Abstract
[Introduction] In European and American countries, nutritional support has been performed based on practice guidelines. On the other hand, in Japan, there have been no guidelines established for nutritional support of patients after hematopoietic stem cell transplantation (SCT). We performed a nation-wide survey including 130 SCT centers and obtained feedback from 80 centers (62%) to clarify the present nutritional support.
[Results] For total parenteral nutrition, 39% centers used 1.0-1.3 × basal energy expenditure as a target dose, while 38% centers did not determine the target. Only 18% centers routinely used lipid parenteral nutrition, and 58% centers used only glucose and amino acids. Nutritional support team (NST) existed in 86% , but nutritional support was performed in consultation with NST in only 24% centers.
[Conclusions] In Japan, nutritional support after SCT was quite inconsistent, although this may affect the clinical outcome. More attention should be paid among nurses, dietitians and pharmacists as well as physicians for generalized use of nutritional support.
