
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  surname: Alibhai
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  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
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  surname: Harrison
  fullname: Harrison, Robert
  organization: SCOREboard,University of Rochester Medical Center, Rochester, NY, USA
– sequence: 10
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  surname: Klepin
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  organization: Wake Forrest Baptist Comprehensive Cancer Center, Winston-Salem, NC, USA
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  surname: Wildes
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  organization: Washington University School of Medicine, St. Louis, MO, USA
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  surname: Mustian
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  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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Issue 4
Keywords Nutrition
Older adults
Cancer
Geriatrics
Language English
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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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StartPage 281
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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https://dx.doi.org/10.1016/j.jgo.2016.04.006
https://www.ncbi.nlm.nih.gov/pubmed/27197919
https://www.proquest.com/docview/1808381276
https://pubmed.ncbi.nlm.nih.gov/PMC4969118
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