Resources
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Resources
This page lists the resources that can be accessed via this website, either as downloads or linked items.
Screening Tools
Screening Resources
Malnutrition Screening Tool (MST) PDF
Malnutrition Universal Screening Tool (MUST) PDF
Patient-Generated Subjective Global Assessment (PG-SGA) Short Form PDF
Strength, Ambulation, Rising from a chair, stair Climbing and history of Falling (SARC-F) PDF
SARC-F in combination with calf-circumference (SARC-CalF) PDF
Exemplars of evidence-based care in practice
Incorporating malnutrition or sarcopenia screening into existing processes
Improving your model of care to ensure timely identification of sarcopenia
Implementing self-screening for malnutrition risk
Improving completion rates for malnutrition screening
Diagnostic Criteria
Assessment Resources
Patient-Generated Subjective Global Assessment (PG-SGA) PDF
Subjective Global Assessment (SGA) PDF
Global Leadership Initiative on Malnutrition (GLIM) criteria for the diagnosis of malnutrition
Guidance on assessment of muscle mass phenotypic criteria
Guidance on assessment of the inflammation etiologic criterion
European Working Group on Sarcopenia in Older People updated definition (EWGSOP2)
European Working Group on Sarcopenia in Older People (EWGSOP1)
Foundation for the National Institutes of Health biomarkers consortium sarcopenia project (FNIH)
Cancer specific CT image analysis
How to Guides
How to complete the PG-SGA
PG-SGA physical examination
Calf circumference
Bioelectric impedance analysis
Bioelectric impedance spectroscopy
Handgrip strength
Chair stand test
Short Physical Performance Battery SPPB
Timed up and go
Gait speed test
400m walk test
Instructional Videos
How to complete the PG-SGA
PG-SGA physical examination
SGA malnutrition assessment
Calf circumference
Bioelectric impedance analysis – Prado Lab
Bioelectric impedance analysis – Utah State
What is Bioelectric Impedance Spectroscopy?
Handgrip strength – Prado Lab
Handgrip strength – Performance Health Academy Network
Five times sit to stand test
SPPB – chair stand test
SPPB – gait speed test
SPPB – balance test
Timed up and go test – CDC
Times up and go test – The Chartered Society of Physiotherapy
4-meter walk gait speed test – NIH toolbox
400m walk test
Exemplars of evidence-based care in practice
Assessment of skeletal muscle via CT
How to train clinicians in new assessment measures
Treatment
Medical Nutrition Therapy
Treating or preventing malnutrition
Treating or preventing low muscle mass
Relevant evidence-based guidelines:
- ESPEN guidelines on nutrition in cancer patients 2021
- Academy of Nutrition and Dietetics (AND) oncology evidence-based nutrition practice guideline 2017
- ASPEN Clinical Guidelines: Nutrition Support Therapy During Adult Anticancer Treatment and in Hematopoietic Cell Transplantation 2009
- COSA position statement on cancer-related malnutrition and sarcopenia 2021
- Sarcopenia: A Time for Action, An SWCD Position Paper 2019
Professional development resources for health professionals:
- Preventing cancer malnutrition information for health professionals – VCMC
- Malnutrition and Sarcopenia in Cancer eLearning modules – EviQ Education
- Malnutrition Governance Toolkit – VCMC
What resources can I give my patient about nutrition and cancer?
- Nutrition and cancer – Cancer Council
- Preventing weight loss – Why is it important for people with cancer? – VCMC
- Muscle Loss and Cancer Treatments – Dietitian Connection
- Getting the right amount of protein – NEMO
- The CanEAT pathway: a guide to optimal cancer nutrition for people with cancer, carers and health professionals – VCMC
Exercise Therapy
Core components of exercise therapy
Relevant evidence-based guidelines:
- Exercise and Sports Science Australia (ESSA) position statement: exercise medicine in cancer management 2019
- American College of Sports Medicine (ACSM) Exercise Guidelines for Cancer Survivors 2019
- American Cancer Society – Guidelines on exercise is medicine in oncology: Engaging clinicians to help patients move through cancer 2019
- COSA position statement on exercise in cancer care 2021
- Exercise Recommendation for People with Bone Metastases: Expert Consensus for Health Care Providers and Exercise Professionals 2022
Professional development resources for health professionals:
- Cancer Exercise Toolkit
- Exercise Prescription and Modification Considerations – Cancer Exercise Toolkit
- Integrating physical activity into cancer care – MacMillan Cancer Support
- Moving through cancer infographic – University of British Columbia
- The science of exercise for cancer – Dr Kerry Courneya
- Exercise is Medicine tools – Exercise & Sports Science Australia
What resources can I give my patient about exercise and cancer?
- Exercise and cancer – Cancer Council
- Exercise Videos – Cancer Council
- Exercise and Cancer – Exercise & Sports Sciences Australia
- Being active when you have cancer – Exercise is Medicine
- Fitness and strength exercises | Prep 4 Cancer Surgery – Prep 4 Cancer Surgery
- Exercise Guides – Penn State University Oncology Nutrition Education Group
- Exercise Videos – Penn State University Oncology Nutrition Education Group
- Coping with cancer: Exercise support – BC Cancer
- Being physically active when you have bone metastases – Canadian Cancer Society
- Exercise and myeloma – Myeloma Australia
Physical Symptom Management
Relevant evidence-based guidelines:
- ESMO Clinical practice guidelines for cancer related fatigue 2020
- Exercise for cancer related fatigue for health professionals 2019
- Exercise, Diet, and Weight management during Cancer Treatment: ASCO Guideline 2022
- Management of Fatigue in Adult Cancer Survivors – ASCO guideline update 2024
How can I support my patients to manage their cancer-related side-effects?
- Loss of appetite – NEMO
- Nausea and Vomiting – NEMO
- Cancer Therapy and Nausea – MASCC
- Taste and Smell – Cancer Council
- Understanding Mouth Health and Cancer Treatment – Cancer Council
- Cancer Therapy and Mouth Sores – MASCC
- Painful Eating and Swallowing – NEMO
- Diarrhoea during cancer treatment – eviQ
- Constipation during cancer treatment – eviQ
- Understanding Fatigue and Cancer– Cancer Council
- The CanEAT pathway: a guide to optimal cancer nutrition for people with cancer, carers and health professionals – VCMC
Psychosocial Symptom Management
Relevant evidence-based guidelines:
- National Comprehensive Cancer Network Distress Management 2024
- Psycho-oncology Co-operative Research Group Clinical pathway for assessment and management of anxiety and depression in cancer patients 2017
How can I support my patient to manage their psychosocial health?
- Emotions and Cancer – Cancer Council
- Exploring ways to look after your mind when you are affected by cancer – Cancer Mind Care
Exemplars of evidence-based care in practice
Eating as treatment (EAT) study
Nutrition care pathway for upper GI cancer surgery
Structured exercise after adjuvant chemotherapy for colon cancer (CHALLENGE study)
The effect of early nutrition support on malnourished medical inpatients (EFFORT trial)
Transitions of Care
Multidisciplinary Care
Implementation Tools and Tips
Develop your local action plan
Audit tool
Self-assessment checklist
Why is it important to address cancer-related malnutrition and sarcopenia?
How to build your implementation team
AACTT framework – inpatients
AACTT framework – day therapy units
AACTT framework – radiotherapy outpatients
AACTT framework – rural/community
AACTT framework – primary care
Generic pathway
Checklist to identify and address barriers and enablers to implementation
Example clinical indicators
Exemplars of evidence-based care in practice
Raising awareness of malnutrition and sarcopenia in your organisation
Advocating with the MDT for a business care to establish a new clinical service
Pre-operative nutrition care in patients undergoing oral cavity surgery
Integrating a co-located exercise clinic into oncology care