Change in Food Intake Status of Terminally Ill Cancer Patients during Last Two Weeks of Life: A Continuous Observation.
The oral food intake of terminally ill cancer patients is known to gradually decrease, but there are few reports about how oral intake changes around the terminal stage. It is important to clarify changes in oral food intake, as such changes affect the support and care of terminally ill cancer patients.



We aimed to clarify changes in oral food intake in terminally ill cancer patients during the last 2 weeks before death.



This retrospective cohort study was conducted at a designated cancer center hospital in Japan from January 2013 to June 2013. The subjects were recognized as clinically terminally ill cancer patients who were hospitalized for ≥14 days, and who had death as their reason for hospital discharge. One researcher investigated basic patient information and the food intake status of the subjects using their medical records. The basic information investigated was gender, age, type of cancer, and the presence of gastrointestinal obstruction 14 days prior to death. The Food Intake LEVEL Scale (FILS) was prospectively recorded.



After applying the exclusion criteria, 108 subjects were finally included in the analysis (59 males aged 70.3 ± 13.3 years; 49 females aged 70.3 ± 14.5 years). The FILS gradually declined, and half of the subjects were unable to take food orally 6 days before death. In 81 subjects, after excluding subjects with gastrointestinal obstruction, the FILS gradually declined, and half of the subjects were unable to take food orally 4 days prior to death.



Many terminally ill cancer patients can take food orally up to a few days prior to their death. Therefore, various specialists should support the oral intake of terminally ill cancer patients until immediately before their death.
1 Department of Advanced Medicine Dentistry and Dental/OralSurgery, Japanese National Center for Geriatrics and Gerontology , Obu, Japan .
Tomohisa
T
Ohno
2 Division of Clinical Oral Rehabilitation, The Nippon Dental University Graduate School of Life Dentistry at Tokyo , Chiyoda-ku, Tokyo, Japan .
Fumiyo
F
Tamura
2 Division of Clinical Oral Rehabilitation, The Nippon Dental University Graduate School of Life Dentistry at Tokyo , Chiyoda-ku, Tokyo, Japan .
Takeshi
T
Kikutani
3 Department of Palliative and Supportive Care, Palliative Care Team and Seirei Hospice, Seirei Mikatahara General Hospital , Hamamatsu, Japan .
Tatsuya
T
Morita
1 Department of Advanced Medicine Dentistry and Dental/OralSurgery, Japanese National Center for Geriatrics and Gerontology , Obu, Japan .
Yasunori
Y
Sumi
D000368:Aged; D002173:Cancer Care Facilities; D004435:Eating; D005260:Female; D006801:Humans; D007564:Japan; D008297:Male; D009369:Neoplasms; D012189:Retrospective Studies; D019452:Terminally Ill; D013997:Time Factors