Why the study?
Resection remains key for colorectal cancer, and correcting preoperative malnutrition reduces morbidity and mortality, prompting evaluation of a nutritional state mass screening protocol to steer support.
Does preoperative telemedicinal nutritional screening and targeted oral nutritional supplementation improve outcomes in patients undergoing elective colorectal surgery?
Comparison
NRS 2002 score < 3 vs score >= 3 without clinical nutrition vs score >= 3 with clinical nutrition
Design
Prospective study
Key result
Preoperative clinical nutrition in high-risk patients yielded a 2.3% severe complication rate versus 5.1% without nutrition (p > 0.05), and significantly reduced length of stay (p < 0.01).
Authors
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Supports shorter stays with adequate nutrition in colorectal surgery; hypothesis-generating for telemedical screening, pending RCTs.
Cohort (n=259)
Does preoperative telemedicinal nutritional screening and targeted oral nutritional supplementation improve outcomes in patients undergoing elective colorectal surgery?
Absolute Event Rate: 2.3% vs 5.1%
p-value: p=> 0.05
Preoperative telemedicinal nutritional screening and targeted supplementation reduces length of stay in patients undergoing elective colorectal surgery.
Kollár et al. (2022) conducted a cohort in Planned colorectal resection (n=259). Optimized oral nutritional supplement vs. No clinical nutrition despite high risk (Group II-) was evaluated on Severe complications (Clavien-Dindo >2) (p=> 0.05). Preoperative clinical nutrition in high-risk patients yielded a 2.3% severe complication rate versus 5.1% without nutrition (p > 0.05), and significantly reduced length of stay (p < 0.01).