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  • Nutrition risk and mortality in older oncology patients: An exploratory study

    Author(s)
    Botero, L
    Agarwal, E
    Berry, R
    Gillespie, K
    Isenring, E
    McCarthy, AL
    Griffith University Author(s)
    McCarthy, Alexandra L.
    Year published
    2019
    Metadata
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    Abstract
    Aim: The primary aim of this analysis was to identify if two standard measures incorporated into the comprehensive geriatric assessment; specifically, malnutrition risk and body mass index (BMI), could predict 12‐month mortality in older patients with solid tumours. The secondary aim was to evaluate if malnutrition risk and BMI were associated with chemotherapy outcomes (discontinuation/modification of treatment) in older patients with solid tumours. Methods: Older patients (aged ≥70 years) with solid cancers were recruited from the outpatient oncology clinic of a tertiary hospital in Brisbane, Australia. Participants’ ...
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    Aim: The primary aim of this analysis was to identify if two standard measures incorporated into the comprehensive geriatric assessment; specifically, malnutrition risk and body mass index (BMI), could predict 12‐month mortality in older patients with solid tumours. The secondary aim was to evaluate if malnutrition risk and BMI were associated with chemotherapy outcomes (discontinuation/modification of treatment) in older patients with solid tumours. Methods: Older patients (aged ≥70 years) with solid cancers were recruited from the outpatient oncology clinic of a tertiary hospital in Brisbane, Australia. Participants’ nutritional parameters, BMI, and malnutrition risk (determined using the Malnutrition Screening Tool (MST)) were recorded at baseline. Mortality data and chemotherapy outcomes were recorded for 12 months. Results: Seventy‐four participants (67% males, median age 77 (±4.4) years) were recruited. Nearly half the cohort was at‐risk of malnutrition at baseline (n = 39, 46%). Chemotherapy was prescribed to 39% (n = 29) of the cohort. For patients receiving chemotherapy neither being underweight nor having a low or medium risk of malnutrition was associated with adverse chemotherapy outcomes or 12‐month mortality. At a bivariate level, malnutrition risk was significantly associated with 12‐month mortality in patients who did not receive chemotherapy (P = 0.018), but not BMI. Conclusions: This analysis indicates that malnutrition risk was a potential indicator of 12‐month mortality in cases where chemotherapy was considered unfeasible. However, this was not an independent risk factor. Further investigation using a larger sample is required to determine the association between malnutrition risk, quality of life and mortality in patients who are not considered to be fit for chemotherapy.
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    Journal Title
    Nutrition and Dietetics
    DOI
    https://doi.org/10.1111/1747-0080.12547
    Subject
    Nutrition and Dietetics
    Food Sciences
    Public Health and Health Services
    Publication URI
    http://hdl.handle.net/10072/386415
    Collection
    • Journal articles

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