Improving Outcomes With a Little EFFORT

Lancet. 2019 Jun 8; 393(10188):2278-2280. doi: 10.1016/S0140-6736(18)32856-3.
Lobo D. N.


The adverse effect of excessive weight loss on clinical outcomes was documented over 80 years ago when Hiram Studley showed that, in patients undergoing surgery for perforated duodenal ulcer, postoperative mortality was ten times greater in those who had lost more than 20% of their bodyweight preoperatively, compared with those who had lost less. Similarly, less pronounced results were shown in medical (not undergoing surgical treatment) patients. The potential importance of these observations was emphasised by a study from the 1990s showing that 30% of 500 patients admitted to hospital for treatment had moderate-to-severe malnutrition on admission.2 Of the patients who stayed in hospital for more than one week, 65% continued to lose weight, with only a few of the malnourished patients being referred for nutritional intervention.

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Reference work for leading, current and selected literature in the field of clinical nutrition

Publications on clinical nutrition have grown steadily in recent years and the scientific evidence has been improved by numerous observational as well as intervention studies. Various umbrella organisations, such as the Swiss Society for Clinical Nutrition (GESKES), the German Society for Nutritional Medicine (DGEM) or the European Society for Clinical Nutrition and Metabolism (ESPEN) publish guidelines on nutrition in various clinical situations at regular intervals. Thus, a large amount of literature is available for evidence-based nutritional medicine.

The NutriBib aims to filter out authoritative publications in the various fields of nutritional medicine and thus to provide an overview of the abundance of literature. A large number of experienced nutrition experts contributed to the selection of relevant sources and allow a broadly based selection. Nevertheless, the literature selection cannot be considered exhaustive. Specific literature can be found by entering search words (using the magnifying glass at the top right) or by searching the table of contents.

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List of abbreviations

DGEM German Society for Nutritional Medicine (German Deutsche Gesellschaft für Ernährungsmedizin)
GESKES  Swiss Society for Clinical Nutrition (German Gesellschaft für klinische Ernährung der Schweiz) 
ESPEN European Society of Clinicl Nutrition and Metabolism