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国立がん研究センター 中央病院

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Nutrition Management Office

Mayumi Miyauchi, Tomoko Suzuki, Hiroko Abe, Noriko Aoki, Saki Hoshino, Moe Nishio, Ayumi Makita, Maki Miura, Naomi Togashi

Introduction

In 2015, I placed emphasis on NST(Nutrition Support Team)activities. As for the number of interventions, the number increased 1.5 times. As a novel measure, I participated in the AYA (Adolescence and Young Adult) support team. The significance of the involvement of prandial activities to AYA was understood and the NST involvement number increased. In accordance with the amendment of the Overview of Dietary Reference Intake for Japanese (2015), I reexamined the patient’s prandial standards. I participated in the creation of the guidelines as a committee member at the Japan Pancreas Society’s pancreatic-carcinoma guideline meeting.

Routine activities

The therapeutic diet, which is provided as part of nutritional therapy, accounted for 441,164 meals. We also provided 1,432 dietary consultations. The NST accepted 931 patients, and consultations averaged 78 cases per month. It was 1.5 times greater than the number for the previous year. (Table 1)

Research activities

We created the assessment sheet corresponding to the prandial activities that we are performing through collaboration, and announced this to the Japan Society of Metabolism and Clinical Nutrition.

In addition, we are conducting research on nutrition and the diet management environment of cancer patients thanks to a cancer survivorship research grant from the Foundation for Promotion of Cancer Research.

I conducted the factual survey of the taste disorder in a stomach-cancer postoperative auxiliary treatment as a cancer research and development.

We participated in a seminar and symposium on cancer survivorship, holding such things as open classes, and performed the educational activities in the region.

The study meetings in 2015 were as follows:

  1. The Nutritional Management Workshop for cancer patients marked its 34th anniversary, and “Nutrition past, present and future” was delivered as the President’s lecture in Tokyo.
  2. Cooperation to provide the meal courses for cancer prevention targeting the general public and cancer nutritional management courses held by the university (in Miyagi, Yamanashi and Tokyo)
  3. Research initiatives
    1. Fact-finding for taste disorders
    2. Prospective observational study on the longterm follow-up system in a single facility after allogeneic hematopoietic stem cell transplantation
    3. Cancer survivorship study

Education

In the field of human resources development, we have a strong commitment to education and training and conducted 10 university courses for registered dietitians within the university. By strengthening our cooperation with universities, our aim is to enhance future research activities through the development of human resources.

Future prospects

We aim to provide effective nutritional management and nutrition counseling services, to achieve improved treatment outcomes, as well as enhance vital prognosis and patient’s QOL. In addition, we try to cultivate human resources who are expected to become the core of the NST, which is involved in nutritional clinical research.

Table 1. Number of NST consultations in 2015