Mitchell V. Kaminski Jr., MD; Terri Haase, PA
To the Editor: The Chief of Pharmacy eagerly presented me with a copy of a position paper by the American College of Physicians (1). He needed an explanation because his impression from reading the article was that nutritional support had no place in the management of patients with cancer.
I pointed out that although the first sentence in the "Rationale" section recognized malnutrition or a significant comorbidity in some patients with cancer, the first sentence of the second paragraph in the "Recommendations," stated, "Most patients in the studies reviewed were not severely malnourished." I explained that parenteral nutrition does not
Kaminski MV, Haase T. Parenteral Nutrition and Cancer Chemotherapy. Ann Intern Med. ;112:471–472. doi: 10.7326/0003-4819-76-3-112-6-471_2
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Published: Ann Intern Med. 1990;112(6):471-472.
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