Cancer cachexia in adult patients: ESMO Clinical Practice Guidelines☆

J Arends; F Strasser; S Gonella; T S Solheim; C Madeddu; P Ravasco; L Buonaccorso; M A E de van der Schueren; C Baldwin; M Chasen; C I Ripamonti; ESMO Guidelines Committee. Electronic address: clinicalguidelines@esmo.org

doi:10.1016/j.esmoop.2021.100092

Cancer cachexia in adult patients: ESMO Clinical Practice Guidelines^☆

ESMO Open. 2021 Jun;6(3):100092. doi: 10.1016/j.esmoop.2021.100092.

Affiliations

¹ Department of Medicine I, Medical Center - University of Freiburg Faculty of Medicine, University of Freiburg, Freiburg, Germany.
² Integrated Cancer Rehabilitation and Cancer Fatigue Clinic, Klinik Gais/Kliniken Valens; Clinic Medical Oncology and Hematology, Cantonal Hospital St Gallen, St Gallen, Switzerland.
³ Direction of Health Professions, Azienda Ospedaliero Universitaria Città della Salute e della Scienza of Turin, University of Turin, Turin, Italy; Department of Public Health and Pediatrics, University of Turin, Turin, Italy.
⁴ Department of Clinical and Molecular Medicine, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway; Cancer Clinic, Trondheim University Hospital, Trondheim, Norway.
⁵ Medical Oncology Unit, Azienda Ospedaliero Universitaria Cagliari, Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.
⁶ Immuno-Hemotherapy and Oncology, University Hospital of Santa Maria, CHULN, Lisbon, Portugal; Center for Interdisciplinary Research in Health, Universidade Católica Portuguesa, Lisbon, Portugal; University of Lisbon, Portugal.
⁷ Psycho-Oncology Unit, Azienda USL-IRCCS, Reggio Emilia, Italy.
⁸ Department of Nutrition, Dietetics and Life Style, School of Allied Health, HAN University of Applied Sciences, Nijmegen, The Netherlands; Division of Human Nutrition and Health, Wageningen University & Research, Wageningen, The Netherlands.
⁹ Department of Nutritional Sciences, King's College London, London, UK.
¹⁰ Department of Medicine, University of Toronto, Toronto, Canada; Department of Family Medicine, McMaster University, Hamilton, Canada; William Osler Health Services, Brampton, Canada.
¹¹ Oncology-Supportive Care in Cancer Unit, Department of Onco-Haematology, Fondazione IRCCS Istituto Nazionale dei Tumori Milano, Milan, Italy.

Abstract

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This ESMO Clinical Practice Guideline provides key recommendations for managing cancer-related cachexia.
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It covers screening, assessment and multimodal management of cancer cachexia.
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All recommendations were compiled by a multidisciplinary group of experts.
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Recommendations are based on available scientific data and the author's expert opinion.

Keywords: Clinical Practice Guidelines; assessment; cachexia; cancer; nutrition; treatment.

Publication types

Practice Guideline

MeSH terms

Adult
Cachexia* / diagnosis
Cachexia* / epidemiology
Cachexia* / etiology
Humans
Neoplasms* / complications
Neoplasms* / epidemiology
Neoplasms* / therapy