Nutrition support in oncology care in Aotearoa New Zealand: current practice, and where to from here?

N Z Med J. 2022 Feb 4;135(1549):11-25.

Abstract

Aim: This research sought to identify and understand what nutrition-related information and support is available to people undergoing cancer treatment. We also sought the views on nutrition for cancer among providers of cancer care/support, and barriers/enablers to the provision of nutrition information/support.

Method: Data were collected using online surveys with New Zealand-based healthcare practitioners and support workers. Descriptive analysis was undertaken. Open-ended questions were analysed for explanatory content to help us interpret and understand the results.

Results: Most healthcare practitioners and support workers viewed nutrition as at least moderately important (for cancer recovery, patient wellbeing and preventing cancer recurrence) and believed nutrition information/support should be provided to cancer patients. However, nutrition information and support were not widely available through oncology practices and cancer support services. The main barriers to the provision of nutrition information and support (including access to dietitian appointments) were insufficient funding and lack of time/staff capacity. Additional barriers included a lack of access to evidence-based information and dietary expertise.

Conclusion: Nutrition information and support needs to be more widely available and standardised across New Zealand's oncology services. Ideally this would include general introductory information about nutrition (eg, World Cancer Research Fund recommendations) from all healthcare practitioners and more detailed tailored advice (and ongoing support where needed) from dietitians.

MeSH terms

  • Humans
  • Neoplasms* / therapy
  • New Zealand
  • Nutritional Status
  • Surveys and Questionnaires