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Qualified health professionals working as clinicians in the cancer setting were eligible. The survey was disseminated via professional associations internationally. Data were analysed in Stata\/MP 18.5.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u2009282 participants included (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009197 pre-COVID-19,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200985 post-COVID-19), most were dietitians (39%) from Oceania (29%). The reporting of workplace nutrition screening policies increased between pre- and post-COVID-19, especially in North America (56% to 100%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.013). Barriers to nutrition screening remained consistent pre- and post-COVID-19 except in North America where limited awareness increased (50% to 93%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.019) and in Oceania where there was a decrease in incorrect use of a screening tool (63% to 36%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.027). Nutrition screening and assessment implementation remained mostly unchanged, except for an increase in patient self-screening (15% to 28%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.029) and fewer non-admission assessments conducted in Oceania.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>While some positive changes were observed between the pre- and post-COVID-19 period, nutrition screening and assessment continue to face many barriers. This has led to a lack of improvement or decline in nutrition screening and assessment practices in most regions and settings. PEM identification must evolve to ensure early detection for best patient care and in preparedness for future global health events.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00520-026-10338-1","type":"journal-article","created":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T18:03:46Z","timestamp":1769105026000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of COVID-19 on early identification of protein-energy malnutrition in the cancer care setting: a repeated cross-sectional survey of cancer care professionals"],"prefix":"10.1007","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7307-7215","authenticated-orcid":false,"given":"Marianne","family":"Boll Kristensen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1273-5368","authenticated-orcid":false,"given":"Megan","family":"Crichton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8556-8230","authenticated-orcid":false,"given":"Wolfgang","family":"Marx","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4047-2929","authenticated-orcid":false,"given":"Tateaki","family":"Naito","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1245-6307","authenticated-orcid":false,"given":"Egidio","family":"Del Fabbro","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4478-9707","authenticated-orcid":false,"given":"Elizabeth","family":"Isenring","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8953-5068","authenticated-orcid":false,"given":"Skye","family":"Marshall","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,1,22]]},"reference":[{"issue":"3","key":"10338_CR1","first-page":"209","volume":"71","author":"H Sung","year":"2021","unstructured":"Sung H et al (2021) Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. 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This study was approved by the La Trobe University Human Ethics Committee (HEC18133).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Research involving human participants and\/or animals"}},{"value":"Participants provided informed electronic consent.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"117"}}