title: [Detection and evaluation of malnutrition in oncology: What tools, what type of cancer and for what purposes?].
abstract: Malnutrition is frequently observed in oncology. The consequences on patient survival, chemotherapy toxicities and quality of life need to be identified and treated appropriately. A set of tools are available that enable clinicians to diagnose and detect malnutrition. Each tool must consider three items: the patient's current nutritional status, reduced food intake and the characteristics of the underlying disease. The parameters and thresholds used to detect malnutrition differ according to the objective pursued. It can be economic, increasing the reimbursement of hospital stays, it can help define prognostic risk groups or its purpose can be to initiate nutritional treatment. Recent data support the assessment of parameters such as inflammatory markers, decreased muscle mass (i.e. sarcopenia) whose diagnosis is associated with a worse outcome and the quantification of food intake with simplified methods. The benefit for the patient of detecting malnutrition will be the initiation of a nutritional treatment when its efficacy has been demonstrated. A case in point is the nutritional support provided to malnourished patients before surgery with benefits in terms of mortality and morbidity and in certain head and neck cancer situations where nutritional support is systematically implemented. It is probably relevant to detect and initiate treatment early in order to promote muscle anabolism.
authors.affiliation: Gustave-Roussy cancer campus, service des urgences, département ambulatoire, 114, rue Édouard-Vaillant, 94805 Villejuif, France. Electronic address: sylvie.khan@gustaveroussy.fr.
authors.forename: Sylvie
authors.initials: S
authors.lastname: Khan
authors.affiliation: Gustave-Roussy cancer campus, service des urgences, département ambulatoire, 114, rue Édouard-Vaillant, 94805 Villejuif, France.
authors.forename: Taher Arif
authors.initials: TA
authors.lastname: Alibay
authors.affiliation: Gustave-Roussy cancer campus, service des urgences, département ambulatoire, 114, rue Édouard-Vaillant, 94805 Villejuif, France.
authors.forename: Mansouria
authors.initials: M
authors.lastname: Merad
authors.affiliation: Gustave-Roussy cancer campus, service des urgences, département ambulatoire, 114, rue Édouard-Vaillant, 94805 Villejuif, France.
authors.forename: Mario
authors.initials: M
authors.lastname: DiPalma
authors.affiliation: Gustave Roussy cancer campus, département des soins de support, unité transversale de nutrition clinique, 94805 Villejuif, France.
authors.forename: Bruno
authors.initials: B
authors.lastname: Raynard
authors.affiliation: Gustave-Roussy cancer campus, service des urgences, département ambulatoire, 114, rue Édouard-Vaillant, 94805 Villejuif, France.
authors.forename: Sami
authors.initials: S
authors.lastname: Antoun
mesh_terms: D002097:C-Reactive Protein; D004435:Eating; D006258:Head and Neck Neoplasms / Q000150:complications; D006801:Humans; D007249:Inflammation / Q000150:complications; D000069451:Long Term Adverse Effects; D044342:Malnutrition / Q000175:diagnosis* / Q000209:etiology / Q000401:mortality / Q000628:therapy; D009369:Neoplasms / Q000150:complications* / Q000401:mortality / Q000473:pathology*; D009752:Nutritional Status; D055948:Sarcopenia / Q000175:diagnosis / Q000209:etiology
chemical_list: D002097:C-Reactive Protein
keywords: Assessment of malnutrition; Cachexie cancéreuse; Cancer cachexia; Diminution des ingesta; Reduced food intake; Sarcopenia; Sarcopénie; Évaluation de la dénutrition