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Assessment of the Nutritional Status of Children and Adolescents With Malignancies

19 september 2014 uppdaterad av: University of Hohenheim

Assessment of the Nutritional Status of Children and Adolescents With Malignancies Aged Between 0-18, Based on BMI Percentiles and Standard Deviation Scores, at Diagnosis, During Treatment, and During Two Years Follow-up

The main objective of this study was the assessment of the nutritional status of children and adolescents aged between 0-18 with malignancies based on BMI percentiles and standard deviation scores, at diagnosis, during treatment and during a period of two years after the end of therapy.

Studieöversikt

Status

Avslutad

Betingelser

Detaljerad beskrivning

Children and adolescents suffering from malignancies often show malnutrition. Malnutrition, defined as a deficiency or an excess of energy, is associated with an increased risk of comorbidities, reduced survival rates, higher relapse rates, and worse treatment response.

The present retrospective study assessed the nutritional status of children and adolescents, suffering from nine different kinds of cancer, based on BMI percentiles and standard deviation scores. Anthropometric data were recorded from clinical charts and an assessment of the nutritional status was made at the beginning of treatment, during the course of therapy and during a follow-up period of two years. The influence of treatment-related characteristics, the duration of therapy, and the occurrence of a relapse or progress during therapy on the nutritional status were examined.

Studietyp

Observationell

Inskrivning (Faktisk)

135

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

Inte äldre än 18 år (Barn, Vuxen)

Tar emot friska volontärer

Nej

Kön som är behöriga för studier

Allt

Testmetod

Icke-sannolikhetsprov

Studera befolkning

Children and adolescents, treated for one of the following diseases: lymphoma, germ cell tumor, nephroblastoma, soft tissue sarcoma, neuroblastoma, Ewing sarcoma, brain tumor, or acute lymphoblastic leukemia (ALL)/acute myeloid leukemia (AML)

Beskrivning

Inclusion Criteria:

  • children and adolescents treated at the Olgahospital Stuttgart for one of the nine different cancer types
  • treated according to a study protocol of the Society of Pediatric Oncology and Hematology (GPOH), with modifications only allowed within the therapeutic protocol
  • time period between diagnosis and start of treatment less than 28 days
  • age younger than 18

Exclusion Criteria:

  • severe underlying disease, which exerts a strong influence on weight and/or height
  • patients whose clinical record does not state any weight and/or height
  • diseases which are not considered as malignant because of the state or biology

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Tidsperspektiv: Retrospektiv

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Nutritional status at diagnosis
Tidsram: Within the month of diagnosis
To assess the nutritional status height and weight were recorded from patient charts to calculate the BMI percentile (Body Mass Index percentile) and the BMI-SDS (Body Mass Index-Standard Deviation Score)
Within the month of diagnosis
Change in nutritional status during treatment
Tidsram: Every month during the treatment period (average treatment period 11 months)
To assess the nutritional status height and weight were recorded from patient charts to calculate the BMI percentile and the BMI-SDS
Every month during the treatment period (average treatment period 11 months)
Change in nutritional status during follow-up
Tidsram: Once in a period of three months during two years follow-up
To assess the nutritional status height and weight were recorded from patient chart to calculate the BMI percentile and the BMI-SDS
Once in a period of three months during two years follow-up

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Clinical picture
Tidsram: Within the month of diagnosis
Kind of cancer (lymphoma, germ cell tumor, nephroblastoma, soft tissue sarcoma, neuroblastoma, Ewing sarcoma, brain tumor, acute lymphoblastic leukemia (ALL)/acute myeloid leukemia (AML)), recorded from patient chart
Within the month of diagnosis
Age (years)
Tidsram: Within the month of diagnosis
Age in years, recorded from patient chart
Within the month of diagnosis
Treatment period (months)
Tidsram: Patients were followed for the duration of their treatment period. Average treatment period 11 months
Time from start until the end of treatment, recorded from patient chart
Patients were followed for the duration of their treatment period. Average treatment period 11 months
Incidence of nutritional interventions
Tidsram: Patients were followed for the incidence of a nutritional intervention within the treatment period (average treatment period 11 months)
Application of parenteral nutrition or gastric tube (yes/no), recorded from patient chart
Patients were followed for the incidence of a nutritional intervention within the treatment period (average treatment period 11 months)
Infection
Tidsram: Patients were followed for the occurence of an infection within the treatment period (average treatment period 11 months)
Occurence of an infection (yes/no), recorded from patient chart
Patients were followed for the occurence of an infection within the treatment period (average treatment period 11 months)
Fever
Tidsram: Patients were followed for the occurence of fever within the treatment period (average treatment period 11 months)
Occurence of fever (yes/no), recorded from patient chart
Patients were followed for the occurence of fever within the treatment period (average treatment period 11 months)
Administration of antibiotics
Tidsram: Patients were followed for the occurence of an administration of antibiotics within the treatment period (average treatment period 11 months)
Administration of antibiotics (yes/no), recorded from patient chart
Patients were followed for the occurence of an administration of antibiotics within the treatment period (average treatment period 11 months)
Diarrhea
Tidsram: Patients were followed for the occurence of diarrhea within the treatment period (average treatment period 11 months)
Occurence of diarrhea (yes/no), recorded from patient chart
Patients were followed for the occurence of diarrhea within the treatment period (average treatment period 11 months)
Mucositis
Tidsram: Patients were followed for the occurence of mucositis within the treatment period (average treatment period 11 months)
Occurence of mucositis (yes/no),recorded from patient chart
Patients were followed for the occurence of mucositis within the treatment period (average treatment period 11 months)
Nausea
Tidsram: Patients were followed for the occurence of nausea within the treatment period (average treatment period 11 months)
Occurence of nausea (yes/no), recorded from patient chart
Patients were followed for the occurence of nausea within the treatment period (average treatment period 11 months)
Constipation
Tidsram: Patients were followed for the occurence of constipation within the treatment period (average treatment period 11 months)
Occurence of constipation (yes/no), recorded from patient chart
Patients were followed for the occurence of constipation within the treatment period (average treatment period 11 months)
Relapse/Progress
Tidsram: Patients were followed for the occurence of a relapse/progress within the treatment period (average treatment period 11 months) and follow-up (two years)
Occurence of a relapse/progress (yes/no), recorded from patient chart
Patients were followed for the occurence of a relapse/progress within the treatment period (average treatment period 11 months) and follow-up (two years)
Kind of treatment
Tidsram: Patients were followed for the kind of treatment they received wihin the treatment period (average treatment period 11 months)
Kind of treatment (chemotherapy, operation, Radiation), recorded from Patient chart
Patients were followed for the kind of treatment they received wihin the treatment period (average treatment period 11 months)

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart

1 juni 2013

Primärt slutförande (Faktisk)

1 januari 2014

Avslutad studie (Faktisk)

1 januari 2014

Studieregistreringsdatum

Först inskickad

17 september 2014

Först inskickad som uppfyllde QC-kriterierna

19 september 2014

Första postat (Uppskatta)

22 september 2014

Uppdateringar av studier

Senaste uppdatering publicerad (Uppskatta)

22 september 2014

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

19 september 2014

Senast verifierad

1 september 2014

Mer information

Termer relaterade till denna studie

Ytterligare relevanta MeSH-villkor

Andra studie-ID-nummer

  • EM-13

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