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| Construction of evidence-based clinical management sensitive indicators for cancer nutrition |
| 1Zhang Ting ，2Yang Qing ，3Yan Hongyan ，2Jiang Qinghua ，4Wang Guorong ，5Tang Xiaoli |
| 1Department of Gynecology Sichuan Cancer Hospital & Institute Sichuan Cancer Center Cancer Hospital Affiliate to UEST Chengdu
610041 Sichuan China
2Department of Nursing Sichuan Cancer Hospital & Institute Sichuan Cancer Center Cancer Hospital
Affiliate to UEST Chengdu 610041 Sichuan China
3
School of Medicine University of Electronic Science and Technology of China
Chengdu 610041 Sichuan China
4Nursing Research Office Sichuan Cancer Hospital & Institute Sichuan Cancer Center Cancer
Hospital Affiliate to School of Medicine UEST Chengdu 610041 Sichuan China
5Department of VIP Section Sichuan Cancer
Hospital & Institute Sichuan Cancer Center Cancer Hospital Affiliate to UEST Chengdu 610041 Sichuan China |
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Abstract Objective To construct a scientific and objective clinical management sensitive indicators for cancer nutrition in order
to provide references for evaluating and monitoring the quality of care in cancer nutrition therapy. Method The structure-processoutcome model was used as the theoretical framework. Constructing a search strategy and searching for evidence. Literature screening
and data extraction were conducted according to the inclusion and exclusion criteria by two researchers independently. Level of
evidence and methodological quality were evaluated using relevant tools. The preliminary draft of clinical management sensitive
indicators for cancer nutrition was formed based on evidence. 14 experts from 9 grade A tertiary hospitals in Beijing Shanghai
Guangzhou Chongqing and Sichuan in China was consulted by Delphi method. To test the reliability and representativeness of expert
consultation indicators such as expert positive coefficient authority coefficient variation coefficient and coordination coefficient were
used. The analytic hierarchy process was used to determine the weight of indicators at all levels. Result The effective recovery rates of
the 2 rounds of expert consultations were 100% and 92. 8% respectively. In the two rounds the expert authority coefficients were
0. 946 and 0. 979 the coefficients of variation were 0. 135 and 0. 084 and the Kendall harmony coefficients were 0. 241 P<0. 01
and 0. 284 P<0. 01 respectively. The final sensitive indicators included 7 structural indicators 20 process indicators and 4 outcome
indicators. Conclusion The clinical management sensitive indicators for cancer nutrition is scientific and reliable which was helpful to
improving the clinical quality in cancer nutrition.
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Received: 20 August 2022
2023-03-03
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Cui Jiuwei， Zhuo Wenlei， Huang Lan， Xu Chuan， Sun Xuejun， Liu Yudi， Tian Huimin， Liang Tingting， Chen Ping， Chen Bo， Liu Qiuyan， Ying Jie’er， Li Ningning， Zhang Anping， Yu Yang， Zhou Zhifeng， Wu Xiufe. Guideline on cancer immunonutrition[J]. Electron J Metab Nutr Cancer, 2020, 7(2): 160-168. |
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