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Informationen zum Autor Dr Clare Shaw, Consultant Dietitian and Head of Rehabilitation Research, The Royal Marsden NHS Foundation Trust, Fulham Road, London Klappentext The role of nutrition in cancer treatments should not be underestimated; within a clinical setting, carefully considered nutritional options can help to control cachexia, the patient's ability to cope with treatments such as chemotherapy and the ability to recover from invasive surgery. Edited by Dr Clare Shaw, Head of Rehabilitation Research at the Royal Marsden Hospital, Nutrition and Cancer Care takes an unrivalled look at this prevalent disease, offering the reader: A practical guide to good nutrition and dietetic practice in cancer care A detailed look at nutritional options for different diagnostic groups and disease states Contributions from a wide range of cancer specialists An excellent resource for dietitans, clinical nutritionists, doctors, nurses and other health professionals working with cancer patients this book is also a fascinating reference for students and researchers with an interest in the area. Zusammenfassung Nutrition plays a crucial role in supporting patients receiving treatment for cancer. Carefully considered nutritional options can help to manage patients with weight loss and cachexia, support the patient's ability to recover from surgery and cope with treatments such as chemotherapy and radiotherapy. Inhaltsverzeichnis Contributors xi Preface xiii 1 Cancer in the twenty-first century 1 Natalie Doyle and Clare Shaw Introduction 1 What is cancer and what causes it? 1 Development and spread of cancer 2 What is the global burden of cancer? 4 Whom does cancer affect? 5 Historical perspective on cancer treatment 6 Cancer survivorship - living with and beyond cancer 9 Nutrition and cancer 10 References 11 2 Cancer and nutritional status 13 Alessandro Laviano, Isabella Preziosa and Filippo Rossi Fanelli Introduction 13 Nutritional status and outcome in cancer patients 13 Cancer cachexia 14 Pathogenesis of anorexia and reduced energy intake 16 Pathogenesis of wasting 20 Cancer cachexia: a neurological disease? 23 Summary 24 References 24 3 Treatment of cancer 27 Sanjay Popat Introduction 27 Treatment intent 27 Treatment setting 28 Treatment modalities 28 Conclusion 43 References 44 4 Effect of malnutrition on cancer patients 45 Louise Henry Introduction 45 Prevalence of malnutrition amongst cancer patients 46 Effect of malnutrition on outcome 61 Mortality 68 Type of cancer 69 Nutritional status as a prognostic indicator 69 Morbidity 70 Quality of life 71 References 75 5 Nutrition screening 83 Sian Lewis Introduction 83 Scored Patient-Generated Subjective Global Assessment 85 Malnutrition Universal Screening Tool 89 Mini Nutritional Assessment 90 Nutritional Risk Screening 91 Malnutrition Screening Tool 91 Conclusion 93 Summary 93 References 94 6 Nutritional requirements of patients with cancer 97 C. Elizabeth Weekes Introduction 97 Energy 98 Methods used to estimate energy requirements 100 Disease-specific requirements 102 Staging and tumour burden 105 Treatment 105 Response to treatment 107 Tumour recurrence 107 Inflammatory response and cachexia 107 Protein 108 Micronutrients 111 What should we do in clinical practice? 112 Summary 114 References 115 7 The psychosocial influences of food choices made by cancer patie...
