Weight loss in head and neck cancer patients little noticed in general practice

INTRODUCTION: In head and neck cancer patients, weight loss increases morbidity and mortality, and decreases treatment tolerance and quality of life. Early nutritional intervention has beneficial effects on these factors. AIM: We observed patients’ weight courses after specialists’ care and surveyed nutrition-related documentation by general practitioners (GPs). METHODS: From a Head and Neck Oncology Centre (HNOC) study, 68 patients were asked to participate in an extended general practice cohort. Twenty-six patients participated in the prospective three-monthly weight measurements during the year after HNOC care. We extracted nutritional information contained in referral letters (n=24) and medical records from the year before referral (n=45) and after HNOC care (n=26). An impaired nutritional status was assigned to weight loss =10% within six months or Body Mass Index (BMI

Nutrition in General Practice.

Contains fulltext : 74946.pdf (publisher's version ) (Open Access)RU Radboud Universiteit Nijmegen, 10 maart 2010Promotores : Binsbergen, J.J. van, Weel, C. van Co-promotor : Staveren, W.A. van126 p

Vitamine C als remedie tegen jicht bij mannen.

Contains fulltext : 80935.pdf (publisher's version ) (Closed access

Obesity in patients with COPD, an undervalued problem?

Contains fulltext : 81398.pdf (publisher's version ) (Open Access

Wij moeten de spreekkamer uit : voedingsaspecten in de huisartspraktijk

Het aantal kinderen met overgewicht is aanzienlijk. 'Huisartsen vinden het doorgaans niet hun taak om de kinderen en hun ouders aan te spreken over dat onderwerp', zegt de huisarts dr. Carel Bakx. Maar ze willen wel graag- samen met andere professionals- een gezonde leefstijl bevorderen. 'Iedereen is van goede wil maar er is geen samenwerking. Dat komt omdat niemand de regie neemt.' Bakx en collega's hebben voor en collectieve aanpak gekozen. 'Wij moeten ons meer buiten de praktijk laten zien.

Weight loss in head and neck cancer patients little noticed in general practice.

Contains fulltext : 87472.pdf (publisher's version ) (Open Access)INTRODUCTION: In head and neck cancer patients, weight loss increases morbidity and mortality, and decreases treatment tolerance and quality of life. Early nutritional intervention has beneficial effects on these factors. AIM: We observed patients' weight courses after specialists' care and surveyed nutrition-related documentation by general practitioners (GPs). METHODS: From a Head and Neck Oncology Centre (HNOC) study, 68 patients were asked to participate in an extended general practice cohort. Twenty-six patients participated in the prospective three-monthly weight measurements during the year after HNOC care. We extracted nutritional information contained in referral letters (n = 24) and medical records from the year before referral (n = 45) and after HNOC care (n = 26). An impaired nutritional status was assigned to weight loss > or = 10% within six months or Body Mass Index (BMI) or = 5% but < 10% within six months. RESULTS: Three (12%) participants were nutritionally impaired and two (8%) were deemed 'at risk'. Although GPs suspected a (pre-) malignancy in 11 cases (46%), only two (8%) documented weight loss or BMI and four (17%) nutrition-related complaints in their referral letters. Medical records more often contained information on nutrition-related complaints and tube feeding later in the disease course, as opposed to concern over weight loss or BMI. DISCUSSION: Therefore, we call for nutritional management in general practice, by urging practitioners to assess patients' nutritional status throughout the disease course and intervene if necessary. The passing on of related information in case of referral promotes continuity of care.01 maart 201

Nutritional deficiency in general practice: a systematic review.

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Weight loss in head and neck cancer patients little noticed in general practice

INTRODUCTION: In head and neck cancer patients, weight loss increases morbidity and mortality, and decreases treatment tolerance and quality of life. Early nutritional intervention has beneficial effects on these factors. AIM: We observed patients’ weight courses after specialists’ care and surveyed nutrition-related documentation by general practitioners (GPs). METHODS: From a Head and Neck Oncology Centre (HNOC) study, 68 patients were asked to participate in an extended general practice cohort. Twenty-six patients participated in the prospective three-monthly weight measurements during the year after HNOC care. We extracted nutritional information contained in referral letters (n=24) and medical records from the year before referral (n=45) and after HNOC care (n=26). An impaired nutritional status was assigned to weight loss =10% within six months or Body Mass Index (BMI

Weight loss in head and neck cancer patients little noticed in general practice

Introduction: In head and neck cancer patients, weight loss increases morbidity and mortality, and decreases treatment tolerance and quality of life. Early nutritional intervention has beneficial effects on these factors. Aim: We observed patients' weight courses after specialists' care and surveyed nutrition-related documentation by general practitioners (GPs). Methods: From a Head and Neck Oncology Centre (HNOC) study, 68 patients were asked to participate in an extended general practice cohort. Twenty-six patients participated in the prospective three-monthly weight measurements during the year after HNOC care. We extracted nutritional information contained in referral letters (n=24) and medical records from the year before referral (n=45) and after HNOC care (n=26). An impaired nutritional status was assigned to weight loss ≥10% within six months or Body Mass Index (BMI) <18.5 kg/m 2 and 'at risk' to weight loss ≥5% but <10% within six months. Results: Three (12%) participants were nutritionally impaired and two (8%) were deemed 'at risk'. Although GPs suspected a (pre-) malignancy in 11 cases (46%), only two (8%) documented weight loss or BMI and four (17%) nutrition-related complaints in their referral letters. Medical records more often contained information on nutrition-related complaints and tube feeding later in the disease course, as opposed to concern over weight loss or BMI. discussion: Therefore, we call for nutritional management in general practice, by urging practitioners to assess patients' nutritional status throughout the disease course and intervene if necessary. The passing on of related information in case of referral promotes continuity of care