{"id":2878,"date":"2018-10-17T19:07:58","date_gmt":"2018-10-17T17:07:58","guid":{"rendered":"https:\/\/choosingwiselyitaly.org\/raccomandazione-prof\/dont-initiate-or-prolong-artificial-nutrition-enteral-or-parenteral-in-late-stage-cancer-patients-with-a-life-expectancy-of-less-than-a-few-weeks-and-a-performance-status\/"},"modified":"2022-01-12T12:44:33","modified_gmt":"2022-01-12T11:44:33","slug":"dont-initiate-or-prolong-artificial-nutrition-enteral-or-parenteral-in-late-stage-cancer-patients-with-a-life-expectancy-of-less-than-a-few-weeks-and-a-performance-status","status":"publish","type":"raccomandazione-prof","link":"https:\/\/choosingwiselyitaly.org\/en\/raccomandazione-prof\/dont-initiate-or-prolong-artificial-nutrition-enteral-or-parenteral-in-late-stage-cancer-patients-with-a-life-expectancy-of-less-than-a-few-weeks-and-a-performance-status\/","title":{"rendered":"Don\u2019t initiate or prolong artificial nutrition (enteral or parenteral) in late stage cancer patients with a life expectancy of less than a few weeks and a Performance Status <50."},"content":{"rendered":"<p>Currently, there is no evidence from observational or experimental studies showing the effectiveness, in terms of increased survival or improved quality of life, of administering artificial nutrition to end-stage cancer patients with limited life-expectancy and poor performance status. Some studies highlight the complications caused by receiving enteral nutrition in this patient group.<\/p>\n","protected":false},"featured_media":2397,"template":"","meta":{"_edit_lock":["1641987917:4"],"_edit_last":["4"],"_wpml_media_duplicate":["0"],"_wpml_media_featured":["0"],"_thumbnail_id":["2397"],"_wpml_word_count":["{\"total\":245,\"to_translate\":{\"it\":245}}"],"_yoast_wpseo_primary_eta":[""],"_yoast_wpseo_primary_disciplina":["120"],"_yoast_wpseo_primary_tipologia":[""],"wpcf-pacchetto":["SICP #1"],"wpcf-bibliografia":["1. Bozzetti F. et al. Giudelines on artificial nutrition versus hydration in terminal cancer patients. Nutrition 1996; 12: 163-167.\r\n2. Casarett D, Kapo J, Caplan A. Appropriate Use of Artificial Nutrition and Hydration \u2014 Fundamental Principles and Recommendations. N Engl J Med 2005; 353: 2607-2612.\r\n3. Keung EZ, Liu X, Nuzhad, A. In-Hospital and Long-Term Outcomes after Percutaneous Endoscopic Gastrostomy in Patients with Malignancy J Am Coll Surg 2012; 215(6): 777-86.\r\n4. Muscaritoli M et al. Parenteral nutrition in advanced cancer patients. Crit Rev Oncol Hematol. 2012 Oct; 84(1): 26-36.\r\n5. Dev R., Dalal S., Bruera E. Is there a role for parenteral nutrition or hydratation at the end of life? 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