Malnutrition Screening: An interprofessional approach in outpatient oncology

BACKGROUND: Malnutrition is highly prevalent in the oncology population and is associated with poor treatment outcomes. OBJECTIVES: This study aimed to implement a malnutrition screening process using a validated tool in three outpatient cancer centers. METHODS: Nursing and nutrition department leaders collaborated to establish malnutrition screening. The Malnutrition Screening Tool (MST) was embedded in the electronic health record. Based on the MST, a score of 2 or greater is considered at risk for malnutrition. Nurses were educated on screening all patients completing their first cycle of infusion chemotherapy. Data were collected for six months. FINDINGS: Interprofessional collaboration established a process to implement malnutrition screening. Twenty-eight percent of patients with cancer were at risk for malnutrition. Fifty-three percent were at risk for malnutrition based on MST scores of 2. Compliance with the MST at first infusion visit was 30%–81% across the three cancer centers.