[Nutritional pathway for autologous stem cell transplantation].
We developed a nutritional pathway for autologous stem cell transplantation (SCT) to be applied in our transplantation unit. We performed autologous SCT for 37 patients with malignant lymphoma and multiple myeloma during from April 2003 to July 2005. For 10 of them who underwent SCT since 2005,we intervened with nutritional support using our original nutritional pathway,to monitor the clinical course of SCT from the aspect of dietetics with a dietician making assessments of the individual nutrition status. From comparing the 2 groups with (n=27) or without (n=10) the nutritional pathway, oral intake at day 14 was significantly increased from 1,038 kcal to 1,440 kcal,and at discharge developed from 1,167 kcal to 1,446 kcal without statistical significance. Patients whose body weight decreased more than 5% were reduced from 52%(14/27) to 10%(1/10),and 3 days reduction of the CVC insertion period was observed after the intervention. Although the long-term clinical outcome was not fully evaluated, the efficacy of nutritional pathway for autologous SCT was suggested.
Division of Nutrition, Shizuoka Cancer Center.
Takashi
T
Aoyama
Osamu
O
Imataki
Naomi
N
Inoue
Mina
M
Katsumata
Tomoko
T
Katsuta
Tomomi
T
Kataoka
Takashi
T
Yoshida
Takahiro
T
Mochizuki
Satoshi
S
Motokawa
Yotaro
Y
Tamai
Shotaro
S
Hagiwara
Kimihiro
K
Kawakami
D018906:Antineoplastic Agents, Alkylating / Q000008:administration & dosage; D001835:Body Weight; D016190:Carboplatin / Q000008:administration & dosage; D019091:Critical Pathways; D005047:Etoposide / Q000008:administration & dosage; D005260:Female; D018380:Hematopoietic Stem Cell Transplantation; D006801:Humans; D007069:Ifosfamide / Q000008:administration & dosage; D008297:Male; D008558:Melphalan / Q000008:administration & dosage; D009101:Multiple Myeloma / Q000628:therapy; D010289:Parenteral Nutrition, Total; D019172:Transplantation Conditioning / Q000379:methods; D014182:Transplantation, Autologous
D018906:Antineoplastic Agents, Alkylating; D005047:Etoposide; D016190:Carboplatin; D008558:Melphalan; D007069:Ifosfamide