Factors associated with multimodal care practices for cancer cachexia among registered dietitians
Purpose This study aimed to determine factors associated with multimodal care practices for cancer cachexia among registered dietitians (RDs) working in cancer care. Methods A secondary analysis was performed using RDs’ data. Data on knowledge, skills, and confidence in multimodal care were obtained...
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Published in | Supportive care in cancer Vol. 32; no. 4; p. 213 |
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Main Authors | , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Berlin/Heidelberg
Springer Berlin Heidelberg
01.04.2024
Springer Springer Nature B.V |
Subjects | |
Online Access | Get full text |
ISSN | 0941-4355 1433-7339 1433-7339 |
DOI | 10.1007/s00520-024-08417-2 |
Cover
Abstract | Purpose
This study aimed to determine factors associated with multimodal care practices for cancer cachexia among registered dietitians (RDs) working in cancer care.
Methods
A secondary analysis was performed using RDs’ data. Data on knowledge, skills, and confidence in multimodal care were obtained. Nine items regarding multimodal care practices were evaluated. Subjects were divided into two groups based on their answers associated with the nine items. Comparisons were obtained using the Mann–Whitney U test or chi-squared test. Multiple regression analysis was performed to identify the critical factors involved in practicing multimodal care by determining the variables with significant differences between the two groups.
Results
Two hundred thirty-two RDs were included in this study. Significant differences were observed in their primary area of practice (
p
= 0.023), the number of clinical guidelines used (
p
< 0.001), the number of items used in cancer cachexia assessment (
p
= 0.002), the number of symptoms used in cancer cachexia assessment (
p
= 0.039), training for cancer cachexia (
p
< 0.001), knowledge of cancer cachexia (
p
< 0.001), and confidence in cancer cachexia management (
p
< 0.001). The number of symptoms used in cancer cachexia assessment (B = 0.42,
p
= 0.019), knowledge of cancer cachexia (B = 6.60,
p
< 0.001), and confidence in cancer cachexia management (B = 4.31,
p
= 0.010) were identified as critical factors according to the multiple regression analysis.
Conclusion
The RDs’ knowledge and confidence in cancer cachexia management were associated with their multimodal care practices. |
---|---|
AbstractList | This study aimed to determine factors associated with multimodal care practices for cancer cachexia among registered dietitians (RDs) working in cancer care. A secondary analysis was performed using RDs' data. Data on knowledge, skills, and confidence in multimodal care were obtained. Nine items regarding multimodal care practices were evaluated. Subjects were divided into two groups based on their answers associated with the nine items. Comparisons were obtained using the Mann-Whitney U test or chi-squared test. Multiple regression analysis was performed to identify the critical factors involved in practicing multimodal care by determining the variables with significant differences between the two groups. Two hundred thirty-two RDs were included in this study. Significant differences were observed in their primary area of practice (p = 0.023), the number of clinical guidelines used (p < 0.001), the number of items used in cancer cachexia assessment (p = 0.002), the number of symptoms used in cancer cachexia assessment (p = 0.039), training for cancer cachexia (p < 0.001), knowledge of cancer cachexia (p < 0.001), and confidence in cancer cachexia management (p < 0.001). The number of symptoms used in cancer cachexia assessment (B = 0.42, p = 0.019), knowledge of cancer cachexia (B = 6.60, p < 0.001), and confidence in cancer cachexia management (B = 4.31, p = 0.010) were identified as critical factors according to the multiple regression analysis. The RDs' knowledge and confidence in cancer cachexia management were associated with their multimodal care practices. This study aimed to determine factors associated with multimodal care practices for cancer cachexia among registered dietitians (RDs) working in cancer care. A secondary analysis was performed using RDs' data. Data on knowledge, skills, and confidence in multimodal care were obtained. Nine items regarding multimodal care practices were evaluated. Subjects were divided into two groups based on their answers associated with the nine items. Comparisons were obtained using the Mann-Whitney U test or chi-squared test. Multiple regression analysis was performed to identify the critical factors involved in practicing multimodal care by determining the variables with significant differences between the two groups. Two hundred thirty-two RDs were included in this study. Significant differences were observed in their primary area of practice (p = 0.023), the number of clinical guidelines used (p < 0.001), the number of items used in cancer cachexia assessment (p = 0.002), the number of symptoms used in cancer cachexia assessment (p = 0.039), training for cancer cachexia (p < 0.001), knowledge of cancer cachexia (p < 0.001), and confidence in cancer cachexia management (p < 0.001). The number of symptoms used in cancer cachexia assessment (B = 0.42, p = 0.019), knowledge of cancer cachexia (B = 6.60, p < 0.001), and confidence in cancer cachexia management (B = 4.31, p = 0.010) were identified as critical factors according to the multiple regression analysis. The RDs' knowledge and confidence in cancer cachexia management were associated with their multimodal care practices. PurposeThis study aimed to determine factors associated with multimodal care practices for cancer cachexia among registered dietitians (RDs) working in cancer care.MethodsA secondary analysis was performed using RDs’ data. Data on knowledge, skills, and confidence in multimodal care were obtained. Nine items regarding multimodal care practices were evaluated. Subjects were divided into two groups based on their answers associated with the nine items. Comparisons were obtained using the Mann–Whitney U test or chi-squared test. Multiple regression analysis was performed to identify the critical factors involved in practicing multimodal care by determining the variables with significant differences between the two groups.ResultsTwo hundred thirty-two RDs were included in this study. Significant differences were observed in their primary area of practice (p = 0.023), the number of clinical guidelines used (p < 0.001), the number of items used in cancer cachexia assessment (p = 0.002), the number of symptoms used in cancer cachexia assessment (p = 0.039), training for cancer cachexia (p < 0.001), knowledge of cancer cachexia (p < 0.001), and confidence in cancer cachexia management (p < 0.001). The number of symptoms used in cancer cachexia assessment (B = 0.42, p = 0.019), knowledge of cancer cachexia (B = 6.60, p < 0.001), and confidence in cancer cachexia management (B = 4.31, p = 0.010) were identified as critical factors according to the multiple regression analysis.ConclusionThe RDs’ knowledge and confidence in cancer cachexia management were associated with their multimodal care practices. This study aimed to determine factors associated with multimodal care practices for cancer cachexia among registered dietitians (RDs) working in cancer care.PURPOSEThis study aimed to determine factors associated with multimodal care practices for cancer cachexia among registered dietitians (RDs) working in cancer care.A secondary analysis was performed using RDs' data. Data on knowledge, skills, and confidence in multimodal care were obtained. Nine items regarding multimodal care practices were evaluated. Subjects were divided into two groups based on their answers associated with the nine items. Comparisons were obtained using the Mann-Whitney U test or chi-squared test. Multiple regression analysis was performed to identify the critical factors involved in practicing multimodal care by determining the variables with significant differences between the two groups.METHODSA secondary analysis was performed using RDs' data. Data on knowledge, skills, and confidence in multimodal care were obtained. Nine items regarding multimodal care practices were evaluated. Subjects were divided into two groups based on their answers associated with the nine items. Comparisons were obtained using the Mann-Whitney U test or chi-squared test. Multiple regression analysis was performed to identify the critical factors involved in practicing multimodal care by determining the variables with significant differences between the two groups.Two hundred thirty-two RDs were included in this study. Significant differences were observed in their primary area of practice (p = 0.023), the number of clinical guidelines used (p < 0.001), the number of items used in cancer cachexia assessment (p = 0.002), the number of symptoms used in cancer cachexia assessment (p = 0.039), training for cancer cachexia (p < 0.001), knowledge of cancer cachexia (p < 0.001), and confidence in cancer cachexia management (p < 0.001). The number of symptoms used in cancer cachexia assessment (B = 0.42, p = 0.019), knowledge of cancer cachexia (B = 6.60, p < 0.001), and confidence in cancer cachexia management (B = 4.31, p = 0.010) were identified as critical factors according to the multiple regression analysis.RESULTSTwo hundred thirty-two RDs were included in this study. Significant differences were observed in their primary area of practice (p = 0.023), the number of clinical guidelines used (p < 0.001), the number of items used in cancer cachexia assessment (p = 0.002), the number of symptoms used in cancer cachexia assessment (p = 0.039), training for cancer cachexia (p < 0.001), knowledge of cancer cachexia (p < 0.001), and confidence in cancer cachexia management (p < 0.001). The number of symptoms used in cancer cachexia assessment (B = 0.42, p = 0.019), knowledge of cancer cachexia (B = 6.60, p < 0.001), and confidence in cancer cachexia management (B = 4.31, p = 0.010) were identified as critical factors according to the multiple regression analysis.The RDs' knowledge and confidence in cancer cachexia management were associated with their multimodal care practices.CONCLUSIONThe RDs' knowledge and confidence in cancer cachexia management were associated with their multimodal care practices. Purpose This study aimed to determine factors associated with multimodal care practices for cancer cachexia among registered dietitians (RDs) working in cancer care. Methods A secondary analysis was performed using RDs' data. Data on knowledge, skills, and confidence in multimodal care were obtained. Nine items regarding multimodal care practices were evaluated. Subjects were divided into two groups based on their answers associated with the nine items. Comparisons were obtained using the Mann-Whitney U test or chi-squared test. Multiple regression analysis was performed to identify the critical factors involved in practicing multimodal care by determining the variables with significant differences between the two groups. Results Two hundred thirty-two RDs were included in this study. Significant differences were observed in their primary area of practice (p = 0.023), the number of clinical guidelines used (p < 0.001), the number of items used in cancer cachexia assessment (p = 0.002), the number of symptoms used in cancer cachexia assessment (p = 0.039), training for cancer cachexia (p < 0.001), knowledge of cancer cachexia (p < 0.001), and confidence in cancer cachexia management (p < 0.001). The number of symptoms used in cancer cachexia assessment (B = 0.42, p = 0.019), knowledge of cancer cachexia (B = 6.60, p < 0.001), and confidence in cancer cachexia management (B = 4.31, p = 0.010) were identified as critical factors according to the multiple regression analysis. Conclusion The RDs' knowledge and confidence in cancer cachexia management were associated with their multimodal care practices. Purpose This study aimed to determine factors associated with multimodal care practices for cancer cachexia among registered dietitians (RDs) working in cancer care. Methods A secondary analysis was performed using RDs’ data. Data on knowledge, skills, and confidence in multimodal care were obtained. Nine items regarding multimodal care practices were evaluated. Subjects were divided into two groups based on their answers associated with the nine items. Comparisons were obtained using the Mann–Whitney U test or chi-squared test. Multiple regression analysis was performed to identify the critical factors involved in practicing multimodal care by determining the variables with significant differences between the two groups. Results Two hundred thirty-two RDs were included in this study. Significant differences were observed in their primary area of practice ( p = 0.023), the number of clinical guidelines used ( p < 0.001), the number of items used in cancer cachexia assessment ( p = 0.002), the number of symptoms used in cancer cachexia assessment ( p = 0.039), training for cancer cachexia ( p < 0.001), knowledge of cancer cachexia ( p < 0.001), and confidence in cancer cachexia management ( p < 0.001). The number of symptoms used in cancer cachexia assessment (B = 0.42, p = 0.019), knowledge of cancer cachexia (B = 6.60, p < 0.001), and confidence in cancer cachexia management (B = 4.31, p = 0.010) were identified as critical factors according to the multiple regression analysis. Conclusion The RDs’ knowledge and confidence in cancer cachexia management were associated with their multimodal care practices. |
ArticleNumber | 213 |
Audience | Academic |
Author | Morita, Tatsuya Mori, Naoharu Arakawa, Sayaka Oyamada, Shunsuke Koshimoto, Saori Satomi, Eriko Takeuchi, Takashi Amano, Koji Ishiki, Hiroto |
Author_xml | – sequence: 1 givenname: Koji surname: Amano fullname: Amano, Koji email: kojiamano4813@gmail.com organization: Palliative and Supportive Care Center, Osaka University Hospital, Department of Psycho-Oncology and Palliative Medicine, Osaka International Cancer Institute, Department of Palliative and Supportive Medicine, Graduate School of Medicine, Aichi Medical University, Department of Palliative Medicine, National Cancer Center Hospital – sequence: 2 givenname: Saori surname: Koshimoto fullname: Koshimoto, Saori organization: School of Health Care Sciences, Faculty of Medicine, Tokyo Medical and Dental University, Faculty of Human Nutrition, Department of Human Nutrition, Tokyo Kasei Gakuin University – sequence: 3 givenname: Sayaka surname: Arakawa fullname: Arakawa, Sayaka organization: Department of Palliative Medicine, National Cancer Center Hospital – sequence: 4 givenname: Shunsuke surname: Oyamada fullname: Oyamada, Shunsuke organization: Department of Biostatistics, JORTC Data Center – sequence: 5 givenname: Hiroto surname: Ishiki fullname: Ishiki, Hiroto organization: Department of Palliative Medicine, National Cancer Center Hospital – sequence: 6 givenname: Tatsuya surname: Morita fullname: Morita, Tatsuya organization: Palliative and Supportive Care Division, Seirei Mikatahara General Hospital – sequence: 7 givenname: Takashi surname: Takeuchi fullname: Takeuchi, Takashi organization: Liaison Psychiatry and Psycho-Oncology Unit, Department of Psychiatry and Behavioral Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University – sequence: 8 givenname: Eriko surname: Satomi fullname: Satomi, Eriko organization: Department of Palliative Medicine, National Cancer Center Hospital – sequence: 9 givenname: Naoharu surname: Mori fullname: Mori, Naoharu organization: Department of Palliative and Supportive Medicine, Graduate School of Medicine, Aichi Medical University |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/38446230$$D View this record in MEDLINE/PubMed |
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Keywords | Multimodal care Cancer cachexia Skills Confidence Knowledge Registered dietitian |
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References | Amano, Koshimoto, Hopkinson, Baracos, Mori, Morita (CR14) 2022; 3 Roeland, Bohlke, Baracos, Bruera, Del Fabbro, Dixon (CR7) 2020; 38 Solheim, Vagnildhaug, Laird, Balstad (CR30) 2019; 67–68 Amano, Hopkinson, Baracos (CR6) 2022; 25 Koshimoto, Amano, Mori, Oyamada, Arakawa, Ishiki (CR16) 2023; 31 Fearon, Strasser, Anker, Bosaeus, Bruera, Fainsinger (CR1) 2011; 12 Koshimoto, Arimoto, Saitou, Uchibori, Hashizume, Honda (CR17) 2019; 27 Balstad, Solheim, Strasser, Kaasa, Bye (CR22) 2014; 91 Hopkinson (CR4) 2014; 5 CR11 Baracos, Martin, Korc, Guttridge, Fearon (CR2) 2018 Koshimoto, Yamazaki, Amano, Kako, Arimoto, Saitou (CR18) 2023; 15 Baracos, Coats, Anker, Sherman, Klompenhouwer (CR13) 2022; 13 Molassiotis, Brown, Cheng, Byrnes, Chan, Wyld (CR20) 2021; 20 van der Meij, Teleni, McCarthy, Isenring (CR23) 2021; 34 Ferrer, Anthony, Ayres, Biffi, Brown, Caan (CR3) 2023; 186 Vaughan, Martin (CR26) 2022; 22 Hall, Skipworth, Blackwood, Brown, Cook, Diernberger (CR29) 2021; 12 Crawford, Dzierżanowski, Hauser, Larkin, Luque-Blanco, Murphy (CR10) 2021; 6 Muscaritoli, Fanelli, Molfino (CR12) 2016; 27 Bland, Harrison, Zopf, Sousa, Currow, Ely (CR27) 2021; 62 Arends, Strasser, Gonella, Solheim, Madeddu, Ravasco (CR8) 2021; 6 CR21 Muscaritoli, Arends, Bachmann, Baracos, Barthelemy, Bertz (CR9) 2021; 40 Tanaka, Nakamura, Narimatsu (CR24) 2022; 14 Amano, Baracos, Hopkinson (CR5) 2019; 143 Testa, Furness, Choi, Haines, Huggins (CR19) 2023; 31 Avancini, Trestini, Tregnago, Lanza, Menis, Belluomini (CR25) 2021; 21 Yennurajalingam, Basen-Engquist, Reuben, Fellman, Shete, Maddi (CR28) 2022; 30 Amano, Arakawa, Hopkinson, Baracos, Oyamada, Koshimoto (CR15) 2023; 19 EJ Roeland (8417_CR7) 2020; 38 CC Hall (8417_CR29) 2021; 12 K Amano (8417_CR15) 2023; 19 8417_CR21 K Amano (8417_CR6) 2022; 25 M Muscaritoli (8417_CR12) 2016; 27 BS van der Meij (8417_CR23) 2021; 34 TS Solheim (8417_CR30) 2019; 67–68 KA Bland (8417_CR27) 2021; 62 VC Vaughan (8417_CR26) 2022; 22 M Muscaritoli (8417_CR9) 2021; 40 JB Hopkinson (8417_CR4) 2014; 5 VE Baracos (8417_CR13) 2022; 13 TR Balstad (8417_CR22) 2014; 91 S Koshimoto (8417_CR17) 2019; 27 K Tanaka (8417_CR24) 2022; 14 S Koshimoto (8417_CR16) 2023; 31 S Yennurajalingam (8417_CR28) 2022; 30 K Amano (8417_CR14) 2022; 3 S Koshimoto (8417_CR18) 2023; 15 K Fearon (8417_CR1) 2011; 12 S Testa (8417_CR19) 2023; 31 M Ferrer (8417_CR3) 2023; 186 GB Crawford (8417_CR10) 2021; 6 A Molassiotis (8417_CR20) 2021; 20 K Amano (8417_CR5) 2019; 143 8417_CR11 J Arends (8417_CR8) 2021; 6 VE Baracos (8417_CR2) 2018 A Avancini (8417_CR25) 2021; 21 |
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This study aimed to determine factors associated with multimodal care practices for cancer cachexia among registered dietitians (RDs) working in cancer... This study aimed to determine factors associated with multimodal care practices for cancer cachexia among registered dietitians (RDs) working in cancer care. A... Purpose This study aimed to determine factors associated with multimodal care practices for cancer cachexia among registered dietitians (RDs) working in cancer... This study aimed to determine factors associated with multimodal care practices for cancer cachexia among registered dietitians (RDs) working in cancer care. A... PurposeThis study aimed to determine factors associated with multimodal care practices for cancer cachexia among registered dietitians (RDs) working in cancer... This study aimed to determine factors associated with multimodal care practices for cancer cachexia among registered dietitians (RDs) working in cancer... |
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SubjectTerms | Atrophy Cachexia Cachexia - etiology Cachexia - therapy Cancer Dietitians Evidence-based medicine Humans Knowledge Medical colleges Medicine Medicine & Public Health Neoplasms - complications Nursing Nursing Research Nutrition therapy Nutritionists Oncology Oncology, Experimental Pain Medicine Regression analysis Rehabilitation Medicine |
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Title | Factors associated with multimodal care practices for cancer cachexia among registered dietitians |
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