Cancer-related catabolism alters protein metabolism from the point of diagnosis. Malnutrition independently reduces treatment tolerance, increases complication rates, and shortens survival, yet nutritional screening remains inconsistently implemented across oncology settings.
The clinical consequences of delayed nutritional intervention include reduced chemotherapy and radiotherapy tolerance, increased post-operative infectious and non-infectious complications, prolonged hospital length of stay, and loss of lean body mass that limits further treatment options.
Early, systematic nutritional screening is the standard endorsed by international clinical guidelines. This booklet translates those guidelines into practical, patient-level nutritional targets across cancer types.