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A survey of preoperative surgical nutrition practices, opinions, and barriers across Canada.

Authors :
Bellafronte, Natalia Tomborelli
Nasser, Roseann
Gramlich, Leah
Carli, Francesco
Liberman, Sender
Santa Mina, Daniel
Schierbeck, Geoff
Ljungqvist, Olle
Gillis, Chelsia
Source :
Applied Physiology, Nutrition & Metabolism; 2024, Vol. 49 Issue 5, p687-699, 13p
Publication Year :
2024

Abstract

Malnutrition is prevalent among surgical candidates and associated with adverse outcomes. Despite being potentially modifiable, malnutrition risk screening is not a standard preoperative practice. We conducted a cross-sectional survey to understand healthcare professionals' (HCPs) opinions and barriers regarding screening and treatment of malnutrition. HCPs working with adult surgical patients in Canada were invited to complete an online survey. Barriers to preoperative malnutrition screening were assessed using the Capability Opportunity Motivation-Behaviour model. Quantitative data were analyzed using descriptive statistics and qualitative data were analyzed using summative content analysis. Of the 225 HCPs surveyed (n = 111 dietitians, n = 72 physicians, n = 42 allied HCPs), 96%–100% agreed that preoperative malnutrition is a modifiable risk factor associated with worse surgical outcomes and is a treatment priority. Yet, 65% (n = 142/220; dietitians: 88% vs. physicians: 40%) reported screening for malnutrition, which mostly occured in the postoperative period (n = 117) by dietitians (n = 94). Just 42% (48/113) of non-dietitian respondents referred positively screened patients to a dietitian for further assessment and treatment. The most prevalent barriers for malnutrition screening were related to opportunity, including availability of resources (57%, n = 121/212), time (40%, n = 84/212) and support from others (38%, n = 80/212). In conclusion, there is a gap between opinion and practice among surgical HCPs pertaining to malnutrition. Although HCPs agreed malnutrition is a surgical priority, the opportunity to screen for nutrition risk was a great barrier. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
17155312
Volume :
49
Issue :
5
Database :
Complementary Index
Journal :
Applied Physiology, Nutrition & Metabolism
Publication Type :
Academic Journal
Accession number :
176933297
Full Text :
https://doi.org/10.1139/apnm-2023-0195