Comparison of the ‘ESPEN guidelines on nutrition in cancer patients 2016’ with the recommendations of the Dutch Dietitians in Oncology Group

Annemieke Kok, Niki Doornink, Marleen Ariens, Sandra Beijer, Manon van den Berg, Harriët Jager-Wittenaar, Rianne van Lieshout, Bea Sijtema, Merel van Veen, Jose Breedveld-Peters

Research output: Contribution to conferenceAbstractOther research output

Abstract

Rationale: In 2016, a completely revised second version of the ‘Handbook Nutrition in Cancer’ (HNC, in Dutch) by the Dutch Dietitians Oncology Group (DDOG) was published. In this project, the DDOG evaluated similarities and potential discrepancies between DDOG recommendations and the ESPEN guidelines for the identification, prevention and treatment of reversible elements of malnutrition during and after cancer treatment.

Methods: The recommendations of the DDOG, as published in the HCN, were systematically compared with the ESPEN guidelines on nutrition in cancer patients. guidelines. However, DDOG recommendations are more detailed, comprehensive, and practical.

The DDOG and the ESPEN guidelines differ in that the DDOG 1) recommends the comprehensive PG-SGA and PG-SGA Short Form for screening and nutritional assessment; 2) recommends to start artificial nutrition at an earlier stage; 3) does not recommend increasing the ratio of energy from fat/energy from carbohydrates in weight-losing cancer patients with insulin resistance; 4) includes a less conservative recommendation on increasing energy intake for prevention of refeeding syndrome; and 5) supports a longer period of corticosteroid use to increase appetite (4-8 weeks vs ESPEN 1-3 weeks).

Additionally

Results: Overall, the DDOG recommendations are in line with the ESPEN , the DDOG does not include a specific advice for parenteral nutrition composition during intensive chemotherapy, and includes the advice to avoid fatty fish/fish oil 24 hours before and after specific chemotherapy treatment.

Both guidelines recommend nutritional care to be accompanied by exercise training.

Conclusion: The DDOG and ESPEN recommendations are generally in line with each other, but the DDOG recommendations are more specific and practical. DDOG and ESPEN are complementary to each other.
Original languageEnglish
Publication statusPublished - Aug 2017
EventESPEN - The Hague, Netherlands
Duration: 9 Sep 201712 Sep 2017

Conference

ConferenceESPEN
CountryNetherlands
CityThe Hague
Period9/09/1712/09/17

Keywords

  • nutrition
  • cancer patients

Cite this

Kok, A., Doornink, N., Ariens, M., Beijer, S., van den Berg, M., Jager-Wittenaar, H., ... Breedveld-Peters, J. (2017). Comparison of the ‘ESPEN guidelines on nutrition in cancer patients 2016’ with the recommendations of the Dutch Dietitians in Oncology Group. Abstract from ESPEN, The Hague, Netherlands.
Kok, Annemieke ; Doornink, Niki ; Ariens, Marleen ; Beijer, Sandra ; van den Berg, Manon ; Jager-Wittenaar, Harriët ; van Lieshout, Rianne ; Sijtema, Bea ; van Veen, Merel ; Breedveld-Peters, Jose. / Comparison of the ‘ESPEN guidelines on nutrition in cancer patients 2016’ with the recommendations of the Dutch Dietitians in Oncology Group. Abstract from ESPEN, The Hague, Netherlands.
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title = "Comparison of the ‘ESPEN guidelines on nutrition in cancer patients 2016’ with the recommendations of the Dutch Dietitians in Oncology Group",
abstract = "Rationale: In 2016, a completely revised second version of the ‘Handbook Nutrition in Cancer’ (HNC, in Dutch) by the Dutch Dietitians Oncology Group (DDOG) was published. In this project, the DDOG evaluated similarities and potential discrepancies between DDOG recommendations and the ESPEN guidelines for the identification, prevention and treatment of reversible elements of malnutrition during and after cancer treatment.Methods: The recommendations of the DDOG, as published in the HCN, were systematically compared with the ESPEN guidelines on nutrition in cancer patients. guidelines. However, DDOG recommendations are more detailed, comprehensive, and practical.The DDOG and the ESPEN guidelines differ in that the DDOG 1) recommends the comprehensive PG-SGA and PG-SGA Short Form for screening and nutritional assessment; 2) recommends to start artificial nutrition at an earlier stage; 3) does not recommend increasing the ratio of energy from fat/energy from carbohydrates in weight-losing cancer patients with insulin resistance; 4) includes a less conservative recommendation on increasing energy intake for prevention of refeeding syndrome; and 5) supports a longer period of corticosteroid use to increase appetite (4-8 weeks vs ESPEN 1-3 weeks).AdditionallyResults: Overall, the DDOG recommendations are in line with the ESPEN , the DDOG does not include a specific advice for parenteral nutrition composition during intensive chemotherapy, and includes the advice to avoid fatty fish/fish oil 24 hours before and after specific chemotherapy treatment.Both guidelines recommend nutritional care to be accompanied by exercise training.Conclusion: The DDOG and ESPEN recommendations are generally in line with each other, but the DDOG recommendations are more specific and practical. DDOG and ESPEN are complementary to each other.",
keywords = "voeding, kankerpati{\"e}nten, nutrition, cancer patients",
author = "Annemieke Kok and Niki Doornink and Marleen Ariens and Sandra Beijer and {van den Berg}, Manon and Harri{\"e}t Jager-Wittenaar and {van Lieshout}, Rianne and Bea Sijtema and {van Veen}, Merel and Jose Breedveld-Peters",
year = "2017",
month = "8",
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note = "ESPEN ; Conference date: 09-09-2017 Through 12-09-2017",

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Kok, A, Doornink, N, Ariens, M, Beijer, S, van den Berg, M, Jager-Wittenaar, H, van Lieshout, R, Sijtema, B, van Veen, M & Breedveld-Peters, J 2017, 'Comparison of the ‘ESPEN guidelines on nutrition in cancer patients 2016’ with the recommendations of the Dutch Dietitians in Oncology Group' ESPEN, The Hague, Netherlands, 9/09/17 - 12/09/17, .

Comparison of the ‘ESPEN guidelines on nutrition in cancer patients 2016’ with the recommendations of the Dutch Dietitians in Oncology Group. / Kok, Annemieke; Doornink, Niki; Ariens, Marleen; Beijer, Sandra ; van den Berg, Manon; Jager-Wittenaar, Harriët; van Lieshout, Rianne; Sijtema, Bea; van Veen, Merel; Breedveld-Peters, Jose.

2017. Abstract from ESPEN, The Hague, Netherlands.

Research output: Contribution to conferenceAbstractOther research output

TY - CONF

T1 - Comparison of the ‘ESPEN guidelines on nutrition in cancer patients 2016’ with the recommendations of the Dutch Dietitians in Oncology Group

AU - Kok, Annemieke

AU - Doornink, Niki

AU - Ariens, Marleen

AU - Beijer, Sandra

AU - van den Berg, Manon

AU - Jager-Wittenaar, Harriët

AU - van Lieshout, Rianne

AU - Sijtema, Bea

AU - van Veen, Merel

AU - Breedveld-Peters, Jose

PY - 2017/8

Y1 - 2017/8

N2 - Rationale: In 2016, a completely revised second version of the ‘Handbook Nutrition in Cancer’ (HNC, in Dutch) by the Dutch Dietitians Oncology Group (DDOG) was published. In this project, the DDOG evaluated similarities and potential discrepancies between DDOG recommendations and the ESPEN guidelines for the identification, prevention and treatment of reversible elements of malnutrition during and after cancer treatment.Methods: The recommendations of the DDOG, as published in the HCN, were systematically compared with the ESPEN guidelines on nutrition in cancer patients. guidelines. However, DDOG recommendations are more detailed, comprehensive, and practical.The DDOG and the ESPEN guidelines differ in that the DDOG 1) recommends the comprehensive PG-SGA and PG-SGA Short Form for screening and nutritional assessment; 2) recommends to start artificial nutrition at an earlier stage; 3) does not recommend increasing the ratio of energy from fat/energy from carbohydrates in weight-losing cancer patients with insulin resistance; 4) includes a less conservative recommendation on increasing energy intake for prevention of refeeding syndrome; and 5) supports a longer period of corticosteroid use to increase appetite (4-8 weeks vs ESPEN 1-3 weeks).AdditionallyResults: Overall, the DDOG recommendations are in line with the ESPEN , the DDOG does not include a specific advice for parenteral nutrition composition during intensive chemotherapy, and includes the advice to avoid fatty fish/fish oil 24 hours before and after specific chemotherapy treatment.Both guidelines recommend nutritional care to be accompanied by exercise training.Conclusion: The DDOG and ESPEN recommendations are generally in line with each other, but the DDOG recommendations are more specific and practical. DDOG and ESPEN are complementary to each other.

AB - Rationale: In 2016, a completely revised second version of the ‘Handbook Nutrition in Cancer’ (HNC, in Dutch) by the Dutch Dietitians Oncology Group (DDOG) was published. In this project, the DDOG evaluated similarities and potential discrepancies between DDOG recommendations and the ESPEN guidelines for the identification, prevention and treatment of reversible elements of malnutrition during and after cancer treatment.Methods: The recommendations of the DDOG, as published in the HCN, were systematically compared with the ESPEN guidelines on nutrition in cancer patients. guidelines. However, DDOG recommendations are more detailed, comprehensive, and practical.The DDOG and the ESPEN guidelines differ in that the DDOG 1) recommends the comprehensive PG-SGA and PG-SGA Short Form for screening and nutritional assessment; 2) recommends to start artificial nutrition at an earlier stage; 3) does not recommend increasing the ratio of energy from fat/energy from carbohydrates in weight-losing cancer patients with insulin resistance; 4) includes a less conservative recommendation on increasing energy intake for prevention of refeeding syndrome; and 5) supports a longer period of corticosteroid use to increase appetite (4-8 weeks vs ESPEN 1-3 weeks).AdditionallyResults: Overall, the DDOG recommendations are in line with the ESPEN , the DDOG does not include a specific advice for parenteral nutrition composition during intensive chemotherapy, and includes the advice to avoid fatty fish/fish oil 24 hours before and after specific chemotherapy treatment.Both guidelines recommend nutritional care to be accompanied by exercise training.Conclusion: The DDOG and ESPEN recommendations are generally in line with each other, but the DDOG recommendations are more specific and practical. DDOG and ESPEN are complementary to each other.

KW - voeding

KW - kankerpatiënten

KW - nutrition

KW - cancer patients

UR - https://b-com.mci-group.com/Abstract/Statistics/AbstractStatisticsViewPage.aspx?AbstractID=379703

M3 - Abstract

ER -

Kok A, Doornink N, Ariens M, Beijer S, van den Berg M, Jager-Wittenaar H et al. Comparison of the ‘ESPEN guidelines on nutrition in cancer patients 2016’ with the recommendations of the Dutch Dietitians in Oncology Group. 2017. Abstract from ESPEN, The Hague, Netherlands.