論文種別	原著(症例報告除く)
言語種別	英語
査読の有無	その他(不明)
表題	Assessing the need for multimodal care in anorexia and cachexia patients with advanced cancer referred to palliative care: a secondary analysis of a multicenter survey in Japan.
掲載誌名	正式名：Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer 略　 称：Support Care Cancer ISSNコード：14337339/09414355
掲載区分	国外
巻・号・頁	33(10),pp.837
著者・共著者	Sayaka Arakawa, Koji Amano, Saori Koshimoto, Satomi Okamura, Tatsuma Sakaguchi, Yoshinobu Matsuda, Akihiro Tokoro, Takashi Takeuchi, Naoharu Mori, Eriko Satomi
発行年月	2025/09
概要	PURPOSE:There are no methods for assessing the need for multimodal care in cancer cachexia. We examined nine components in evaluating needs among advanced cancer patients.METHODS:This was a self-administered survey. Participants rated their nutrition impact symptoms (NISs) using a numerical rating scale, dietary intake using the Ingesta-Verbal/Visual Analogue Scale, and needs for nine components of multimodal care using a 7-point Likert scale. They completed the Hospital Anxiety and Depression Scale (HADS), Distress Thermometer, and Impact Thermometer questionnaires. They were divided into high- and low-need groups based on the median of the total scores for the nine components. We compared the groups and performed a multivariate logistic regression analysis to determine the association between need, NISs, dietary intake, and each scale.RESULTS:Ultimately, 170 respondents were grouped into the high-need (n = 88) and low-need (n = 82) groups. There were no significant differences in their characteristics. The high-need group had significantly higher scores for NISs as well as higher HADS-Anxiety, Distress Thermometer, and Impact Thermometer scores. Four or more NISs with a score ≥ 4 (odds ratio (OR) 2.24, 95% confidence interval (CI) 1.09-4.60), a HADS-Anxiety score ≥ 8 (OR 2.42, 95% CI 1.22-4.79), a Distress Thermometer score ≥ 4 (OR 6.10, 95% CI 2.36-15.76), and an Impact Thermometer score ≥ 3 (OR 3.87, 95% CI 1.57-9.50) were associated with a high need.CONCLUSIONS:The nine components were associated with NISs, anxiety, and distress. They were useful in evaluating needs for multimodal care.
DOI	10.1007/s00520-025-09889-6
PMID	40913645