Nurses' Knowledge in Relation to the Anorexia-Cachexia Syndrome in Cancer Patients: A Cross-National Comparison in Two European Countries.

Introduction: The Anorexia-Cachexia Syndrome (ACS) is a severe complication of cancer and is considered to be a significant cause of morbidity and mortality affecting up to two-thirds of cancer patients and one that needs specialized nursing care. Studies showed that the ACS has been relatively under-researched and under-resourced whist the nurses' knowledge has not been systematically explored.

Objective: Τo explores nurses' knowledge, understanding, and management of ACS in clinical practice in two European countries.

Methods: Descriptive-comparative study with 197 cancer nurses recruited during two National Conferences in Greece and Cyprus. Data were retrieved with the "Investigation of anorexia-cachexia syndrome in Practice" questionnaire.

Results: In terms of nurses' perceptions on ACS, the prevailing characteristic reported in both countries was anorexia ( = .65) followed by weight loss ( = .04). 189 nurses (95.9%,  = .176) do not currently use a tool to assess patients' nutritional status as part of their standard clinical practice. Statistically significant differences were found in relation to the routine assessment of nutritional-related symptoms including early satiety (Cyprus 64% vs. Greece 37%,  = .001), hiccough (66% vs. 36%,  < .001), alteration of the taste/odor sensation (77% vs. 45%,  < .001), problems in the oral cavity (84% vs. 68%,  = .032) and daily activities (85% vs. 69%,  = .032). The priority level for the ACS management differed significantly in the two countries ( = .006), with higher priority being reported in Cyprus.

Conclusion: The study showed that more education is needed for cancer nurses to better understand the ACS which can facilitate the better management of the syndrome in clinical practice.