Implementation outcomes of early nutritional screening and referral for patients with thoracic cancers

Background & Aims Nutritional impairments may negatively impact different outcomes, including survival, in patients with thoracic malignancies. Despite this, a low number of patients are screened for nutritional risk and referred to an appropriate service. The aim of this study is to evaluate the feasibility of an Assess-Advise-Refer approach to implementing the engagement of the medical staff to refer patients at nutritional risk to a dedicated dietician. Methods Thoracic oncologists were trained to: i) administer the Nutritional Risk Screening (NRS-2002) tool to the patients during the first oncological evaluation to identify the nutritional risk, ii) advise patients about the importance of nutrition in cancer, and iii) refer patients at nutritional risk to the dedicated dietetic service. Results Between July 2022 and February 2023, 40% of patients scheduled for a first oncological evaluation received nutritional screening from oncologist. All the screened patients were advised about the importance of nutritional aspects during cancer care. Overall, seven patients were detected at nutritional risk and referred to the dietetic service. Additionally, other four patients were referred to the dietitian upon their request. Conclusion Whereas advice and referral appear to be better implemented, nutritional screening needs to be more integrated into the clinical practice routine.