Preoperative Nutritional Management in Adenocarcinoma Patients Undergoing Neoadjuvant Therapy:A Best Evidence Summary
Objective To search,assess and summarize the best evidence for preoperative nutritional man-agement in patients undergoing neoadjuvant therapy for pancreatic cancer,and to provide a basis for preop-erative nutritional practice in patients with neoadjuvant therapy for pancreatic cancer.Methods The best evidence of the preoperative nutritional management of pancreatic cancer patients with neoadjuvant therapy were searched systematically,including relevant guidelines,expert consensuses,and systematic reviews.The retrieval period was from the inceptions to May 2023.Results A total of 25 articles were included,with 6 expert consensus,2 guidelines and 2 systematic reviews.A total of 18 best evidences in 6 aspects were summarized,namely team building,nutrition training,nutrition screen and assessment,nutrition interven-tion,follow-up evaluation and health education.Conclusions Medical staff should pay attention to the pre-operative nutritional status of patients with neoadjuvant pancreatic therapy,and can formulate individual-ized nutritional intervention plans for patients according to the hospital and clinical situation of patients and combined with the best evidence,standardize the nutritional management process,improve the preoperative nutritional status,and reduce the occurrence of postoperative complications.
pancreatic cancerneoadjuvant therapynutritionsummary of evidenceevidence-based nursing