Specialist dietetic input and nutritional outcomes in Neuroendocrine Tumour Patients

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Introduction: Neuroendocrine tumors (NETs) are a heterogeneous group of tumors that are complex to manage and require a multidisciplinary approach. The most common primary sites are the small intestine and pancreas. The disease itself, as well as sequelae from surgery and medical therapy, can have a negative impact on patients’ nutritional status. Weight loss is known to be a poor prognostic indicator.

Aim(s): To assess the impact of specialist dietetic input on patients’ nutritional status and symptoms.

Materials and methods: One hundred and thirty-seven inpatients and outpatients with NETs (69 small bowel, 36 pancreatic, 32 other) were referred to the NET specialist dietitian in view of nutritional problems and weight loss from January 2008 to November 2009. Eighty-five per cent of patients had progressive weight loss prior to referral. A nutritional database was developed to nutritionally profile this group of patients, providing an overview of patient activity and nutritional management. Total body weight (TBW) was recorded on referral and on discharge from dietetic care. A self-administered user feedback questionnaire was additionally completed by patients who had received dietetic input from January to October 2008. Patients who were in the terminal phase were excluded.

Conference: 7th Annual ENETSConcerence (2010)

Presenting Author:

Authors: Schnaid C, Khan M, Davies P, Jamieson A, Chilkunda D,

Keywords: neuroendocrine tumor, nutrition, diet, dietitian ,

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