Nutritional Outcomes of patients Undergoing Resection for upper gastroIntestinal cancer in AuStralian Hospitals (NOURISH): protocol for a multicentre point prevalence study
Irene Deftereos,
Justin M C Yeung,
Vanessa M Carter,
Elizabeth Isenring,
Nicole K Kiss,
Anna Cardamis,
Annika Dorey,
Aurora Ottaway,
Brook Maguire,
Brydie Cleeve,
Caitlin Davis,
Christine Choong,
Claire Douglas,
Claire Nixon,
Daniel Platt,
Eleanor Quinn,
Eliza Simpson,
Emma Hamdorf,
Emma McNamara,
Emma Whelan,
Gayathri Jegendran,
Georgia Moore,
Georgina Lockwood,
Jacqueline McNamara,
Jemma Corrigan,
Kate Fox,
Kate Furness,
Kiah Witney Cochrane,
Kieu Huynh,
Nadia Hames,
Nadia Hendricks,
Naomi Page,
Natalie Brooks,
Lauren Nevin,
Lindy Parfrey,
Emma Putrus,
Rachel Pons,
Roy Hoevenaars,
Sheena Singh,
Simone McCoy,
Siobhan Wallin,
Stella Mexias,
Suzie Daniells,
Tayla Storr,
Tayla Robertson,
Teresa Brown
Affiliations
Irene Deftereos
Department of Surgery Western Health, The University of Melbourne, Melbourne, Victoria, Australia
Justin M C Yeung
Department of Surgery Western Health, The University of Melbourne, Melbourne, Victoria, Australia
Vanessa M Carter
Nutrition and Dietetics, Western Health, Footscray, Victoria, Australia
Elizabeth Isenring
Faculty of Health Sciences and Medicine, Bond University, Robina, Queensland, Australia
Nicole K Kiss
Institute for Physical Activity and Nutrition, Deakin University, Geelong, Victoria, Australia
Introduction Nutritional intervention and prevention of malnutrition is significantly important for patients with upper gastrointestinal oesophageal, pancreatic and gastric cancer. However, there is limited information regarding nutritional status, and perioperative nutritional interventions that patients receive when undergoing curative surgery.Methods and analysis Patients diagnosed with upper gastrointestinal cancer, planned for curative intent resection across 27 Australian hospitals will be eligible to participate in this point prevalence study. The primary aim is to determine the prevalence of malnutrition in patients with upper gastrointestinal cancer at the time of surgery using subjective global assessment. Secondary aims are to determine the type and frequency of perioperative nutritional intervention received, the prevalence of clinically important weight loss and low muscle strength, and to investigate associations between the use of an evidence-based nutrition care pathway or protocol for the nutritional management of upper gastrointestinal surgical oncology patients and malnutrition prevalence. Data collection will be completed using a purpose-built data collection tool.Ethics and dissemination Ethical approval was granted in May 2019 (LNR/51107/PMCC-2019). The design and reporting of this study comply with the Strengthening the Reporting of Observational Studies in Epidemiology checklist for reporting of observational cohort studies. Findings will be published in peer-reviewed scholarly journals and presented at relevant conferences. Results will assist in defining priority areas for research to improve patient outcomes.
