Download Cancer Cachexia by Egidio Del Fabbro, Akio Inui, Florian Strasser, David Blum, PDF
By Egidio Del Fabbro, Akio Inui, Florian Strasser, David Blum, Hajime Suzuki
Cancer Cachexia is a concise, totally illustrated guide written with the purpose of accelerating information of melanoma cachexia and highlighting most sensible perform analysis, therapy, and administration techniques for this devastating affliction. this is often one other identify within the ongoing Springer Healthcare melanoma Supportive Care Series.
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Extra info for Cancer Cachexia
Support Care Cancer. 2009;17:1531-1541. 10 Del Fabbro E, Hui D, Dalal S, Dev R, Nooruddin ZI, Bruera E. Clinical outcomes and contributors to weight loss in a cancer cachexia clinic. J Palliat Med. 2011;14:1004-1008. 11 Rajagopal A, Vassilopoulou-Sellin R, Palmer JL, Kaur G, Bruera E. Symptomatic hypogonadism in male survivors of cancer with chronic exposure to opioids. Cancer. 2004;100:851-858. 12 Rini BI, Tamaskar I, Shaheen P, et al. Hypothyroidism in patients with metastatic renal cell carcinoma treated with sunitinib.
Basic assessment To identify patients with cancer cachexia, a basic assessment should take place. This includes: • Evidence of depletion: A detailed history of weight loss and clinical examination of any relevant edema (eg, examination of thighs, lower legs; make an impression using fingertips to determine whether there is mild edema in suspected areas) should be performed. Assess whether the patient has fluid retention in other body parts, specifically ascites or pleural effusions. • Estimation of nutrition intake: Patients should be asked whether they feel that they eat as much as before cancer diagnosis and treatment.
Assessment of quality of life Although it may be intuitive that appetite improvement and gains in lean body mass would have a positive effect on QoL, it cannot be assumed that this is the case. The same degree of weight loss and muscle wasting may affect different patients in different ways, depending on their role, expectations, and sense of self. There are validated QoL questionnaires (eg, Functional Assessment of Chronic Illness Therapy [FACIT]) that assess the impact of the cancer cachexia syndrome on an individual patient’s body image, perception of well-being, social relationships, and global perception of QoL .