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D. Bokan



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    P3.05 - Poster Session with Presenters Present (ID 475)

    • Event: WCLC 2016
    • Type: Poster Presenters Present
    • Track: Palliative Care/Ethics
    • Presentations: 1
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      P3.05-011 - Importance of Assessment of Malnutrition Risk in Lung Cancer Patients (ID 5944)

      14:30 - 14:30  |  Author(s): D. Bokan

      • Abstract
      • Slides

      Background:
      Malnutrition and cachexia are commonly seen in cancer patients. The aim of this research was to assess overall risk of malnutrition in lung cancer patients.

      Methods:
      This prospective observational study that included hospitalized lung cancer patients was conducted in the Institute for pulmonary diseases of Vojvodina, Serbia. International questionnaire for nutrition screening was used for clinical assessment of malnutrition. Subjects were included in this study regardless of lung cancer type, stage of disease and therapy regiment.

      Results:
      Out of total 188 patients included, 76.1% were male and 23.9% female. Majority of patients were in ECOG performance status (PS) 1 (74.5%) with diagnosed lung cancer in stages III and IV (39.9% and 42.6% respectively). Most common lung cancer type was adenocarcinoma (50.0%) followed by sqamous (35.6%), small-cell (10.6) and other hystologic types (3.7%). Majority of patients had Body Mass Index (BMI) >20 (87.8%). BMI<18 was observed in 7.4% of patients. Unplanned weight loss in past 3-6 months for more than 10% was present in 16.5% of patients. In this group of patients 20.7% were with high risk, 12.8% with medium risk and 66.5% with low risk of malnutrition. High risk of malnutrition was more frequent in stages III and IV of lung cancer (24.0% and 22.5% respectively) than in stages I and II (13.3% and 5.6% respectively). We observed statistically significant correlation between ECOG PS and risk of malnutrition (p=0.001; ρ=0.240). Patients with ECOG PS 0 are ten times less likely to have high risk of malnutrition than patients with poorer ECOG PS.

      Conclusion:
      This study showed that a significant percentage of lung cancer patient have a high risk of malnutrition therefore it would be advisable to routinely evaluate nutritional status of lung cancer patients regardless of stages and duration of disease.

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