Incidence, Mortality And Hospital Resource Utilization In Patients With Gastrointestinal Cancer And

Researchers analyzed temporal trends as well as disparities between gastrointestinal cancers (GIC) patients with and without malnutrition, by utilizing the National inpatient Sample database. They identified all adults admitted with GIC including esophageal, gastric, pancreatic, hepatic, gall bladder, small and large intestine and anal cancers from 2012-2016. In multivariate analysis, more common occurrence of protein energy malnutrition (PEM) was shown in relation to factors such as male gender, African- American race and Charlson comorbidity index >= 2. Being terminally ill, in intensive care unit, more likely to be seen by palliative care team and having more chances of dying were often noted in malnourished patients. A significant increase in the incidence, mortality, and total charge of PEM was noted, from 2012 to 2016, in patients suffering from GIC. According to findings, more advanced disease as well as an increased mortality was observed in malnourished patients with GIC vs patients with adequate nutritional status. A great improvement in results as well as control in healthcare expenses can be achieved by optimization of their nutritional status.

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