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dc.contributor.authorGlatt, Dominique
dc.contributor.authorHughes, Caoimhe
dc.contributor.authorMcCarthy, Orlaith
dc.contributor.authorO'Shea, Fiona
dc.contributor.authorBrougham, Mark F. H.
dc.contributor.authorWilson, David C.
dc.contributor.authorRevuelta-Iniesta, Raquel
dc.identifier.citationGlatt, D., Hughes, C., McCarthy, O., O'Shea, F., Brougham, M. F. H., Wilson, D. C. & Revuelta-Iniesta, R. (2020) Nutritional screening and assessment of paediatric cancer patients: A quality improvement project (baseline results). Clinical Nutrition ESPEN, 38, pp. 242-252.
dc.descriptionFrom PubMed via Jisc Publications Router
dc.descriptionItem previously deposited in Open Research Exeter repository on 2020-05-20:
dc.descriptionRaquel Revuelta Iniesta - ORCID 0000-0002-5534-7146
dc.description.abstractThe department of Haematology and Oncology at the Royal Hospital for Sick Children (RHSC) in Edinburgh have developed their own nutritional standards specific to paediatric cancer. We aimed to audit the current nutritional practice in anthropometry, nutritional biochemistry and malnutrition screening for paediatric cancer patients against nutritional standards to identify areas for nutritional-practice improvement and progress nutrition-related clinical outcomes. A Clinical audit was conducted >20 weeks between 2015 and 2017 in three data collection locations (inpatient (IP), day-care (DC), or outpatient (OP)) at RHSC. We included patients aged 0-18 years and undergoing treatment for diagnosed malignant childhood cancer (ICCC-3 or Langerhans Cell Histiocytosis). Data were collected by analysing documentation and observing clinical practice for frequency and mode of administration of anthropometry, malnutrition screening, nutritional biochemistry and resulting documentation completion. Results were presented as descriptive statistics and stratified by percentage of standard met (100%, 99-70%, <70%). 185 audited patient records (22 IP, 54 DC and 109 OP) were analysed. The areas which were <70% of the standard were: height and weight documentation for DC; head-circumference for IP; arm anthropometry assessment for all locations; initial PYMS screening and re-screening in IP; malnutrition screening in DC and OP; and initial assessment and re-assessment for serum vitamins D, A, E, B and parathyroid hormone levels. Baseline nutritional practice was successfully established, identifying areas for practice improvement in the RHSC Paediatric Oncology and Haematology Department; this will be implemented in the next step of the audit to optimise patient care. [Abstract copyright: Copyright © 2020 European Society for Clinical Nutrition and Metabolism. Published by Elsevier Ltd. All rights reserved.]
dc.publisherEuropean Society for Clinical Nutrition and Metabolism
dc.relation.ispartofClinical Nutrition ESPEN
dc.subjectNutrition Standards
dc.subjectQuality Improvement Project
dc.subjectUnited Kingdom
dc.titleNutritional screening and assessment of paediatric cancer patients: A quality improvement project (baseline results)
qmu.authorRevuelta-Iniesta, Raquel
qmu.centreCentre for Health, Activity and Rehabilitation Research

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