Author of

• 35995

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  P32 - Palliative and Supportive Care - Misc. Topics (ID 220)

  • Event: WCLC 2020
  • Type: Posters
  • Track: Palliative and Supportive Care
  • Presentations: 1
  • Moderators:
  • Coordinates: 1/28/2021, 00:00 - 00:00, ePoster Hall

  • 36001

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    P32.05 - Correlation Between Malnutrition Universal Screen Tool Score and Outcomes Following Surgical Treatment of Lung Cancer (ID 3299)

    00:00 - 00:00  |  Presenting Author(s): Tomoyo Fujiwara
    • Abstract
    • Slides

    Introduction
    

    Cancer related malnutrition affects between 20-70% of patients, which may increase postoperative morbidity. Nutrition is therefore a core pillar of Enhanced Recovery After Surgery (ERAS). The rapid referral pathways do not allow sufficient time for pre-optimization of nutritional status. We therefore employed the validated (Malnutrition Universal Screening Tool - MUST) to identify patients at risk and investigated the preoperative We sought to investigate whether the preoperative MUST score affects outcomes following elective lung cancer surgery.

    Methods
    

    We prospectively collected data of 88 patients who underwent surgical treatment for lung cancer from 1^st October 2019 to 10^th December 2019. Patients were divided based on MUST scores (0 vs ≥1). MUST score was calculated for each patient prior to admission.

    Post-operative follow up was completed up to 90 days. Student's T-test and Mann-Whitney U tests were used for continuous data (parametric and non-parametric) while Chi-Squared tests and Fisher's exact tests were used for categorical data.

    Results
    

    The demographic details were comparable across both groups however patients in the MUST≥1 group had lower weight and BMI (p<0.05).

    There was a higher rate of infection requiring antibiotics and other complications (reintubation/ileus/hoarseness of voice) in the MUSTt≥1 group.

    

    Conclusion
    

    MUST score ≥1 does not exclude patients with lung cancer from surgical treatment although preoperative malnutrition increases the risk of post-operative respiratory complications. The incidence of prolonged air leak is higher in patients with poor nutritional status; however, a study with higher volume of patients is required to validate such a result.

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