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Text
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URL Address
<a href="http://doi.org/10.1207/s15327914nc4402_05" target="_blank" rel="noreferrer">http://doi.org/10.1207/s15327914nc4402_05</a>
Dublin Core
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Title
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Nutritional status in childhood malignancies
Publisher
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Nutrition And Cancer
Date
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2002
Subject
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Child; Female; Humans; Male; Neoplasms; Pilot Projects; Neoplasms/complications; Lymphoma/complications; Nutritional Status/physiology; Body Mass Index; Body Weight/physiology; Complex and Mixed/complications; Germinoma/complications; Histiocytosis/complications; Neuroepithelial/complications; Nutrition Disorders/complications/epidemiology; Sarcoma/complications
Creator
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Schiavetti A; Fornari C; Bonci E; Clerico A; Guidi R
Description
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In children affected by tumor, nutritional status is important to sustain aggressive chemotherapy and to support normal growth during and after therapy. The aim of this study was to investigate the prevalence of nutritional status disorders in a sample of pediatric oncology day-hospital patients. We measured weight and height in patients affected by solid tumors on or off therapy at short-term follow-up (1-24 mo). The study was performed at a pediatric oncology day-hospital over a period of 20 consecutive days. A suitable computer package was used to estimate relative body weight (%RBW) and body mass index (BMI) for each patient. Thereafter, the same sample was divided into four weight classes (underweight, normal weight, overweight, and obese) according to %RBW and BMI. Moreover, patients were divided into two groups: on and off therapy. In the off-therapy group, no patient was underweight; in the on-therapy group, 26.3% and 15.8% of patients were underweight (not significant) according to %RBW and BMI, respectively. The prevalence of overweight (overweight ++obese) according to %RBW was 36.9% in the on-therapy group and 52.9% in the off-therapy group (P < 0.05); whereas the prevalence of overweight according to BMI was 21% in the on-therapy group and 35.3% in the off-therapy group (P = 0.05). These preliminary data suggest that, in pediatric oncology, nutritional assessment is required to provide nutritional strategies in on-therapy patients whose underweight status prevalence is impressive or in off-therapy children in whom the causes of overweight should be explored.
2002
Identifier
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<a href="http://doi.org/10.1207/s15327914nc4402_05" target="_blank" rel="noreferrer">10.1207/s15327914nc4402_05</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
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Journal Article
2002
Backlog
Body Mass Index
Body Weight/physiology
Bonci E
Child
Clerico A
Complex and Mixed/complications
Female
Fornari C
Germinoma/complications
Guidi R
Histiocytosis/complications
Humans
Journal Article
Lymphoma/complications
Male
Neoplasms
Neoplasms/complications
Neuroepithelial/complications
Nutrition And Cancer
Nutrition Disorders/complications/epidemiology
Nutritional Status/physiology
Pilot Projects
Sarcoma/complications
Schiavetti A
-
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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2021 Special Edition 1 - Low Resource Settings
Text
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Citation List Month
2021 Special Edition 1 - Low Resource Settings
URL Address
<a href="http://doi.org/10.1080/01635581.2020.1844244" target="_blank" rel="noreferrer noopener"> http://doi.org/10.1080/01635581.2020.1844244</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Undernutrition as an Aggravating Risk for Hospital Death in Critically Ill Children with Cancer
Publisher
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Nutrition and Cancer
Date
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2020
Subject
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Low resource setting; oncology
Creator
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Magri Teles ND; Silva Dcbd; Araujo OR; Maia Lemos PDS; Oliveira FLC
Description
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OBJECTIVES: Undernourished children with cancer are at major risk for adverse outcomes. We intended to model nutritional status as risk factor for hospital death. METHODS: Retrospective analysis of two cohorts of children admitted in an oncology/hematology intensive care unit. Logistic regression was used for model building. RESULTS: The derivation cohort had 155 patients, with a median age of 104.9 mo., and 36 deaths (23.2%). Twenty-eight children (18.1%) had the z score of the body mass index < -2. A multivariate model with the variables "relapse of oncological disease" (Odds Ratio 3.14, P = 0.025), "surgical case" (OR 0.22, P = 0.002), "intubation/mechanical ventilation" (OR 8.38, P = 0.000) and "body mass index z score < -2" (OR 3.21, P = 0.024) generated a logit with good predictive capacity for "hospital death". In the validation cohort, with 450 patients (median age of 92.7 mo.), the model was able to predict 55.5 of the 58 observed deaths (Standardized Mortality Rate = 1.04, 95% CI 0.80-1.34, P = 0.72), with P = 0.68 in the Hosmer test. The AUC was 0.90 (95% CI 0.86-0.93). CONCLUSION: Undernutrition increases the risk of death, and is a variable that should be included in predictive mortality algorithms.
Identifier
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<a href="http://doi.org/10.1080/01635581.2020.1844244" target="_blank" rel="noreferrer noopener">10.1080/01635581.2020.1844244</a>
Rights
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2020
2021 Special Edition 1 - Low Resource Settings
Araujo OR
Low resource setting
Magri Teles ND
Maia Lemos PDS
Nutrition And Cancer
Oliveira FLC
Oncology
Silva Dcbd