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Practical multimodal care for cancer cachexia

Maddocks, Matthew, Hopkinson, Jane and Conibear, John 2016. Practical multimodal care for cancer cachexia. Current Opinion in Supportive and Palliative Care 10 (4) , pp. 298-305. 10.1097/SPC.0000000000000241

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Abstract

PURPOSE OF REVIEW: Cancer cachexia is common and reduces function, treatment tolerability and quality of life. Given its multifaceted pathophysiology a multimodal approach to cachexia management is advocated for, but can be difficult to realise in practice. We use a case-based approach to highlight practical approaches to the multimodal management of cachexia for patients across the cancer trajectory. RECENT FINDINGS: Four cases with lung cancer spanning surgical resection, radical chemoradiotherapy, palliative chemotherapy and no anticancer treatment are presented. We propose multimodal care approaches that incorporate nutritional support, exercise, and anti-inflammatory agents, on a background of personalized oncology care and family-centred education. Collectively, the cases reveal that multimodal care is part of everyone's remit, often focuses on supported self-management, and demands buy-in from the patient and their family. Once operationalized, multimodal care approaches can be tested pragmatically, including alongside emerging pharmacological cachexia treatments. SUMMARY: We demonstrate that multimodal care for cancer cachexia can be achieved using simple treatments and without a dedicated team of specialists. The sharing of advice between health professionals can help build collective confidence and expertise, moving towards a position in which every team member feels they can contribute towards multimodal care.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Healthcare Sciences
Subjects: R Medicine > RT Nursing
Uncontrolled Keywords: cancer cachexia; clinical education; multimodal care; supportive care.
Publisher: Lippincott, Williams & Wilkins
ISSN: 1751-4258
Date of First Compliant Deposit: 24 January 2017
Last Modified: 11 Jul 2019 08:52
URI: http://orca.cf.ac.uk/id/eprint/97252

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