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The importance of early recognition of malnutrition in cancer patients is key, and numerous screening tools have been validated to aid practitioners in this diagnosis. In this paper, we summarize the importance of identifying and managing malnutrition in GI cancer patients as well as its impact on clinical outcomes. We then focus on presenting our own novel quality improvement project that aims to expand access to dietitian services in a GI cancer clinic at a large safety\u2010net hospital system. Utilizing evidence\u2010based quality improvement methodologies including the Model for Improvement and Plan\u2010Do\u2010Study\u2010Act cycles, we increased the proportion of GI oncology patients seen by a dietitian from 5% to 20% from October 2018 to July 2019. In particular, we outline the challenges faced in the implementation process of a malnutrition screening tool built into the electronic medical record in an outpatient oncology clinic. We focus on the tool's ability to capture a greater number of patients with malnutrition and its clinical impact.<\/jats:p>","DOI":"10.1002\/ncp.10753","type":"journal-article","created":{"date-parts":[[2021,8,2]],"date-time":"2021-08-02T12:57:35Z","timestamp":1627909055000},"page":"215-223","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Importance of addressing malnutrition in cancer and implementation of a quality improvement project in a gastrointestinal cancer clinic"],"prefix":"10.1002","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0659-149X","authenticated-orcid":false,"given":"Nicholas S.","family":"Levonyak","sequence":"first","affiliation":[{"name":"Department of Internal Medicine The University of Texas Southwestern Medical Center  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary P.","family":"Hodges","sequence":"additional","affiliation":[{"name":"Parkland Health and Hospital System  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Haaf","sequence":"additional","affiliation":[{"name":"Parkland Health and Hospital System  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4843-4639","authenticated-orcid":false,"given":"Timothy J.","family":"Brown","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine The University of Texas Southwestern Medical Center  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shelli","family":"Hardy","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine The University of Texas Southwestern Medical Center  Dallas Texas USA"},{"name":"Harold C. Simmons Comprehensive Cancer Center, Division of Hematology and Oncology The University of Texas Southwestern Medical Center  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Verca","family":"Mhoon","sequence":"additional","affiliation":[{"name":"Parkland Health and Hospital System  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Radhika","family":"Kainthla","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine The University of Texas Southwestern Medical Center  Dallas Texas USA"},{"name":"Parkland Health and Hospital System  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammad Shaalan","family":"Beg","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine The University of Texas Southwestern Medical Center  Dallas Texas USA"},{"name":"Harold C. Simmons Comprehensive Cancer Center, Division of Hematology and Oncology The University of Texas Southwestern Medical Center  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Syed M.","family":"Kazmi","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine The University of Texas Southwestern Medical Center  Dallas Texas USA"},{"name":"Parkland Health and Hospital System  Dallas Texas USA"},{"name":"Harold C. 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