Eight dietary advice cards to address the needs of elderly cancer patients treated with palliative chemotherapy: INOGAD study [Huit fiches pratiques de conseil nutritionnel pour répondre aux besoins des patients agés au cours de leur traitement de chimiothérapie: étude INOGAD]

摘要

Aim: The dietary counseling applied in the ongoing randomized control trial INOGAD was based on face to face interviewing and dietary cards during the successive cures of chemotherapy. The aim of this ancillary study was to assess older patients'compliance with this method. Procedure: In the intervention group 33 patients were assessed for compliance with advices targeted on needs and recorded symptoms: appetite loss, bowel troubles, nausea and vomiting, taste troubles, oral pain, dysphagia, and the needs of patients with diabetes. At each visit symptoms and compliance were assessed. Proportion of actually implemented advices or proportion of oral supplement actually ingested related to prescription were measured. Results: Mean patients age was 76.5 yr (Standard-Deviation, 5.3 yr). All in all, 152 follow-up visits were done and the most frequent symptom was appetite loss. A professional help at home was implemented in 7 patients. Oral supplementations were prescribed in 22 patients and were taken in a 0.68 (SD 0.41). During the follow-up taste troubles became more frequent. Compliance with card advices were from 0.60 (taste troubles) to 0.70 (appetite loss). Conclusion: Dietary counseling consisting in repeated consultations, symptoms follow-up and dietary cards was well received by elderly cancer patients during the course of their chemotherapy treatment.