Current Landscape of Nutrition Within Prehabilitation Oncology Research: A Scoping Review
Background: Prehabilitation aims to improve functional capacity prior to cancer treatment to achieve better psychosocial and clinical outcomes. Prehabilitation interventions vary considerably in design and delivery. In order to identify gaps in knowledge and facilitate the design of future studies,...
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Frontiers Media S.A.
2021-04-01
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Series: | Frontiers in Nutrition |
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Online Access: | https://www.frontiersin.org/articles/10.3389/fnut.2021.644723/full |
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doaj-35daf1efb7fd47fa98f5b758321767f5 |
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Article |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Chelsia Gillis Sarah J. Davies Francesco Carli Paul E. Wischmeyer Stephen A. Wootton Stephen A. Wootton Stephen A. Wootton Alan A. Jackson Alan A. Jackson Bernhard Riedel Bernhard Riedel Bernhard Riedel Luise V. Marino Luise V. Marino Luise V. Marino Luise V. Marino Denny Z. H. Levett Denny Z. H. Levett Malcolm A. West Malcolm A. West Malcolm A. West |
spellingShingle |
Chelsia Gillis Sarah J. Davies Francesco Carli Paul E. Wischmeyer Stephen A. Wootton Stephen A. Wootton Stephen A. Wootton Alan A. Jackson Alan A. Jackson Bernhard Riedel Bernhard Riedel Bernhard Riedel Luise V. Marino Luise V. Marino Luise V. Marino Luise V. Marino Denny Z. H. Levett Denny Z. H. Levett Malcolm A. West Malcolm A. West Malcolm A. West Current Landscape of Nutrition Within Prehabilitation Oncology Research: A Scoping Review Frontiers in Nutrition surgical nutrition oncological nutrition pre-operative pre-surgery prehabilitation |
author_facet |
Chelsia Gillis Sarah J. Davies Francesco Carli Paul E. Wischmeyer Stephen A. Wootton Stephen A. Wootton Stephen A. Wootton Alan A. Jackson Alan A. Jackson Bernhard Riedel Bernhard Riedel Bernhard Riedel Luise V. Marino Luise V. Marino Luise V. Marino Luise V. Marino Denny Z. H. Levett Denny Z. H. Levett Malcolm A. West Malcolm A. West Malcolm A. West |
author_sort |
Chelsia Gillis |
title |
Current Landscape of Nutrition Within Prehabilitation Oncology Research: A Scoping Review |
title_short |
Current Landscape of Nutrition Within Prehabilitation Oncology Research: A Scoping Review |
title_full |
Current Landscape of Nutrition Within Prehabilitation Oncology Research: A Scoping Review |
title_fullStr |
Current Landscape of Nutrition Within Prehabilitation Oncology Research: A Scoping Review |
title_full_unstemmed |
Current Landscape of Nutrition Within Prehabilitation Oncology Research: A Scoping Review |
title_sort |
current landscape of nutrition within prehabilitation oncology research: a scoping review |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Nutrition |
issn |
2296-861X |
publishDate |
2021-04-01 |
description |
Background: Prehabilitation aims to improve functional capacity prior to cancer treatment to achieve better psychosocial and clinical outcomes. Prehabilitation interventions vary considerably in design and delivery. In order to identify gaps in knowledge and facilitate the design of future studies, we undertook a scoping review of prehabilitation studies to map the range of work on prehabilitation being carried out in any cancer type and with a particular focus on diet or nutrition interventions.Objectives: Firstly, to describe the type of prehabilitation programs currently being conducted. Secondly, to describe the extent to which prehabilitation studies involved aspects of nutrition, including assessment, interventions, implementation, and outcomes.Eligibility Criteria: Any study of quantitative or qualitative design that employed a formal prehabilitation program before cancer treatment (“prehabilitation” listed in keywords, title, or abstract).Sources of Evidence: Search was conducted in July 2020 using MEDLINE, PubMed, EMBASE, EMCARE, CINAHL, and AMED.Charting Methods: Quantitative data were reported as frequencies. Qualitative nutrition data were charted using a framework analysis that reflects the Nutrition Care Process Model: assessment, intervention, and monitoring/evaluation of the nutrition intervention.Results: Five hundred fifty unique articles were identified: 110 studies met inclusion criteria of a formal prehabilitation study in oncology. prehabilitation studies were mostly cohort studies (41%) or randomized-controlled trials (38%) of multimodal (49%), or exercise-only (44%) interventions that were applied before surgery (94%). Nutrition assessment was inconsistently applied across these studies, and often conducted without validated tools (46%). Of the 110 studies, 37 (34%) included a nutrition treatment component. Half of these studies provided the goal for the nutrition component of their prehabilitation program; of these goals, less than half referenced accepted nutrition guidelines in surgery or oncology. Nutrition interventions largely consisted of counseling with dietary supplementation. The nutrition intervention was indiscernible in 24% of studies. Two-thirds of studies did not monitor the nutrition intervention nor evaluate nutrition outcomes.Conclusion: Prehabilitation literature lacks standardized and validated nutritional assessment, is frequently conducted without evidence-based nutrition interventions, and is typically implemented without monitoring the nutrition intervention or evaluating the intervention's contribution to outcomes. We suggest that the development of a core outcome set could improve the quality of the studies, enable pooling of evidence, and address some of the research gaps identified. |
topic |
surgical nutrition oncological nutrition pre-operative pre-surgery prehabilitation |
url |
https://www.frontiersin.org/articles/10.3389/fnut.2021.644723/full |
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doaj-35daf1efb7fd47fa98f5b758321767f52021-04-09T05:36:40ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2021-04-01810.3389/fnut.2021.644723644723Current Landscape of Nutrition Within Prehabilitation Oncology Research: A Scoping ReviewChelsia Gillis0Sarah J. Davies1Francesco Carli2Paul E. Wischmeyer3Stephen A. Wootton4Stephen A. Wootton5Stephen A. Wootton6Alan A. Jackson7Alan A. Jackson8Bernhard Riedel9Bernhard Riedel10Bernhard Riedel11Luise V. Marino12Luise V. Marino13Luise V. Marino14Luise V. Marino15Denny Z. H. Levett16Denny Z. H. Levett17Malcolm A. West18Malcolm A. West19Malcolm A. West20Department of Anesthesia, McGill University, Montreal, QC, CanadaDepartment of Dietetics/Speech and Language Therapy, University Hospital Southampton NHS Foundation Trust, Southampton, United KingdomDepartment of Anesthesia, McGill University, Montreal, QC, CanadaDuke Clinical Research Institute, Duke University School of Medicine, Durham, NC, United StatesFaculty of Medicine, School of Human Development and Health, University of Southampton, Southampton, United KingdomNational Institute of Health Research Cancer and Nutrition Collaboration, Southampton, United KingdomNational Institute for Health Research Biomedical Research Centre, University Hospital Southampton National Health Service Foundation Trust, Southampton, United KingdomFaculty of Medicine, School of Human Development and Health, University of Southampton, Southampton, United KingdomNational Institute of Health Research Cancer and Nutrition Collaboration, Southampton, United KingdomDepartment of Anaesthesia, Perioperative and Pain Medicine, Peter MacCallum Cancer Centre, Melbourne, VIC, AustraliaAnaethesia, Pain and Perioperative Medicine Unit, The University of Melbourne, Melbourne, VIC, AustraliaCentre for Integrated Critical Care Medicine and The Sir Peter MacCallum Department of Oncology, The University of Melbourne, Melbourne, VIC, AustraliaDepartment of Dietetics/Speech and Language Therapy, University Hospital Southampton NHS Foundation Trust, Southampton, United KingdomNational Institute of Health Research Cancer and Nutrition Collaboration, Southampton, United KingdomNational Institute for Health Research Biomedical Research Centre, University Hospital Southampton National Health Service Foundation Trust, Southampton, United Kingdom0Nutrition and Dietetics, Faculty of Health and Well Being, University of Winchester, Winchester, United KingdomNational Institute for Health Research Biomedical Research Centre, University Hospital Southampton National Health Service Foundation Trust, Southampton, United Kingdom1Anaesthesia, Perioperative and Critical Care Research Group, National Institute for Health Research Biomedical Research Centre, University Hospital Southampton National Health Service Foundation Trust, University of Southampton, Southampton, United KingdomNational Institute for Health Research Biomedical Research Centre, University Hospital Southampton National Health Service Foundation Trust, Southampton, United Kingdom1Anaesthesia, Perioperative and Critical Care Research Group, National Institute for Health Research Biomedical Research Centre, University Hospital Southampton National Health Service Foundation Trust, University of Southampton, Southampton, United Kingdom2Faculty of Medicine, School of Cancer Sciences, University of Southampton, Southampton, United KingdomBackground: Prehabilitation aims to improve functional capacity prior to cancer treatment to achieve better psychosocial and clinical outcomes. Prehabilitation interventions vary considerably in design and delivery. In order to identify gaps in knowledge and facilitate the design of future studies, we undertook a scoping review of prehabilitation studies to map the range of work on prehabilitation being carried out in any cancer type and with a particular focus on diet or nutrition interventions.Objectives: Firstly, to describe the type of prehabilitation programs currently being conducted. Secondly, to describe the extent to which prehabilitation studies involved aspects of nutrition, including assessment, interventions, implementation, and outcomes.Eligibility Criteria: Any study of quantitative or qualitative design that employed a formal prehabilitation program before cancer treatment (“prehabilitation” listed in keywords, title, or abstract).Sources of Evidence: Search was conducted in July 2020 using MEDLINE, PubMed, EMBASE, EMCARE, CINAHL, and AMED.Charting Methods: Quantitative data were reported as frequencies. Qualitative nutrition data were charted using a framework analysis that reflects the Nutrition Care Process Model: assessment, intervention, and monitoring/evaluation of the nutrition intervention.Results: Five hundred fifty unique articles were identified: 110 studies met inclusion criteria of a formal prehabilitation study in oncology. prehabilitation studies were mostly cohort studies (41%) or randomized-controlled trials (38%) of multimodal (49%), or exercise-only (44%) interventions that were applied before surgery (94%). Nutrition assessment was inconsistently applied across these studies, and often conducted without validated tools (46%). Of the 110 studies, 37 (34%) included a nutrition treatment component. Half of these studies provided the goal for the nutrition component of their prehabilitation program; of these goals, less than half referenced accepted nutrition guidelines in surgery or oncology. Nutrition interventions largely consisted of counseling with dietary supplementation. The nutrition intervention was indiscernible in 24% of studies. Two-thirds of studies did not monitor the nutrition intervention nor evaluate nutrition outcomes.Conclusion: Prehabilitation literature lacks standardized and validated nutritional assessment, is frequently conducted without evidence-based nutrition interventions, and is typically implemented without monitoring the nutrition intervention or evaluating the intervention's contribution to outcomes. We suggest that the development of a core outcome set could improve the quality of the studies, enable pooling of evidence, and address some of the research gaps identified.https://www.frontiersin.org/articles/10.3389/fnut.2021.644723/fullsurgical nutritiononcological nutritionpre-operativepre-surgeryprehabilitation |