[Crossed perceptions about malnutrition in patients and their doctors in oncology].
Identifieur interne : 000A75 ( Main/Exploration ); précédent : 000A74; suivant : 000A76[Crossed perceptions about malnutrition in patients and their doctors in oncology].
Auteurs : Bruno Raynard [France] ; Xavier Hébuterne [France] ; François Goldwasser [France] ; Ali Ait Hssain [France] ; Pascale Dubray Longeras [France] ; Philippe Barthélémy [France] ; Edoardo Rosso [France] ; Valérie Phoutthasang [France] ; Camille Bories [France] ; Laurence Digue [France] ; David Laharie [France] ; Jean-Claude Desport [France] ; Sabrina Falkowski [France] ; Jean Lacau Saint Guily [France] ; Emmanuel Gyan [France]Source :
- Bulletin du cancer [ 1769-6917 ] ; 2017.
Descripteurs français
- KwdFr :
- Attitude du personnel soignant (MeSH), Attitude envers la santé (MeSH), Besoins et demandes de services de santé (MeSH), Enquêtes sur les soins de santé (MeSH), Fatigue (étiologie), Formation médicale continue comme sujet (MeSH), France (MeSH), Humains (MeSH), Malnutrition (diétothérapie), Malnutrition (psychologie), Malnutrition (étiologie), Médecins (psychologie), Oncologie médicale (MeSH), Patients (psychologie), Qualité de vie (MeSH), Relations médecin-patient (MeSH), Sciences de la nutrition (enseignement et éducation), Soutien nutritionnel (MeSH), Tumeurs (complications), Tumeurs (métabolisme).
- MESH :
- diétothérapie : Malnutrition.
- enseignement et éducation : Sciences de la nutrition.
- métabolisme : Tumeurs.
- psychologie : Malnutrition, Médecins, Patients.
- étiologie : Fatigue, Malnutrition.
- complications : Attitude du personnel soignant, Attitude envers la santé, Besoins et demandes de services de santé, Enquêtes sur les soins de santé, Formation médicale continue comme sujet, France, Humains, Oncologie médicale, Qualité de vie, Relations médecin-patient, Soutien nutritionnel, Tumeurs.
English descriptors
- KwdEn :
- Attitude of Health Personnel (MeSH), Attitude to Health (MeSH), Education, Medical, Continuing (MeSH), Fatigue (etiology), France (MeSH), Health Care Surveys (MeSH), Health Services Needs and Demand (MeSH), Humans (MeSH), Malnutrition (diet therapy), Malnutrition (etiology), Malnutrition (psychology), Medical Oncology (MeSH), Neoplasms (complications), Neoplasms (metabolism), Nutritional Sciences (education), Nutritional Support (MeSH), Patients (psychology), Physician-Patient Relations (MeSH), Physicians (psychology), Quality of Life (MeSH).
- MESH :
- complications : Neoplasms.
- diet therapy : Malnutrition.
- education : Nutritional Sciences.
- etiology : Fatigue, Malnutrition.
- metabolism : Neoplasms.
- psychology : Malnutrition, Patients, Physicians.
- Attitude of Health Personnel, Attitude to Health, Education, Medical, Continuing, France, Health Care Surveys, Health Services Needs and Demand, Humans, Medical Oncology, Nutritional Support, Physician-Patient Relations, Quality of Life.
Abstract
Malnutrition is common in oncology. However, it is often detected too late and nutritional support is sub-optimal. The patient's opinion, although often sought in therapeutic decisions in oncology, does not appear to be frequently taken into account in dietetic management. In NutriCancer2012 study, we interviewed patients, relatives and doctors about their perceptions of the impact of malnutrition and its quality of care. Of the 2209 patients questioned, majority said they were concerned about nutrition with 75% considering it essential to take appropriate nutritional care but only 19% self-reported link between malnutrition and fatigue. Physicians underestimated impact of malnutrition on patient's "quality of life". Doctors referred to the lack of human resources and knowledge in nutrition, and more than 80% wished the creation of nutrition teams. Sensitization of the general public and patients (and relatives) as soon as the cancer diagnosis could lead to better malnutrition's screening. Better nutrition training for physicians and creation of nutrition team could optimize management and improve efficacy during cancer treatments.
DOI: 10.1016/j.bulcan.2017.09.014
PubMed: 29128080
Affiliations:
- France
- Alsace (région administrative), Aquitaine, Auvergne (région administrative), Auvergne-Rhône-Alpes, Centre-Val de Loire, Grand Est, Languedoc-Roussillon, Limousin, Nouvelle-Aquitaine, Occitanie (région administrative), Provence-Alpes-Côte d'Azur, Région Centre, Île-de-France
- Bordeaux, Clermont-Ferrand, Limoges, Nice, Nîmes, Paris, Pessac, Strasbourg, Tours, Villejuif
Links toward previous steps (curation, corpus...)
Le document en format XML
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France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Centre Jean-Perrin, service d'oncologie médicale, 58, rue Montalembert, 63011 Clermont-Ferrand</wicri:regionArea><placeName><region type="region" nuts="2">Auvergne-Rhône-Alpes</region><region type="old region" nuts="2">Auvergne (région administrative)</region><settlement type="city">Clermont-Ferrand</settlement></placeName></affiliation></author><author><name sortKey="Barthelemy, Philippe" sort="Barthelemy, Philippe" uniqKey="Barthelemy P" first="Philippe" last="Barthélémy">Philippe Barthélémy</name><affiliation wicri:level="3"><nlm:affiliation>Hôpitaux universitaires de Strasbourg, pôle d'hématologie et d'oncologie médicale, 1, avenue Molière, 67200 Strasbourg, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Hôpitaux universitaires de Strasbourg, pôle d'hématologie et d'oncologie médicale, 1, avenue Molière, 67200 Strasbourg</wicri:regionArea><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Alsace (région administrative)</region><settlement type="city">Strasbourg</settlement></placeName></affiliation></author><author><name sortKey="Rosso, Edoardo" sort="Rosso, Edoardo" uniqKey="Rosso E" first="Edoardo" last="Rosso">Edoardo Rosso</name><affiliation wicri:level="3"><nlm:affiliation>Hôpitaux universitaires de Strasbourg, chirurgie générale, hépatique et endocrinienne, 1, avenue Molière, 67200 Strasbourg, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Hôpitaux universitaires de Strasbourg, chirurgie générale, hépatique et endocrinienne, 1, avenue Molière, 67200 Strasbourg</wicri:regionArea><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Alsace (région administrative)</region><settlement type="city">Strasbourg</settlement></placeName></affiliation></author><author><name sortKey="Phoutthasang, Valerie" sort="Phoutthasang, Valerie" uniqKey="Phoutthasang V" first="Valérie" last="Phoutthasang">Valérie Phoutthasang</name><affiliation wicri:level="3"><nlm:affiliation>Hôpital Carémeau, service d'hépato-gastro-entérologie, unité transversale de nutrition clinique, place du Pr R.-Debré, 30029 Nîmes, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Hôpital Carémeau, service d'hépato-gastro-entérologie, unité transversale de nutrition clinique, place du Pr R.-Debré, 30029 Nîmes</wicri:regionArea><placeName><region type="region" nuts="2">Occitanie (région administrative)</region><region type="old region" nuts="2">Languedoc-Roussillon</region><settlement type="city">Nîmes</settlement></placeName></affiliation></author><author><name sortKey="Bories, Camille" sort="Bories, Camille" uniqKey="Bories C" first="Camille" last="Bories">Camille Bories</name><affiliation wicri:level="3"><nlm:affiliation>Hôpital Carémeau, service d'hépato-gastro-entérologie, unité transversale de nutrition clinique, place du Pr R.-Debré, 30029 Nîmes, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Hôpital Carémeau, service d'hépato-gastro-entérologie, unité transversale de nutrition clinique, place du Pr R.-Debré, 30029 Nîmes</wicri:regionArea><placeName><region type="region" nuts="2">Occitanie (région administrative)</region><region type="old region" nuts="2">Languedoc-Roussillon</region><settlement type="city">Nîmes</settlement></placeName></affiliation></author><author><name sortKey="Digue, Laurence" sort="Digue, Laurence" uniqKey="Digue L" first="Laurence" last="Digue">Laurence Digue</name><affiliation wicri:level="3"><nlm:affiliation>CHU Saint-André, service d'oncologie médicale, 1, rue Jean-Burguet, 33000 Bordeaux, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>CHU Saint-André, service d'oncologie médicale, 1, rue Jean-Burguet, 33000 Bordeaux</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName></affiliation></author><author><name sortKey="Laharie, David" sort="Laharie, David" uniqKey="Laharie D" first="David" last="Laharie">David Laharie</name><affiliation wicri:level="3"><nlm:affiliation>CHU de Bordeaux, GH Sud, hôpital Haut-Lévêque, service d'hépato-gastro-entérologie et oncologie digestive, avenue de Magellan, 33604 Pessac, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>CHU de Bordeaux, GH Sud, hôpital Haut-Lévêque, service d'hépato-gastro-entérologie et oncologie digestive, avenue de Magellan, 33604 Pessac</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Aquitaine</region><settlement type="city">Pessac</settlement></placeName></affiliation></author><author><name sortKey="Desport, Jean Claude" sort="Desport, Jean Claude" uniqKey="Desport J" first="Jean-Claude" last="Desport">Jean-Claude Desport</name><affiliation wicri:level="3"><nlm:affiliation>CHU Limoges, hôpital Dupuytren, unité de nutrition, centre de spécialité de l'obésité, centre expert de nutrition parentérale à domicile, 2, avenue Martin-Luther-King, 87042 Limoges, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>CHU Limoges, hôpital Dupuytren, unité de nutrition, centre de spécialité de l'obésité, centre expert de nutrition parentérale à domicile, 2, avenue Martin-Luther-King, 87042 Limoges</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Limousin</region><settlement type="city">Limoges</settlement></placeName></affiliation></author><author><name sortKey="Falkowski, Sabrina" sort="Falkowski, Sabrina" uniqKey="Falkowski S" first="Sabrina" last="Falkowski">Sabrina Falkowski</name><affiliation wicri:level="3"><nlm:affiliation>CHU de Limoges, hôpital Dupuytren, service d'oncologie médicale, 2, avenue Martin-Luther-King, 87042 Limoges, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>CHU de Limoges, hôpital Dupuytren, service d'oncologie médicale, 2, avenue Martin-Luther-King, 87042 Limoges</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Limousin</region><settlement type="city">Limoges</settlement></placeName></affiliation></author><author><name sortKey="Lacau Saint Guily, Jean" sort="Lacau Saint Guily, Jean" uniqKey="Lacau Saint Guily J" first="Jean" last="Lacau Saint Guily">Jean Lacau Saint Guily</name><affiliation wicri:level="3"><nlm:affiliation>AP-HP, hôpital Tenon, service d'ORL et chirurgie cervico-faciale, 4, rue de la Chine, 75020 Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>AP-HP, hôpital Tenon, service d'ORL et chirurgie cervico-faciale, 4, rue de la Chine, 75020 Paris</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Gyan, Emmanuel" sort="Gyan, Emmanuel" uniqKey="Gyan E" first="Emmanuel" last="Gyan">Emmanuel Gyan</name><affiliation wicri:level="3"><nlm:affiliation>CHRU de Tours, hôpital Bretonneau, service de cancérologie, 2, boulevard Tonnellé, 37044 Tours, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>CHRU de Tours, hôpital Bretonneau, service de cancérologie, 2, boulevard Tonnellé, 37044 Tours</wicri:regionArea><placeName><region type="region" nuts="2">Centre-Val de Loire</region><region type="old region" nuts="2">Région Centre</region><settlement type="city">Tours</settlement></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:29128080</idno><idno type="pmid">29128080</idno><idno type="doi">10.1016/j.bulcan.2017.09.014</idno><idno type="wicri:Area/Main/Corpus">000992</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000992</idno><idno type="wicri:Area/Main/Curation">000992</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000992</idno><idno type="wicri:Area/Main/Exploration">000992</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">[Crossed perceptions about malnutrition in patients and their doctors in oncology].</title><author><name sortKey="Raynard, Bruno" sort="Raynard, Bruno" uniqKey="Raynard B" first="Bruno" last="Raynard">Bruno Raynard</name><affiliation wicri:level="3"><nlm:affiliation>Centre Gustave-Roussy, unité transversale de diététique et de nutrition, département des soins de support, 114, rue Edouard-Vaillant, 94805 Villejuif, France. Electronic address: bruno.raynard@gustaveroussy.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Centre Gustave-Roussy, unité transversale de diététique et de nutrition, département des soins de support, 114, rue Edouard-Vaillant, 94805 Villejuif</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Villejuif</settlement></placeName></affiliation></author><author><name sortKey="Hebuterne, Xavier" sort="Hebuterne, Xavier" uniqKey="Hebuterne X" first="Xavier" last="Hébuterne">Xavier Hébuterne</name><affiliation wicri:level="3"><nlm:affiliation>Hôpital de l'Archet, service de gastro-entérologie et nutrition, fédération d'hépato-gastro-entérologie et de nutrition clinique, 151, route Saint-Antoine-de-Ginestière, 06202 Nice, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Hôpital de l'Archet, service de gastro-entérologie et nutrition, fédération d'hépato-gastro-entérologie et de nutrition clinique, 151, route Saint-Antoine-de-Ginestière, 06202 Nice</wicri:regionArea><placeName><region type="region" nuts="2">Provence-Alpes-Côte d'Azur</region><settlement type="city">Nice</settlement></placeName></affiliation></author><author><name sortKey="Goldwasser, Francois" sort="Goldwasser, Francois" uniqKey="Goldwasser F" first="François" last="Goldwasser">François Goldwasser</name><affiliation wicri:level="3"><nlm:affiliation>AP-HP, hôpital Cochin, service de cancérologie, 123, boulevard Port-Royal, 75014 Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>AP-HP, hôpital Cochin, service de cancérologie, 123, boulevard Port-Royal, 75014 Paris</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Ait Hssain, Ali" sort="Ait Hssain, Ali" uniqKey="Ait Hssain A" first="Ali" last="Ait Hssain">Ali Ait Hssain</name><affiliation wicri:level="3"><nlm:affiliation>Centre hospitalier universitaire Gabriel-Montpied, service d'anesthésie-réanimation, 58, rue Montalembert, 63000 Clermont-Ferrand, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Centre hospitalier universitaire Gabriel-Montpied, service d'anesthésie-réanimation, 58, rue Montalembert, 63000 Clermont-Ferrand</wicri:regionArea><placeName><region type="region" nuts="2">Auvergne-Rhône-Alpes</region><region type="old region" nuts="2">Auvergne (région administrative)</region><settlement type="city">Clermont-Ferrand</settlement></placeName></affiliation></author><author><name sortKey="Dubray Longeras, Pascale" sort="Dubray Longeras, Pascale" uniqKey="Dubray Longeras P" first="Pascale" last="Dubray Longeras">Pascale Dubray Longeras</name><affiliation wicri:level="3"><nlm:affiliation>Centre Jean-Perrin, service d'oncologie médicale, 58, rue Montalembert, 63011 Clermont-Ferrand, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Centre Jean-Perrin, service d'oncologie médicale, 58, rue Montalembert, 63011 Clermont-Ferrand</wicri:regionArea><placeName><region type="region" nuts="2">Auvergne-Rhône-Alpes</region><region type="old region" nuts="2">Auvergne (région administrative)</region><settlement type="city">Clermont-Ferrand</settlement></placeName></affiliation></author><author><name sortKey="Barthelemy, Philippe" sort="Barthelemy, Philippe" uniqKey="Barthelemy P" first="Philippe" last="Barthélémy">Philippe Barthélémy</name><affiliation wicri:level="3"><nlm:affiliation>Hôpitaux universitaires de Strasbourg, pôle d'hématologie et d'oncologie médicale, 1, avenue Molière, 67200 Strasbourg, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Hôpitaux universitaires de Strasbourg, pôle d'hématologie et d'oncologie médicale, 1, avenue Molière, 67200 Strasbourg</wicri:regionArea><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Alsace (région administrative)</region><settlement type="city">Strasbourg</settlement></placeName></affiliation></author><author><name sortKey="Rosso, Edoardo" sort="Rosso, Edoardo" uniqKey="Rosso E" first="Edoardo" last="Rosso">Edoardo Rosso</name><affiliation wicri:level="3"><nlm:affiliation>Hôpitaux universitaires de Strasbourg, chirurgie générale, hépatique et endocrinienne, 1, avenue Molière, 67200 Strasbourg, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Hôpitaux universitaires de Strasbourg, chirurgie générale, hépatique et endocrinienne, 1, avenue Molière, 67200 Strasbourg</wicri:regionArea><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Alsace (région administrative)</region><settlement type="city">Strasbourg</settlement></placeName></affiliation></author><author><name sortKey="Phoutthasang, Valerie" sort="Phoutthasang, Valerie" uniqKey="Phoutthasang V" first="Valérie" last="Phoutthasang">Valérie Phoutthasang</name><affiliation wicri:level="3"><nlm:affiliation>Hôpital Carémeau, service d'hépato-gastro-entérologie, unité transversale de nutrition clinique, place du Pr R.-Debré, 30029 Nîmes, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Hôpital Carémeau, service d'hépato-gastro-entérologie, unité transversale de nutrition clinique, place du Pr R.-Debré, 30029 Nîmes</wicri:regionArea><placeName><region type="region" nuts="2">Occitanie (région administrative)</region><region type="old region" nuts="2">Languedoc-Roussillon</region><settlement type="city">Nîmes</settlement></placeName></affiliation></author><author><name sortKey="Bories, Camille" sort="Bories, Camille" uniqKey="Bories C" first="Camille" last="Bories">Camille Bories</name><affiliation wicri:level="3"><nlm:affiliation>Hôpital Carémeau, service d'hépato-gastro-entérologie, unité transversale de nutrition clinique, place du Pr R.-Debré, 30029 Nîmes, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Hôpital Carémeau, service d'hépato-gastro-entérologie, unité transversale de nutrition clinique, place du Pr R.-Debré, 30029 Nîmes</wicri:regionArea><placeName><region type="region" nuts="2">Occitanie (région administrative)</region><region type="old region" nuts="2">Languedoc-Roussillon</region><settlement type="city">Nîmes</settlement></placeName></affiliation></author><author><name sortKey="Digue, Laurence" sort="Digue, Laurence" uniqKey="Digue L" first="Laurence" last="Digue">Laurence Digue</name><affiliation wicri:level="3"><nlm:affiliation>CHU Saint-André, service d'oncologie médicale, 1, rue Jean-Burguet, 33000 Bordeaux, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>CHU Saint-André, service d'oncologie médicale, 1, rue Jean-Burguet, 33000 Bordeaux</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName></affiliation></author><author><name sortKey="Laharie, David" sort="Laharie, David" uniqKey="Laharie D" first="David" last="Laharie">David Laharie</name><affiliation wicri:level="3"><nlm:affiliation>CHU de Bordeaux, GH Sud, hôpital Haut-Lévêque, service d'hépato-gastro-entérologie et oncologie digestive, avenue de Magellan, 33604 Pessac, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>CHU de Bordeaux, GH Sud, hôpital Haut-Lévêque, service d'hépato-gastro-entérologie et oncologie digestive, avenue de Magellan, 33604 Pessac</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Aquitaine</region><settlement type="city">Pessac</settlement></placeName></affiliation></author><author><name sortKey="Desport, Jean Claude" sort="Desport, Jean Claude" uniqKey="Desport J" first="Jean-Claude" last="Desport">Jean-Claude Desport</name><affiliation wicri:level="3"><nlm:affiliation>CHU Limoges, hôpital Dupuytren, unité de nutrition, centre de spécialité de l'obésité, centre expert de nutrition parentérale à domicile, 2, avenue Martin-Luther-King, 87042 Limoges, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>CHU Limoges, hôpital Dupuytren, unité de nutrition, centre de spécialité de l'obésité, centre expert de nutrition parentérale à domicile, 2, avenue Martin-Luther-King, 87042 Limoges</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Limousin</region><settlement type="city">Limoges</settlement></placeName></affiliation></author><author><name sortKey="Falkowski, Sabrina" sort="Falkowski, Sabrina" uniqKey="Falkowski S" first="Sabrina" last="Falkowski">Sabrina Falkowski</name><affiliation wicri:level="3"><nlm:affiliation>CHU de Limoges, hôpital Dupuytren, service d'oncologie médicale, 2, avenue Martin-Luther-King, 87042 Limoges, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>CHU de Limoges, hôpital Dupuytren, service d'oncologie médicale, 2, avenue Martin-Luther-King, 87042 Limoges</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Limousin</region><settlement type="city">Limoges</settlement></placeName></affiliation></author><author><name sortKey="Lacau Saint Guily, Jean" sort="Lacau Saint Guily, Jean" uniqKey="Lacau Saint Guily J" first="Jean" last="Lacau Saint Guily">Jean Lacau Saint Guily</name><affiliation wicri:level="3"><nlm:affiliation>AP-HP, hôpital Tenon, service d'ORL et chirurgie cervico-faciale, 4, rue de la Chine, 75020 Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>AP-HP, hôpital Tenon, service d'ORL et chirurgie cervico-faciale, 4, rue de la Chine, 75020 Paris</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Gyan, Emmanuel" sort="Gyan, Emmanuel" uniqKey="Gyan E" first="Emmanuel" last="Gyan">Emmanuel Gyan</name><affiliation wicri:level="3"><nlm:affiliation>CHRU de Tours, hôpital Bretonneau, service de cancérologie, 2, boulevard Tonnellé, 37044 Tours, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>CHRU de Tours, hôpital Bretonneau, service de cancérologie, 2, boulevard Tonnellé, 37044 Tours</wicri:regionArea><placeName><region type="region" nuts="2">Centre-Val de Loire</region><region type="old region" nuts="2">Région Centre</region><settlement type="city">Tours</settlement></placeName></affiliation></author></analytic><series><title level="j">Bulletin du cancer</title><idno type="eISSN">1769-6917</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Attitude of Health Personnel (MeSH)</term><term>Attitude to Health (MeSH)</term><term>Education, Medical, Continuing (MeSH)</term><term>Fatigue (etiology)</term><term>France (MeSH)</term><term>Health Care Surveys (MeSH)</term><term>Health Services Needs and Demand (MeSH)</term><term>Humans (MeSH)</term><term>Malnutrition (diet therapy)</term><term>Malnutrition (etiology)</term><term>Malnutrition (psychology)</term><term>Medical Oncology (MeSH)</term><term>Neoplasms (complications)</term><term>Neoplasms (metabolism)</term><term>Nutritional Sciences (education)</term><term>Nutritional Support (MeSH)</term><term>Patients (psychology)</term><term>Physician-Patient Relations (MeSH)</term><term>Physicians (psychology)</term><term>Quality of Life (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Attitude du personnel soignant (MeSH)</term><term>Attitude envers la santé (MeSH)</term><term>Besoins et demandes de services de santé (MeSH)</term><term>Enquêtes sur les soins de santé (MeSH)</term><term>Fatigue (étiologie)</term><term>Formation médicale continue comme sujet (MeSH)</term><term>France (MeSH)</term><term>Humains (MeSH)</term><term>Malnutrition (diétothérapie)</term><term>Malnutrition (psychologie)</term><term>Malnutrition (étiologie)</term><term>Médecins (psychologie)</term><term>Oncologie médicale (MeSH)</term><term>Patients (psychologie)</term><term>Qualité de vie (MeSH)</term><term>Relations médecin-patient (MeSH)</term><term>Sciences de la nutrition (enseignement et éducation)</term><term>Soutien nutritionnel (MeSH)</term><term>Tumeurs (complications)</term><term>Tumeurs (métabolisme)</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Neoplasms</term></keywords><keywords scheme="MESH" qualifier="diet therapy" xml:lang="en"><term>Malnutrition</term></keywords><keywords scheme="MESH" qualifier="diétothérapie" xml:lang="fr"><term>Malnutrition</term></keywords><keywords scheme="MESH" qualifier="education" xml:lang="en"><term>Nutritional Sciences</term></keywords><keywords scheme="MESH" qualifier="enseignement et éducation" xml:lang="fr"><term>Sciences de la nutrition</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Fatigue</term><term>Malnutrition</term></keywords><keywords scheme="MESH" qualifier="metabolism" xml:lang="en"><term>Neoplasms</term></keywords><keywords scheme="MESH" qualifier="métabolisme" xml:lang="fr"><term>Tumeurs</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Malnutrition</term><term>Médecins</term><term>Patients</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Malnutrition</term><term>Patients</term><term>Physicians</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Fatigue</term><term>Malnutrition</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Attitude of Health Personnel</term><term>Attitude to Health</term><term>Education, Medical, Continuing</term><term>France</term><term>Health Care Surveys</term><term>Health Services Needs and Demand</term><term>Humans</term><term>Medical Oncology</term><term>Nutritional Support</term><term>Physician-Patient Relations</term><term>Quality of Life</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="fr"><term>Attitude du personnel soignant</term><term>Attitude envers la santé</term><term>Besoins et demandes de services de santé</term><term>Enquêtes sur les soins de santé</term><term>Formation médicale continue comme sujet</term><term>France</term><term>Humains</term><term>Oncologie médicale</term><term>Qualité de vie</term><term>Relations médecin-patient</term><term>Soutien nutritionnel</term><term>Tumeurs</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Malnutrition is common in oncology. However, it is often detected too late and nutritional support is sub-optimal. The patient's opinion, although often sought in therapeutic decisions in oncology, does not appear to be frequently taken into account in dietetic management. In NutriCancer2012 study, we interviewed patients, relatives and doctors about their perceptions of the impact of malnutrition and its quality of care. Of the 2209 patients questioned, majority said they were concerned about nutrition with 75% considering it essential to take appropriate nutritional care but only 19% self-reported link between malnutrition and fatigue. Physicians underestimated impact of malnutrition on patient's "quality of life". Doctors referred to the lack of human resources and knowledge in nutrition, and more than 80% wished the creation of nutrition teams. Sensitization of the general public and patients (and relatives) as soon as the cancer diagnosis could lead to better malnutrition's screening. Better nutrition training for physicians and creation of nutrition team could optimize management and improve efficacy during cancer treatments.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">29128080</PMID><DateCompleted><Year>2017</Year><Month>12</Month><Day>12</Day></DateCompleted><DateRevised><Year>2017</Year><Month>12</Month><Day>12</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1769-6917</ISSN><JournalIssue CitedMedium="Internet"><Volume>104</Volume><Issue>11</Issue><PubDate><Year>2017</Year><Month>Nov</Month></PubDate></JournalIssue><Title>Bulletin du cancer</Title><ISOAbbreviation>Bull Cancer</ISOAbbreviation></Journal><ArticleTitle>[Crossed perceptions about malnutrition in patients and their doctors in oncology].</ArticleTitle><Pagination><MedlinePgn>921-928</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S0007-4551(17)30265-5</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.bulcan.2017.09.014</ELocationID><Abstract><AbstractText>Malnutrition is common in oncology. However, it is often detected too late and nutritional support is sub-optimal. The patient's opinion, although often sought in therapeutic decisions in oncology, does not appear to be frequently taken into account in dietetic management. In NutriCancer2012 study, we interviewed patients, relatives and doctors about their perceptions of the impact of malnutrition and its quality of care. Of the 2209 patients questioned, majority said they were concerned about nutrition with 75% considering it essential to take appropriate nutritional care but only 19% self-reported link between malnutrition and fatigue. Physicians underestimated impact of malnutrition on patient's "quality of life". Doctors referred to the lack of human resources and knowledge in nutrition, and more than 80% wished the creation of nutrition teams. Sensitization of the general public and patients (and relatives) as soon as the cancer diagnosis could lead to better malnutrition's screening. Better nutrition training for physicians and creation of nutrition team could optimize management and improve efficacy during cancer treatments.</AbstractText><CopyrightInformation>Copyright © 2017 Société Française du Cancer. Published by Elsevier Masson SAS. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Raynard</LastName><ForeName>Bruno</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Centre Gustave-Roussy, unité transversale de diététique et de nutrition, département des soins de support, 114, rue Edouard-Vaillant, 94805 Villejuif, France. Electronic address: bruno.raynard@gustaveroussy.fr.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hébuterne</LastName><ForeName>Xavier</ForeName><Initials>X</Initials><AffiliationInfo><Affiliation>Hôpital de l'Archet, service de gastro-entérologie et nutrition, fédération d'hépato-gastro-entérologie et de nutrition clinique, 151, route Saint-Antoine-de-Ginestière, 06202 Nice, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Goldwasser</LastName><ForeName>François</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>AP-HP, hôpital Cochin, service de cancérologie, 123, boulevard Port-Royal, 75014 Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ait Hssain</LastName><ForeName>Ali</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Centre hospitalier universitaire Gabriel-Montpied, service d'anesthésie-réanimation, 58, rue Montalembert, 63000 Clermont-Ferrand, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dubray Longeras</LastName><ForeName>Pascale</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Centre Jean-Perrin, service d'oncologie médicale, 58, rue Montalembert, 63011 Clermont-Ferrand, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Barthélémy</LastName><ForeName>Philippe</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Hôpitaux universitaires de Strasbourg, pôle d'hématologie et d'oncologie médicale, 1, avenue Molière, 67200 Strasbourg, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rosso</LastName><ForeName>Edoardo</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Hôpitaux universitaires de Strasbourg, chirurgie générale, hépatique et endocrinienne, 1, avenue Molière, 67200 Strasbourg, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Phoutthasang</LastName><ForeName>Valérie</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>Hôpital Carémeau, service d'hépato-gastro-entérologie, unité transversale de nutrition clinique, place du Pr R.-Debré, 30029 Nîmes, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bories</LastName><ForeName>Camille</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Hôpital Carémeau, service d'hépato-gastro-entérologie, unité transversale de nutrition clinique, place du Pr R.-Debré, 30029 Nîmes, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Digue</LastName><ForeName>Laurence</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>CHU Saint-André, service d'oncologie médicale, 1, rue Jean-Burguet, 33000 Bordeaux, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Laharie</LastName><ForeName>David</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>CHU de Bordeaux, GH Sud, hôpital Haut-Lévêque, service d'hépato-gastro-entérologie et oncologie digestive, avenue de Magellan, 33604 Pessac, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Desport</LastName><ForeName>Jean-Claude</ForeName><Initials>JC</Initials><AffiliationInfo><Affiliation>CHU Limoges, hôpital Dupuytren, unité de nutrition, centre de spécialité de l'obésité, centre expert de nutrition parentérale à domicile, 2, avenue Martin-Luther-King, 87042 Limoges, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Falkowski</LastName><ForeName>Sabrina</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>CHU de Limoges, hôpital Dupuytren, service d'oncologie médicale, 2, avenue Martin-Luther-King, 87042 Limoges, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lacau Saint Guily</LastName><ForeName>Jean</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>AP-HP, hôpital Tenon, service d'ORL et chirurgie cervico-faciale, 4, rue de la Chine, 75020 Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gyan</LastName><ForeName>Emmanuel</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>CHRU de Tours, hôpital Bretonneau, service de cancérologie, 2, boulevard Tonnellé, 37044 Tours, France.</Affiliation></AffiliationInfo></Author></AuthorList><Language>fre</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><VernacularTitle>Représentations croisées sur l’alimentation et la dénutrition chez les patients atteints de cancer : résultats de l’étude NutriCancer2012.</VernacularTitle><ArticleDate DateType="Electronic"><Year>2017</Year><Month>11</Month><Day>08</Day></ArticleDate></Article><MedlineJournalInfo><Country>France</Country><MedlineTA>Bull Cancer</MedlineTA><NlmUniqueID>0072416</NlmUniqueID><ISSNLinking>0007-4551</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D001291" MajorTopicYN="N">Attitude of Health Personnel</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001294" MajorTopicYN="N">Attitude to Health</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004502" MajorTopicYN="N">Education, Medical, Continuing</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005221" MajorTopicYN="N">Fatigue</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005602" MajorTopicYN="N">France</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019538" MajorTopicYN="N">Health Care Surveys</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006301" MajorTopicYN="N">Health Services Needs and Demand</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D044342" MajorTopicYN="N">Malnutrition</DescriptorName><QualifierName UI="Q000178" MajorTopicYN="N">diet therapy</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008495" MajorTopicYN="Y">Medical Oncology</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009369" MajorTopicYN="N">Neoplasms</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName><QualifierName UI="Q000378" MajorTopicYN="N">metabolism</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D052756" MajorTopicYN="N">Nutritional Sciences</DescriptorName><QualifierName UI="Q000193" MajorTopicYN="N">education</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D018529" MajorTopicYN="N">Nutritional Support</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010361" MajorTopicYN="N">Patients</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010817" MajorTopicYN="N">Physician-Patient Relations</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010820" MajorTopicYN="N">Physicians</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011788" MajorTopicYN="N">Quality of Life</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Doctors</Keyword><Keyword MajorTopicYN="N">Médecins</Keyword><Keyword MajorTopicYN="N">Nutritional support</Keyword><Keyword MajorTopicYN="N">Proches</Keyword><Keyword MajorTopicYN="N">Quality of life</Keyword><Keyword MajorTopicYN="N">Qualité de vie</Keyword><Keyword MajorTopicYN="N">Relatives</Keyword><Keyword MajorTopicYN="N">Support nutritionnel</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2017</Year><Month>07</Month><Day>15</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2017</Year><Month>09</Month><Day>08</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2017</Year><Month>09</Month><Day>14</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>11</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>12</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>11</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">29128080</ArticleId><ArticleId IdType="pii">S0007-4551(17)30265-5</ArticleId><ArticleId IdType="doi">10.1016/j.bulcan.2017.09.014</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>France</li></country><region><li>Alsace (région administrative)</li><li>Aquitaine</li><li>Auvergne (région administrative)</li><li>Auvergne-Rhône-Alpes</li><li>Centre-Val de Loire</li><li>Grand Est</li><li>Languedoc-Roussillon</li><li>Limousin</li><li>Nouvelle-Aquitaine</li><li>Occitanie (région administrative)</li><li>Provence-Alpes-Côte d'Azur</li><li>Région Centre</li><li>Île-de-France</li></region><settlement><li>Bordeaux</li><li>Clermont-Ferrand</li><li>Limoges</li><li>Nice</li><li>Nîmes</li><li>Paris</li><li>Pessac</li><li>Strasbourg</li><li>Tours</li><li>Villejuif</li></settlement></list><tree><country name="France"><region name="Île-de-France"><name sortKey="Raynard, Bruno" sort="Raynard, Bruno" uniqKey="Raynard B" first="Bruno" last="Raynard">Bruno Raynard</name></region><name sortKey="Ait Hssain, Ali" sort="Ait Hssain, Ali" uniqKey="Ait Hssain A" first="Ali" last="Ait Hssain">Ali Ait Hssain</name><name sortKey="Barthelemy, Philippe" sort="Barthelemy, Philippe" uniqKey="Barthelemy P" first="Philippe" last="Barthélémy">Philippe Barthélémy</name><name sortKey="Bories, Camille" sort="Bories, Camille" uniqKey="Bories C" first="Camille" last="Bories">Camille Bories</name><name sortKey="Desport, Jean Claude" sort="Desport, Jean Claude" uniqKey="Desport J" first="Jean-Claude" last="Desport">Jean-Claude Desport</name><name sortKey="Digue, Laurence" sort="Digue, Laurence" uniqKey="Digue L" first="Laurence" last="Digue">Laurence Digue</name><name sortKey="Dubray Longeras, Pascale" sort="Dubray Longeras, Pascale" uniqKey="Dubray Longeras P" first="Pascale" last="Dubray Longeras">Pascale Dubray Longeras</name><name sortKey="Falkowski, Sabrina" sort="Falkowski, Sabrina" uniqKey="Falkowski S" first="Sabrina" last="Falkowski">Sabrina Falkowski</name><name sortKey="Goldwasser, Francois" sort="Goldwasser, Francois" uniqKey="Goldwasser F" first="François" last="Goldwasser">François Goldwasser</name><name sortKey="Gyan, Emmanuel" sort="Gyan, Emmanuel" uniqKey="Gyan E" first="Emmanuel" last="Gyan">Emmanuel Gyan</name><name sortKey="Hebuterne, Xavier" sort="Hebuterne, Xavier" uniqKey="Hebuterne X" first="Xavier" last="Hébuterne">Xavier Hébuterne</name><name sortKey="Lacau Saint Guily, Jean" sort="Lacau Saint Guily, Jean" uniqKey="Lacau Saint Guily J" first="Jean" last="Lacau Saint Guily">Jean Lacau Saint Guily</name><name sortKey="Laharie, David" sort="Laharie, David" uniqKey="Laharie D" first="David" last="Laharie">David Laharie</name><name sortKey="Phoutthasang, Valerie" sort="Phoutthasang, Valerie" uniqKey="Phoutthasang V" first="Valérie" last="Phoutthasang">Valérie Phoutthasang</name><name sortKey="Rosso, Edoardo" sort="Rosso, Edoardo" uniqKey="Rosso E" first="Edoardo" last="Rosso">Edoardo Rosso</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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