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794 Individualized nutritional goals for patients with gynecological cancer
  1. Deniz Ozyalcin,
  2. Sonnur Saatci,
  3. Tugce Aytulu,
  4. Handan Dogan Kavustu and
  5. Tonguç Arslan
  1. VKV Amerikan Hastanesi, Istanbul, Turkey


Introduction/Background Nutritional intervention, timely and individualized, is very important. We aim to share the data and experiences of the ‘Nutrition Support Team (NST) Patient Evaluation Form’, which was created to include individualized nutrition goals in all adult patients, including patients with gynecological cancer(GC) at malnutrition risk.

Methodology For patients at risk of malnutrition, there are different goals for which the NST can be selected based on the patient‘s clinical condition (Image-1) such as transition to oral nutrition, enteral nutrition tolerance, etc. Inpatients with a diagnosis of GC were screened according to Nutrition Risk Screening 2002 (NRS-2002) and their data between 2021 and 2022 were retrospectively analyzed.

Results Fifty inpatients diagnosed with gynecological cancer under NST follow-up were evaluated. These patients were diagnosed with 76% (n:38) ovarian, 16% (n:8) cervix, 6% (n:3) endometrial, and 2% (n:3) vulva cancers. Hundred goals were selected for these patients and 56 of these goals were achieved (56%) (table-1). The top 3 goals are ‘Maintaining or increasing the weight (excluding edema)’ (n: 15; 15%), ‘Reaching the target calorie and providing stability’ (n: 19; 19%), ‘Increase in the amount of oral nutrition’ ( n:21;21%), while the first 3 goals reached are; enteral nutrition tolerance (n:2, 100%), transition to oral nutrition (n:10, 83.3%), reaching target calories and ensuring stability (n:11, 57.8%) (table-2).

Conclusion Monitoring of nutritional interventions is still a challenge today. Studies have focused more on mechanical and metabolic complications (blood glucose values and refeeding syndrome, etc.) in monitoring nutritional support. The difference of our study is the monitorability of individualized medical nutritional goals specific to the patient. These goals may also help NST members in terms of being a guide for follow-ups and standardization.

Disclosures None.

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