Publications by authors named "Fiona 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.