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dc.contributor.authorGlatt, D
dc.contributor.authorHughes, C
dc.contributor.authorMcCarthy, O
dc.contributor.authorO'Shea, F
dc.contributor.authorBrougham, MFH
dc.contributor.authorWilson, DC
dc.contributor.authorRevuelta Iniesta, R
dc.date.accessioned2020-05-20T09:55:00Z
dc.date.issued2020-04-14
dc.description.abstractBackground: The department of Haematology and Oncology at the Royal Hospital for Sick Children (RHSC) in Edinburgh have developed their own nutritional standards specific to paediatric cancer. We aimed to audit the current nutritional practice in anthropometry, nutritional biochemistry and malnutrition screening for paediatric cancer patients against nutritional standards to identify areas for nutritional-practice improvement and progress nutrition-related clinical outcomes. Methods: A Clinical audit was conducted >20 weeks between 2015 and 2017 in three data collection locations (inpatient (IP), day-care (DC), or outpatient (OP)) at RHSC. We included patients aged 0–18 years and undergoing treatment for diagnosed malignant childhood cancer (ICCC-3 or Langerhans Cell Histiocytosis). Data were collected by analysing documentation and observing clinical practice for frequency and mode of administration of anthropometry, malnutrition screening, nutritional biochemistry and resulting documentation completion. Results were presented as descriptive statistics and stratified by percentage of standard met (100%, 99-70%, <70%). Results: 185 audited patient records (22 IP, 54 DC and 109 OP) were analysed. The areas which were <70% of the standard were: height and weight documentation for DC; head-circumference for IP; arm anthropometry assessment for all locations; initial PYMS screening and re-screening in IP; malnutrition screening in DC and OP; and initial assessment and re-assessment for serum vitamins D, A, E, B12 and parathyroid hormone levels. Conclusion: Baseline nutritional practice was successfully established, identifying areas for practice improvement in the RHSC Paediatric Oncology and Haematology Department; this will be implemented in the next step of the audit to optimise patient care.en_GB
dc.identifier.citationPublished online 14 April 2020en_GB
dc.identifier.doi10.1016/j.clnesp.2020.04.003
dc.identifier.urihttp://hdl.handle.net/10871/121111
dc.language.isoenen_GB
dc.publisherElsevieren_GB
dc.rights.embargoreasonUnder embargo until 14 April 2021 in compliance with publisher policy.en_GB
dc.rightsThis version is made available under the CC-BY-NC-ND 4.0 license https://creativecommons.org/licenses/by-nc-nd/4.0/ © 2020 European Society for Clinical Nutrition and Metabolism. Published by Elsevier Ltd.en_GB
dc.subjectChildrenen_GB
dc.subjectCanceren_GB
dc.subjectNutrition standardsen_GB
dc.subjectQuality improvement projecten_GB
dc.subjectDieteticsen_GB
dc.subjectAuditen_GB
dc.titleNutritional screening and assessment of paediatric cancer patients: A quality improvement project (baseline results)en_GB
dc.typeArticleen_GB
dc.date.available2020-05-20T09:55:00Z
dc.identifier.issn2405-4577
dc.descriptionThis is the author accepted manuscript. The final version is available from the publisher via the DOI in this recorden_GB
dc.identifier.journalClinical Nutrition ESPENen_GB
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/en_GB
dcterms.dateAccepted2020-05-05
rioxxterms.versionAMen_GB
rioxxterms.licenseref.startdate2020-04-05
rioxxterms.typeJournal Article/Reviewen_GB
refterms.dateFCD2020-05-20T09:50:36Z
refterms.versionFCDAM
refterms.panelCen_GB


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This version is made available under the CC-BY-NC-ND 4.0 license https://creativecommons.org/licenses/by-nc-nd/4.0/
© 2020 European Society for Clinical Nutrition and Metabolism. Published by Elsevier Ltd.
Except where otherwise noted, this item's licence is described as This version is made available under the CC-BY-NC-ND 4.0 license https://creativecommons.org/licenses/by-nc-nd/4.0/ © 2020 European Society for Clinical Nutrition and Metabolism. Published by Elsevier Ltd.