Tumori Journal Abstract Book - October 2020 - 194

194	
treatment and/or during follow up. We analyzed data of the
questionnaire Psycological Distress Inventory (PDI) and
Need Evaluation Questionary (NEQ) in order to investigate: fatigue, anxiety, depression and relational disturbances within pts during and after oncology treatments.
All pts have also completed a questionnaire of satisfaction
of their overall experience.
Results: We enrolled in the study 225 pts (115 pts from
Termoli and 110 pts from San Benedetto; 78 males, 147
females, average age: 63- range 31-89) with diagnosis of
solid or hematological cancer from November 2018 to
December 2019. At the baseline administration of questionnaire, 93 pts (41,3%) were undergoing chemotherapy treatment. The most urgent needs detected through NEQ
concerned communication and information on the disease
status. Among the 193 pts completing the PDI, 57 pts
reported severe distress (>35). Higher levels of distress
have been found in female pts and in pts in active treatment
for metastatic disease, of these 45 pts (79,3%) with high levels of distress received psychological support. We analyzed
data of 121 pts that had followed the PDI questionnaire. The
PDI data showed: fatigue in 62.8% of pts at baseline and
52.1% in follow-up; anxiety in 57.9% at baseline and in
48,3% for follow up, depression in 39,7% of pts at baseline
and 30,6% for follow up and relational disturbances in
22.3% pts at baseline and in 24.3% for follow-up. After supportive care and psycological counseling, almost all the disorders (fatigue, anxiety, depression) decreased.
Conclusions: Our results showed that a large number of
pts reported significant levels of distress during treatment
for advanced disease. After psychological support prevalence of almost all disorders decreased. These data confirm the need for constant psychological support during
cancer treatment to improve their general quality of life.

T35
The hospital care of cancer
patients: a retrospective analysis
of the characteristics of their
hospital stay in comparison with
other medical conditions
Numico G.1, Zanelli C.1, Ippoliti R.2, Piovano P.1, Traverso E.1, Blengio
F.1, Guglielmini P.1, Zai S.1, Vincenti M.1, Fusco V.1, Bellotti G.1,
Manfredi R.1, Bellini R.1
1
AO SS Antonio e Biagio e Cesare Arrigo, Alessandria; 2University of Bielefeld,
Department of Business Administration and Economics, Bielefeld

Background: Hospital admission is a frequent occurrence
among patients with cancer, and a significant proportion of
patients admitted to medical Units have cancer. Their hospital stay has features that may be different compared with
non-cancer patients. We performed a retrospective analysis of the characteristics of cancer patients admitted for
medical conditions.

Tumori Journal 106(2S)
Patients and Methods: We studied the administrative
data of patients with solid cancer admitted to the medical
Department of a large referral hospital over a 12-month
period and compared them with those of patients without
cancer.
Results: 7,802 consecutive admissions were analyzed, of
which 1,099 (14.1%) had a principal or associated diagnosis of cancer. Admissions were distributed across 12 Units,
with 44% concentrated in Medical Oncology and 56% in
other Units. Cancer patients were more frequently males
and were younger than patients without cancer. Admission
less frequently involved the Emergency Department (ED),
while discharge was more frequently assisted. The in-hospital death rate was higher, as was the readmission rate.
Length-of-stay was longer (11.3 days vs. 9.8 days - p<
0.0001). Cancer patients admitted to the Medical Oncology
Unit (489, 44.5%) used the ED even less and their lengthof-stay was even shorter.
Conclusions: The in-hospital pathway of cancer patients
displays specific issues and adds complexity to hospital
stay of patients with medical conditions. The Medical
Oncology Unit plays a role in reducing ED use and in providing efficient care. The evidence gathered should help in
shaping new models of care and in improving adequate
clinical competencies

T36
Should Cancer Patients always
require a Nutritional Assessment?
The LILT study "New Life"
D'Addario D.1, Carrozza F.2, Franchella C.3, Iorio E.3, Spina C.3,
D'Aulerio M.3, Scipioni M.3, Bellomo M.3, Antonecchia P.3, Carfagno
G.3, Fabrizio G.3, Trivisonne R.4, Di Battista S.4, Cicconi A.4, Giorgi F.5,
Sbrolla B.6, Farina P.7
1
D. H. Oncology S. Timoteo Hospital ASReM, Termoli; 2D.H. Oncology S.
Timoteo Hospital, Termoli; 3LILT Campobasso Provincial Association, Termoli;
4
LILT Ascoli Piceno Provincial Association, Ascoli Piceno; 5D.H. Oncology
"Madonna del Soccorso" Civil Hospital ASUR Marche - S.Benedetto del
Tronto (AP), S. Benedetto del Tronto (AP); 6LILT Ascoli Piceno Provincial
Association, Ascoli Piceno (AP); 7D.H. Oncology S. Timoteo Hospital - ASReM,
Termoli (CB)

Background: The assessment of the nutritional status is
currently one of the most important aspects in overall treatment of cancer patients (pts). The goals of this study were to
provide nutritional assessment and support in cancer pts
during and after treatment and to investigate the effects of
nutritional impairments and impacts on outcomes.
Material and Methods: Two oncology center were
involved: Termoli and San Benedetto hospitals. Pts were
addressed to nutritional assessment by the oncologist during treatment or during follow up. At first evaluation, Mini
Nutritional Assessment questionnaire (MNA) was filled
up by pts and counseling or personalized nutritional program was provided. Parameters such as body mass index



Tumori Journal Abstract Book - October 2020

Table of Contents for the Digital Edition of Tumori Journal Abstract Book - October 2020

Contents
Tumori Journal Abstract Book - October 2020 - Cover1
Tumori Journal Abstract Book - October 2020 - Cover2
Tumori Journal Abstract Book - October 2020 - I
Tumori Journal Abstract Book - October 2020 - II
Tumori Journal Abstract Book - October 2020 - Contents
Tumori Journal Abstract Book - October 2020 - IV
Tumori Journal Abstract Book - October 2020 - V
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