Managing Undernutrition in Pediatric Oncology: A Consensus Statement Developed Using the Delphi Method by the Polish Society for Clinical Nutrition of Children and the Polish Society of Pediatric Oncology and Hematology

Nutrients. 2024 Apr 28;16(9):1327. doi: 10.3390/nu16091327.

Abstract

"Managing Undernutrition in Pediatric Oncology" is a collaborative consensus statement of the Polish Society for Clinical Nutrition of Children and the Polish Society of Pediatric Oncology and Hematology. The early identification and accurate management of malnutrition in children receiving anticancer treatment are crucial components to integrate into comprehensive medical care. Given the scarcity of high-quality literature on this topic, a consensus statement process was chosen over other approaches, such as guidelines, to provide comprehensive recommendations. Nevertheless, an extensive literature review using the PubMed database was conducted. The following terms, namely pediatric, childhood, cancer, pediatric oncology, malnutrition, undernutrition, refeeding syndrome, nutritional support, and nutrition, were used. The consensus was reached through the Delphi method. Comprehensive recommendations aim to identify malnutrition early in children with cancer and optimize nutritional interventions in this group. The statement underscores the importance of baseline and ongoing assessments of nutritional status and the identification of the risk factors for malnutrition development, and it presents tools that can be used to achieve these goals. This consensus statement establishes a standardized approach to nutritional support, aiming to optimize outcomes in pediatric cancer patients.

Keywords: childhood cancer; nutrition; nutritional support.

Publication types

  • Review
  • Practice Guideline

MeSH terms

  • Child
  • Child Nutrition Disorders / diagnosis
  • Child Nutrition Disorders / diet therapy
  • Child Nutrition Disorders / prevention & control
  • Child Nutrition Disorders / therapy
  • Child, Preschool
  • Consensus*
  • Delphi Technique*
  • Humans
  • Malnutrition* / diagnosis
  • Malnutrition* / etiology
  • Malnutrition* / prevention & control
  • Malnutrition* / therapy
  • Medical Oncology / standards
  • Neoplasms* / complications
  • Neoplasms* / therapy
  • Nutrition Assessment
  • Nutritional Status
  • Nutritional Support / methods
  • Pediatrics / methods
  • Pediatrics / standards
  • Poland
  • Societies, Medical

Grants and funding

This research received no external funding.