Publications by authors named "F Roulston"
Background: Cancer cachexia (CC) is highly prevalent and associated with significant morbidity and mortality, yet underrecognized. In 2011, an international cachexia consensus (ICC) proposed a definition, assessment framework, and stages for classification: cancer precachexia, cachexia, and refractory cachexia. The authors anticipated that a "more practical classification approach for clinical practice" would be required, which we interpreted as a bedside assessment based on clinical data.
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- Credible diet and nutrition advice is crucial for cancer patients, but many seek guidance from informal sources before their first dietetic visit.
- In a study with 77 cancer patients, over 80% experienced nutrition-related symptoms, with 69% obtaining advice mainly from family, friends, and non-dietetic healthcare professionals.
- The advice received often involved contradictory recommendations about foods to include or avoid, leading patients to feel uncertain about what was trustworthy, yet most continued to follow this advice, highlighting a need for earlier professional dietetic consultation to clarify and support their nutritional needs.
Purpose: Malnutrition (MN) in cancer is common but underdiagnosed. Dietitian referrals may not occur until MN is established. We investigated cancer patient characteristics (demographics, nutritional status, and nutrition barriers) on referral to oncology dietitians.
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