{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T05:55:58Z","timestamp":1791006958036,"version":"4.1.0"},"reference-count":35,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:00:00Z","timestamp":1789689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100007773","name":"Danone","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007773","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","clinicalnutritionespen.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Clinical Nutrition ESPEN"],"published-print":{"date-parts":[[2026,12]]},"DOI":"10.1016\/j.clnesp.2026.105118","type":"journal-article","created":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T16:02:03Z","timestamp":1790006523000},"page":"105118","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Implementation and impact of nutritional protocols in oncology: A multicenter evaluation and HCPs\u2019 perspectives on screening, intervention, and monitoring practices"],"prefix":"10.1016","volume":"76","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1377-3032","authenticated-orcid":false,"given":"Diogo","family":"Alpuim Costa","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreia","family":"Capela","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Afonso","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo\u00e3o Pedro","family":"Pinho","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susana Couto","family":"Irving","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta","family":"Costa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C\u00e1tia","family":"Macedo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Bagulho","family":"Lopes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T\u00e2nia","family":"Caseiro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paula","family":"Alves","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"3","key":"10.1016\/j.clnesp.2026.105118_bib1","first-page":"229","article-title":"Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries","volume":"74","author":"Bray","year":"2024","journal-title":"CA Cancer J Clin"},{"key":"10.1016\/j.clnesp.2026.105118_bib2","series-title":"Global cancer observatory","year":"2022"},{"key":"10.1016\/j.clnesp.2026.105118_bib3","series-title":"EU country cancer profile: portugal 2025","year":"2025"},{"issue":"4","key":"10.1016\/j.clnesp.2026.105118_bib4","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1001\/jamaoncol.2022.7826","article-title":"Estimates and projections of the global economic cost of 29 cancers in 204 countries and territories from 2020 to 2050","volume":"9","author":"Chen","year":"2023","journal-title":"JAMA Oncol"},{"issue":"1","key":"10.1016\/j.clnesp.2026.105118_bib5","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1186\/s12937-015-0113-1","article-title":"Factors associated with malnutrition in hospitalized cancer patients: a cross-sectional study","volume":"14","author":"Silva","year":"2015","journal-title":"Nutr J"},{"key":"10.1016\/j.clnesp.2026.105118_bib6","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1016\/j.nut.2018.05.021","article-title":"Nutritional risk and malnutrition rates at diagnosis of cancer in patients treated in outpatient settings: early intervention protocol","volume":"57","author":"\u00c1lvaro Sanz","year":"2019","journal-title":"Nutrition"},{"issue":"1","key":"10.1016\/j.clnesp.2026.105118_bib7","first-page":"429","article-title":"Prevalence of hospital malnutrition in cancer patients: a sub-analysis of the PREDyCES\u00ae study","volume":"24","author":"Planas","year":"2015","journal-title":"Support Care Cancer"},{"issue":"1","key":"10.1016\/j.clnesp.2026.105118_bib8","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1186\/s41043-025-01006-x","article-title":"Prevalence of severe malnutrition in cancer patients: a systematic review and meta-analysis","volume":"44","author":"Hosseini","year":"2025","journal-title":"J Health Popul Nutr"},{"issue":"6","key":"10.1016\/j.clnesp.2026.105118_bib9","doi-asserted-by":"crossref","DOI":"10.1016\/j.heliyon.2021.e07362","article-title":"Prevalence and risk factors of malnutrition among adult cancer patients receiving chemotherapy treatment in cancer center, Ethiopia: cross-sectional study","volume":"7","author":"Gebremedhin","year":"2021","journal-title":"Heliyon"},{"issue":"45","key":"10.1016\/j.clnesp.2026.105118_bib10","doi-asserted-by":"crossref","first-page":"79884","DOI":"10.18632\/oncotarget.20168","article-title":"Prevalence of malnutrition in patients at first medical oncology visit: the PreMiO study","volume":"8","author":"Muscaritoli","year":"2017","journal-title":"Oncotarget"},{"issue":"5","key":"10.1016\/j.clnesp.2026.105118_bib11","doi-asserted-by":"crossref","first-page":"1187","DOI":"10.1016\/j.clnu.2017.06.017","article-title":"ESPEN expert group recommendations for action against cancer-related malnutrition","volume":"36","author":"Arends","year":"2017","journal-title":"Clin Nutr"},{"issue":"3","key":"10.1016\/j.clnesp.2026.105118_bib12","doi-asserted-by":"crossref","DOI":"10.1016\/j.esmoop.2021.100092","article-title":"Cancer cachexia in adult patients: ESMO clinical practice guidelines","volume":"6","author":"Arends","year":"2021","journal-title":"ESMO Open"},{"issue":"4","key":"10.1016\/j.clnesp.2026.105118_bib13","doi-asserted-by":"crossref","DOI":"10.1016\/j.esmoop.2025.104529","article-title":"Practical cancer nutrition, from guidelines to clinical practice: a digital solution to patient-centred care","volume":"10","author":"Hustad","year":"2025","journal-title":"ESMO Open"},{"key":"10.1016\/j.clnesp.2026.105118_bib14","doi-asserted-by":"crossref","DOI":"10.1177\/1758835919880084","article-title":"From guidelines to clinical practice: a roadmap for oncologists for nutrition therapy for cancer patients","volume":"11","author":"Muscaritoli","year":"2019","journal-title":"Ther Adv Med Oncol"},{"issue":"5","key":"10.1016\/j.clnesp.2026.105118_bib15","doi-asserted-by":"crossref","DOI":"10.1016\/j.ejso.2023.107074","article-title":"Malnutrition in cancer patients: causes, consequences and treatment options","volume":"50","author":"Arends","year":"2024","journal-title":"Eur J Surg Oncol"},{"issue":"Suppl 3","key":"10.1016\/j.clnesp.2026.105118_bib16","doi-asserted-by":"crossref","first-page":"S778","DOI":"10.1245\/s10434-015-4820-9","article-title":"Prevalence of malnutrition among gastric cancer patients undergoing gastrectomy and optimal preoperative nutritional support for preventing surgical site infections","volume":"22","author":"Fukuda","year":"2015","journal-title":"Ann Surg Oncol"},{"issue":"1","key":"10.1016\/j.clnesp.2026.105118_bib17","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1159\/000442983","article-title":"Malnutrition predicts clinical outcome in patients with neuroendocrine neoplasia","volume":"104","author":"Maasberg","year":"2017","journal-title":"Neuroendocrinology"},{"issue":"3","key":"10.1016\/j.clnesp.2026.105118_bib18","doi-asserted-by":"crossref","first-page":"e341","DOI":"10.1016\/S2214-109X(22)00550-2","article-title":"Impact of malnutrition on early outcomes after cancer surgery: an international, multicentre, prospective cohort study","volume":"11","year":"2023","journal-title":"Lancet Global Health"},{"issue":"2","key":"10.1016\/j.clnesp.2026.105118_bib19","doi-asserted-by":"crossref","first-page":"644","DOI":"10.1016\/j.clnu.2018.04.007","article-title":"Prevalence of malnutrition and impact on clinical outcomes in cancer services: a comparison of two time points","volume":"38","author":"Marshall","year":"2019","journal-title":"Clin Nutr"},{"issue":"8","key":"10.1016\/j.clnesp.2026.105118_bib20","doi-asserted-by":"crossref","first-page":"1025","DOI":"10.1016\/j.annonc.2021.05.793","article-title":"Nutritional support during the hospital stay reduces mortality in patients with different types of cancers: secondary analysis of a prospective randomized trial","volume":"32","author":"Bargetzi","year":"2021","journal-title":"Ann Oncol"},{"key":"10.1016\/j.clnesp.2026.105118_bib21","series-title":"Gabinete da Secret\u00e1ria de Estado da Promo\u00e7\u00e3o da Sa\u00fade Despacho n.\u00b0 9984\/2023","year":"2023"},{"key":"10.1016\/j.clnesp.2026.105118_bib22","series-title":"National fight strategy against cancer 2021\u20132030","year":"2022"},{"key":"10.1016\/j.clnesp.2026.105118_bib23","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1016\/j.clnesp.2023.08.015","article-title":"Characterization and monitoring of nutritional risk and nutritional status in oncological patients admitted to an oncological surgery unit: a longitudinal study","volume":"57","author":"Goncalves","year":"2023","journal-title":"Clin Nutr ESPEN"},{"key":"10.1016\/j.clnesp.2026.105118_bib24","doi-asserted-by":"crossref","DOI":"10.3389\/fnut.2022.972525","article-title":"Assessment of nutritional status of oncology patients at hospital admission: a Portuguese real-world study","volume":"9","author":"Trabulo","year":"2022","journal-title":"Front Nutr"},{"issue":"2","key":"10.1016\/j.clnesp.2026.105118_bib25","first-page":"135","article-title":"Malnutrition prevalence in cancer patients in Belgium: the ONCOCARE study","volume":"32","author":"Rasschaert","year":"2024","journal-title":"Support Care Cancer"},{"issue":"7","key":"10.1016\/j.clnesp.2026.105118_bib26","doi-asserted-by":"crossref","first-page":"748","DOI":"10.1200\/JCO.20.01254","article-title":"Early interdisciplinary supportive care in patients with previously untreated metastatic esophagogastric cancer: a phase III randomized controlled trial","volume":"39","author":"Lu","year":"2021","journal-title":"J Clin Oncol"},{"issue":"9","key":"10.1016\/j.clnesp.2026.105118_bib27","doi-asserted-by":"crossref","first-page":"2705","DOI":"10.7150\/jca.73130","article-title":"Nutritional support in cancer patients: update of the Italian intersociety working group practical recommendations","volume":"13","author":"Caccialanza","year":"2022","journal-title":"J Cancer"},{"issue":"1","key":"10.1016\/j.clnesp.2026.105118_bib28","doi-asserted-by":"crossref","DOI":"10.1016\/j.soncn.2024.151799","article-title":"Nutrition care in cancer: an overlooked part of patient-centered care","volume":"41","author":"Erickson","year":"2025","journal-title":"Semin Oncol Nurs"},{"key":"10.1016\/j.clnesp.2026.105118_bib29","doi-asserted-by":"crossref","DOI":"10.3389\/fnut.2023.1063279","article-title":"Effect of combined therapies including nutrition and physical exercise in advanced cancer patients: a pooled analysis","volume":"10","author":"Storck","year":"2023","journal-title":"Front Nutr"},{"issue":"5","key":"10.1016\/j.clnesp.2026.105118_bib30","doi-asserted-by":"crossref","first-page":"2898","DOI":"10.1016\/j.clnu.2021.02.005","article-title":"ESPEN practical guideline: Clinical nutrition in cancer","volume":"40","author":"Muscaritoli","year":"2021","journal-title":"Clin Nutr"},{"issue":"2","key":"10.1016\/j.clnesp.2026.105118_bib31","doi-asserted-by":"crossref","first-page":"366","DOI":"10.1002\/jcsm.12525","article-title":"Nutrition interventions to treat low muscle mass in cancer","volume":"11","author":"Prado","year":"2020","journal-title":"J Cachexia Sarcopenia Muscle"},{"issue":"2","key":"10.1016\/j.clnesp.2026.105118_bib32","doi-asserted-by":"crossref","first-page":"380","DOI":"10.3390\/cancers15020380","article-title":"Oncology-led early identification of nutritional risk: a pragmatic, evidence-based protocol (PRONTO)","volume":"15","author":"Muscaritoli","year":"2023","journal-title":"Cancers (Basel)"},{"key":"10.1016\/j.clnesp.2026.105118_bib33","doi-asserted-by":"crossref","first-page":"85","DOI":"10.3389\/fonc.2020.00085","article-title":"The multidisciplinary team (MDT) approach and quality of care","volume":"10","author":"Taberna","year":"2020","journal-title":"Front Oncol"},{"issue":"9","key":"10.1016\/j.clnesp.2026.105118_bib34","first-page":"548","article-title":"Expert design thinking workshops to analyze users\u2019 perceived applicability of NUTRI-ONCOCARE algorithm to prevent and treat malnutrition in cancer patients under routine clinical practice conditions in Spain: the ALLIANCE study","volume":"31","author":"Grande","year":"2023","journal-title":"Support Care Cancer"},{"issue":"1","key":"10.1016\/j.clnesp.2026.105118_bib35","doi-asserted-by":"crossref","first-page":"815","DOI":"10.1186\/s12913-024-11288-2","article-title":"Barriers and facilitators of improved nutritional support for patients newly diagnosed with cancer: a pre-implementation study","volume":"24","author":"Beichmann","year":"2024","journal-title":"BMC Health Serv Res"}],"container-title":["Clinical Nutrition ESPEN"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2405457726022151?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2405457726022151?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T05:50:40Z","timestamp":1791006640000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2405457726022151"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,12]]},"references-count":35,"alternative-id":["S2405457726022151"],"URL":"https:\/\/doi.org\/10.1016\/j.clnesp.2026.105118","relation":{},"ISSN":["2405-4577"],"issn-type":[{"value":"2405-4577","type":"print"}],"subject":[],"published":{"date-parts":[[2026,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Implementation and impact of nutritional protocols in oncology: A multicenter evaluation and HCPs\u2019 perspectives on screening, intervention, and monitoring practices","name":"articletitle","label":"Article Title"},{"value":"Clinical Nutrition ESPEN","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.clnesp.2026.105118","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Author(s). Published by Elsevier Ltd on behalf of European Society for Clinical Nutrition and Metabolism.","name":"copyright","label":"Copyright"}],"article-number":"105118"}}