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Exploration of current dietetic practices for patients with gynaecological cancers undergoing radiotherapy in Australia: a cross-sectional survey

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Abstract

Purpose

Radiotherapy for gynaecological cancers often causes gastrointestinal (GI) toxicities such as diarrhoea. Evidence for the potential benefits of dietary interventions on the management of acute GI toxicities is inconclusive and of low quality, with no clear evidence-based guidelines to inform clinical practice. This study aims to provide an overview of current opinions and clinical practice of dietitians treating this cohort and to examine existing models of nutrition care in Australian cancer centres.

Methods

Semi-structured interviews were conducted over a video conferencing service to collect information relating to: demographic characteristics; referral protocol and post-treatment pathways; management strategies and interventions prescribed; and attitudes and confidence in service provided. Descriptive analysis was performed on quantitative data, and thematic analysis was performed on qualitative data.

Results

In total, 17 dietitians across Australia participated in the study. Almost all centres (94%) had dietetics services available for this patient cohort; however, most did not have an automatic referral pathway (94%) or post-treatment pathway (88%). The opinions and prescription of dietary interventions for symptom management had multiple variations of a ‘low’ or ‘modified-fibre’ diet with differing ratios of soluble and insoluble fibre. Over half of the respondents believed that practice was not standardized within their workplace (58%) or Australia (82%).

Conclusion

There are variations in service provision with respect to opinions and prescription of dietary modifications within dietetic practice across Australia. The present study highlights the need to investigate the efficacy of dietary interventions on symptom management to better inform evidence-based models of care.

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Funding

This work was supported by the Australian Government Research Training Program Scholarship.

Author information

Authors and Affiliations

  1. School of Human Movement and Nutrition Sciences, The University of Queensland, Level 2, Connell Building, St Lucia, Brisbane, QLD, 4072, Australia

    Emilie Croisier, Kelly D’cunha, Teresa Brown & Judy Bauer

  2. Nutrition and Dietetics, Royal Brisbane and Women’s Hospital, Brisbane, 4029, QLD, Australia

    Emilie Croisier & Teresa Brown

Authors
  1. Emilie Croisier
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  2. Kelly D’cunha
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  3. Teresa Brown
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  4. Judy Bauer
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Contributions

E.C conceptualised this research study and T.B. and J.B. contributed to study design and methodology. K.D contributed to the data collection, data analysis and drafting of the manuscript. E.C, T.B, J.B revised, reviewed and critically appraised the manuscript. All authors approved the final manuscript for submission.

Corresponding author

Correspondence to Emilie Croisier.

Ethics declarations

Ethics approval and consent to participate

The present study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the Royal Brisbane and Women’s Hospital (HREC/2020/QRBW/60210) and The University of Queensland’s Ethics Committee (#202000050). Informed consent was obtained from all individual participants included in the study prior to the interview.

Consent for publication

Informed consent for publication submission was obtained from all individual participants included in the study.

Conflict of interest

None of the authors have any conflicts of interest or competing interest to declare.

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Croisier, E., D’cunha, K., Brown, T. et al. Exploration of current dietetic practices for patients with gynaecological cancers undergoing radiotherapy in Australia: a cross-sectional survey. Support Care Cancer 29, 6171–6174 (2021). https://doi.org/10.1007/s00520-021-06220-x

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  • DOI: https://doi.org/10.1007/s00520-021-06220-x

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