A multidisciplinary review of nutrition considerations in the pediatric oncology population: a perspective from children's oncology group

A multidisciplinary review of nutrition considerations in the pediatric oncology population: a perspective from children's oncology group

Ladas EJ; Sacks N; Meacham L; Henry D; Enriquez L; Lowry G; Hawkes R; Dadd G; Rogers P

Nutrition In Clinical Practice : Official Publication Of The American Society For Parenteral And Enteral Nutrition

2005

Child; Humans; Survival Analysis; Evidence-Based Medicine; Nutritional Requirements; Practice Guidelines; Cachexia/etiology/therapy; Nutritional Support/methods; Child Nutrition Physiology; Antineoplastic Combined Chemotherapy Protocols/adverse effects/therapeutic use; Neoplasms/metabolism/physiopathology/therapy

Over the past few decades, great progress has been made in the survival rates of childhood cancer. As survival rates have improved, there has been an increased focus on supportive care. Nutrition is a supportive-care modality that has been associated with improved tolerance to chemotherapy, improved survival, increased quality of life, and decreased risk of infection in children undergoing anticancer therapy. Guidelines and assessment criteria have been proposed for the nutrition management of a child with cancer; however, there is no consistent use of criteria among institutions treating children with cancer. This review will present the current evidence and standards of practice incorporating aspects of nutrition, nursing, pharmacology, and psychosocial challenges to consider in the nutrition management of a child with cancer. Recommendations for clinical practice are presented.

2005

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