Effect evaluation of nutrition management during radiotherapy and chemotherapy for esophageal cancer in multiple disciplinary team by the nutrition management system
1Gu Siyang, 1Chen Zhiming, 2 Ji Dongliang, 1Qian Yan
1Department of Radiotherapy Affiliated Hospital of Nantong University Nantong 226001 Jiangsu China
2Department of Pharmacy Affiliated Hospital of Nantong University Nantong 226001 Jiangsu China
Abstract：Objective To explore the application value of nutrition management during radiotherapy and chemotherapy for esophageal
cancer in multiple disciplinary team by the nutrition management system. Method Between January and December 2020 101 patients with
esophageal cancer in the Department of Radiotherapy at Affiliated Hospital of Nantong University were selected. They were randomly divided
into control group with 50 patients and intervention group with 51 patients according to the random number method. The control group was
given conventional treatment and nursing. The study group established a nurse - led multiple disciplinary team based on the nutrition
management system built Admission assessment—results evaluation—nutrition intervention—treatment monitoring—nutrition tracking
nutrition management process. Clinical nutritional indicators Clinical outcomes were compared between the two groups and cost-effectiveness
ratio was conducted. Result The changes of lymphocyte count total protein albumin prealbumin in the intervention group were significantly
lower than those in the control group P<0. 05 . The incidence of radiation-related complications in the intervention group was significantly
lower than those in the control group P<0. 05 . FACT-G score in the intervention group was significantly higher than those in the control
group P<0. 05 ECOG score in the intervention group was significantly lower than those in the control group P<0. 05 . The hospitalization
expenses per capita in the intervention group were significantly lower than those in the control group P<0. 05 . C/ E of clinical response rate
were 262. 7 and 498. 6 and C/ E of functional assessment were 245. 5 and 353. 9 in 2 groups C/ E in the intervention group ware lower than
those in the control group. Conclusion Nutrition management during radiotherapy and chemotherapy for esophageal cancer in multiple
disciplinary team by the nutrition management system can significantly improve the patients nutritional status and quality of life reduce the
hospitalization expenses decrease the incidence of related complications. It has good cost-effectiveness ratio and economic value.
1顾思扬, 1 陈志明, 2 季栋梁, 1 钱 燕. 营养管理系统下多学科团队对食管癌放化疗中患者营养的管理成效
[J]. 肿瘤代谢与营养电子杂志, 2022, 9(4): 496-501.
1Gu Siyang, 1Chen Zhiming, 2 Ji Dongliang, 1Qian Yan. Effect evaluation of nutrition management during radiotherapy and chemotherapy for esophageal cancer in multiple disciplinary team by the nutrition management system. Electron J Metab Nutr Cancer, 2022, 9(4): 496-501.
