title: [Good clinical practice in the dietetic management of cancer patients].
abstract: BACKGROUND
  The "Standards, Options and Recommendations" (SOR) project, started in 1993, is a collaboration between the Federation of the French Cancer Centres (FNCL CC), the 20 French Cancer Centres and specialists from French Public Universities, General Hospitals and Private Clinics. The main objective is the development of clinical practice guidelines to improve the quality of health care and outcome for cancer patients. The methodology is based on literature review and critical appraisal by a multidisciplinary group of experts, with feed-back from specialists in cancer care delivery.
  
  
  OBJECTIVE
  To develop clinical practice guidelines according to the definitions of Standards, Options and Recommendations for the dietetic consultation for cancer patient.
  
  
  METHODS
  Data have been identified by literature search wing Medline and the expert groups personal reference lists. Once the guidelines were defined, the document was submitted for review to 74 independent reviewers, and to the medical committees of the 20 French Cancer Centres.
  
  
  RESULTS
  The main recommendations for the referral of cancer patients for dietary advice are: I) in oncology, there are 3 types of dietetic consultation: diagnostic, preventive and therapeutic; 2) the following cancer patients must have a dietetic consultation: i) those with, or at risk of malnutrition, ii) those without malnutrition but in need of counseling and iii) those at risk of treatment-related nutritional side effects; 3) a nutritional assessment is standard at the time of the first dietetic consultation. Patients must be given individualized and written advice; 4) the dietetic opinion and advice should be brought to the attention of medical staff to facilitate a multidisciplinary approach to cancer treatment; 5) patient's relatives should be involved in the dietetic management; 6) the efficacy of dietetic advice can be assessed by monitoring weight, gastrointestinal signs and patient satisfaction.
authors.affiliation: FNCLCC, SOR, 101, rue de Tolbiac, 75654 Paris Cedex 13.
authors.forename: S
authors.initials: S
authors.lastname: Champetier
authors.forename: A
authors.initials: A
authors.lastname: Bataillard
authors.forename: Y
authors.initials: Y
authors.lastname: Lallemand
authors.forename: C
authors.initials: C
authors.lastname: Montane
authors.forename: P
authors.initials: P
authors.lastname: Bachmann
authors.forename: M P
authors.initials: MP
authors.lastname: Blanc-Vincent
authors.forename: C
authors.initials: C
authors.lastname: Bonneteau
authors.forename: M
authors.initials: M
authors.lastname: Claude
authors.forename: D
authors.initials: D
authors.lastname: Combret
authors.forename: F
authors.initials: F
authors.lastname: Cometto
authors.forename: F
authors.initials: F
authors.lastname: Dayot
authors.forename: A
authors.initials: A
authors.lastname: Duguet
authors.forename: N
authors.initials: N
authors.lastname: Duval
authors.forename: C
authors.initials: C
authors.lastname: Finck
authors.forename: A
authors.initials: A
authors.lastname: Freby-Lehner
authors.forename: V
authors.initials: V
authors.lastname: Garabige
authors.forename: C
authors.initials: C
authors.lastname: Massoud
authors.forename: J
authors.initials: J
authors.lastname: Meuric
authors.forename: B
authors.initials: B
authors.lastname: Poirée
authors.forename: S
authors.initials: S
authors.lastname: Puel
authors.forename: G
authors.initials: G
authors.lastname: Rossignol
authors.forename: P
authors.initials: P
authors.lastname: Roux-Bournay
authors.forename: M
authors.initials: M
authors.lastname: Simon
authors.forename: M
authors.initials: M
authors.lastname: Tran
mesh_terms: D000328:Adult; D006801:Humans; D009369:Neoplasms / Q000150:complications*; D015596:Nutrition Assessment; D009748:Nutrition Disorders / Q000175:diagnosis / Q000178:diet therapy* / Q000517:prevention & control; D010353:Patient Education as Topic; D011364:Professional Practice / Q000592:standards