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Assessment of perioperative nutrition practices and Attitudes—A national survey of colorectal and GI surgical oncology programs

Abstract Background Implementation of evidence-based peri-operative nutrition in the U.S. is poorly described and hypothesized to be suboptimal. This study broadly describes practices and attitudes regarding nutrition screening/intervention in U.S. gastrointestinal and oncologic surgeons. Methods Na... Full description

Journal Title: The American journal of surgery 2016, Vol.213 (6), p.1010-1018
Main Author: Williams, J.D
Other Authors: Wischmeyer, Paul E
Format: Electronic Article Electronic Article
Language: English
Subjects:
Quelle: Alma/SFX Local Collection
Publisher: United States: Elsevier Inc
ID: ISSN: 0002-9610
Link: https://www.ncbi.nlm.nih.gov/pubmed/27889271
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title: Assessment of perioperative nutrition practices and Attitudes—A national survey of colorectal and GI surgical oncology programs
format: Article
creator:
  • Williams, J.D
  • Wischmeyer, Paul E
subjects:
  • Abridged Index Medicus
  • Article
  • Attitude of Health Personnel
  • Attitudes
  • Colleges & universities
  • Colorectal Surgery
  • Dietary supplements
  • Fatty acids
  • Gastrointestinal surgery
  • Hospital costs
  • Humans
  • Immunonutrition
  • Intervention
  • Malnutrition
  • Medical personnel
  • Nutrition
  • Nutrition assessment
  • Nutrition screening
  • Nutrition support
  • Nutrition Therapy
  • Nutritional Status
  • Oncologic surgery
  • Oncology
  • Parenteral nutrition
  • Perioperative
  • Perioperative Care
  • Practice Patterns, Physicians
  • Quality control
  • Quality improvement
  • Scholarships & fellowships
  • Screening
  • Supplementation
  • Surgeons
  • Surgery
  • Surgical Oncology
  • Surgical outcomes
  • Surveys and Questionnaires
ispartof: The American journal of surgery, 2016, Vol.213 (6), p.1010-1018
description: Abstract Background Implementation of evidence-based peri-operative nutrition in the U.S. is poorly described and hypothesized to be suboptimal. This study broadly describes practices and attitudes regarding nutrition screening/intervention in U.S. gastrointestinal and oncologic surgeons. Methods Nationwide nutritional practice survey of GI/Oncologic surgical faculty. Results Program response rates were 57% and 81% for colorectal and oncology fellowships, respectively. Only 38% had formal nutritional screening processes in place. Average estimated percent of patients malnourished, receiving nutritional screening, and receiving nutritional supplementation preoperatively were 28%, 43%, and 21%, respectively. University-affiliation ( p  = 0.0371) and a formal screening process ( p  = 0.0312) predicted higher preoperative nutritional screening rates. Controversy existed regarding routine use of perioperative immunonutrition, but strong consensus emerged that lack of awareness regarding positive data for immunonutrition impedes usage. Conclusion U.S. surgeons recognize importance of perioperative nutritional screening and benefits of basic nutrition therapy. However, limited formal nutrition screening programs currently exist indicating a significant need for implementation of nutrition screening and basic nutrition intervention. Further work on education, implementation and identifying clinical research needs for immunonutrition interventions is also vitally needed. Summary This study broadly describes nutritional practices and attitudes of gastrointestinal and oncologic surgeons across the U.S. Surgeons recognize both the importance of proper perioperative surgical nutritional support and the potential value to their practice in terms of outcomes, but this study confirms poor implementation of evidence-based nutrition practices in GI and oncologic surgery programs. This study describes a significant opportunity to capitalize on current favorable surgeon beliefs (and positive published data) regarding the benefit of perioperative nutrition to improve surgical nutrition practice and patient outcomes in the U.S.
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 0002-9610
fulltext: fulltext
issn:
  • 0002-9610
  • 1879-1883
url: Link


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titleAssessment of perioperative nutrition practices and Attitudes—A national survey of colorectal and GI surgical oncology programs
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descriptionAbstract Background Implementation of evidence-based peri-operative nutrition in the U.S. is poorly described and hypothesized to be suboptimal. This study broadly describes practices and attitudes regarding nutrition screening/intervention in U.S. gastrointestinal and oncologic surgeons. Methods Nationwide nutritional practice survey of GI/Oncologic surgical faculty. Results Program response rates were 57% and 81% for colorectal and oncology fellowships, respectively. Only 38% had formal nutritional screening processes in place. Average estimated percent of patients malnourished, receiving nutritional screening, and receiving nutritional supplementation preoperatively were 28%, 43%, and 21%, respectively. University-affiliation ( p  = 0.0371) and a formal screening process ( p  = 0.0312) predicted higher preoperative nutritional screening rates. Controversy existed regarding routine use of perioperative immunonutrition, but strong consensus emerged that lack of awareness regarding positive data for immunonutrition impedes usage. Conclusion U.S. surgeons recognize importance of perioperative nutritional screening and benefits of basic nutrition therapy. However, limited formal nutrition screening programs currently exist indicating a significant need for implementation of nutrition screening and basic nutrition intervention. Further work on education, implementation and identifying clinical research needs for immunonutrition interventions is also vitally needed. Summary This study broadly describes nutritional practices and attitudes of gastrointestinal and oncologic surgeons across the U.S. Surgeons recognize both the importance of proper perioperative surgical nutritional support and the potential value to their practice in terms of outcomes, but this study confirms poor implementation of evidence-based nutrition practices in GI and oncologic surgery programs. This study describes a significant opportunity to capitalize on current favorable surgeon beliefs (and positive published data) regarding the benefit of perioperative nutrition to improve surgical nutrition practice and patient outcomes in the U.S.
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subjectAbridged Index Medicus ; Article ; Attitude of Health Personnel ; Attitudes ; Colleges & universities ; Colorectal Surgery ; Dietary supplements ; Fatty acids ; Gastrointestinal surgery ; Hospital costs ; Humans ; Immunonutrition ; Intervention ; Malnutrition ; Medical personnel ; Nutrition ; Nutrition assessment ; Nutrition screening ; Nutrition support ; Nutrition Therapy ; Nutritional Status ; Oncologic surgery ; Oncology ; Parenteral nutrition ; Perioperative ; Perioperative Care ; Practice Patterns, Physicians ; Quality control ; Quality improvement ; Scholarships & fellowships ; Screening ; Supplementation ; Surgeons ; Surgery ; Surgical Oncology ; Surgical outcomes ; Surveys and Questionnaires
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descriptionAbstract Background Implementation of evidence-based peri-operative nutrition in the U.S. is poorly described and hypothesized to be suboptimal. This study broadly describes practices and attitudes regarding nutrition screening/intervention in U.S. gastrointestinal and oncologic surgeons. Methods Nationwide nutritional practice survey of GI/Oncologic surgical faculty. Results Program response rates were 57% and 81% for colorectal and oncology fellowships, respectively. Only 38% had formal nutritional screening processes in place. Average estimated percent of patients malnourished, receiving nutritional screening, and receiving nutritional supplementation preoperatively were 28%, 43%, and 21%, respectively. University-affiliation ( p  = 0.0371) and a formal screening process ( p  = 0.0312) predicted higher preoperative nutritional screening rates. Controversy existed regarding routine use of perioperative immunonutrition, but strong consensus emerged that lack of awareness regarding positive data for immunonutrition impedes usage. Conclusion U.S. surgeons recognize importance of perioperative nutritional screening and benefits of basic nutrition therapy. However, limited formal nutrition screening programs currently exist indicating a significant need for implementation of nutrition screening and basic nutrition intervention. Further work on education, implementation and identifying clinical research needs for immunonutrition interventions is also vitally needed. Summary This study broadly describes nutritional practices and attitudes of gastrointestinal and oncologic surgeons across the U.S. Surgeons recognize both the importance of proper perioperative surgical nutritional support and the potential value to their practice in terms of outcomes, but this study confirms poor implementation of evidence-based nutrition practices in GI and oncologic surgery programs. This study describes a significant opportunity to capitalize on current favorable surgeon beliefs (and positive published data) regarding the benefit of perioperative nutrition to improve surgical nutrition practice and patient outcomes in the U.S.
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abstractAbstract Background Implementation of evidence-based peri-operative nutrition in the U.S. is poorly described and hypothesized to be suboptimal. This study broadly describes practices and attitudes regarding nutrition screening/intervention in U.S. gastrointestinal and oncologic surgeons. Methods Nationwide nutritional practice survey of GI/Oncologic surgical faculty. Results Program response rates were 57% and 81% for colorectal and oncology fellowships, respectively. Only 38% had formal nutritional screening processes in place. Average estimated percent of patients malnourished, receiving nutritional screening, and receiving nutritional supplementation preoperatively were 28%, 43%, and 21%, respectively. University-affiliation ( p  = 0.0371) and a formal screening process ( p  = 0.0312) predicted higher preoperative nutritional screening rates. Controversy existed regarding routine use of perioperative immunonutrition, but strong consensus emerged that lack of awareness regarding positive data for immunonutrition impedes usage. Conclusion U.S. surgeons recognize importance of perioperative nutritional screening and benefits of basic nutrition therapy. However, limited formal nutrition screening programs currently exist indicating a significant need for implementation of nutrition screening and basic nutrition intervention. Further work on education, implementation and identifying clinical research needs for immunonutrition interventions is also vitally needed. Summary This study broadly describes nutritional practices and attitudes of gastrointestinal and oncologic surgeons across the U.S. Surgeons recognize both the importance of proper perioperative surgical nutritional support and the potential value to their practice in terms of outcomes, but this study confirms poor implementation of evidence-based nutrition practices in GI and oncologic surgery programs. This study describes a significant opportunity to capitalize on current favorable surgeon beliefs (and positive published data) regarding the benefit of perioperative nutrition to improve surgical nutrition practice and patient outcomes in the U.S.
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