{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,25]],"date-time":"2026-10-25T18:34:04Z","timestamp":1792953244576,"version":"4.5.0"},"reference-count":14,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T00:00:00Z","timestamp":1792540800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T00:00:00Z","timestamp":1792540800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"abstract":"<jats:p>\n                    Malnutrition is common among patients undergoing cancer surgery, yet guideline-recommended perioperative nutritional care is inconsistently implemented. We evaluated outpatient nutritional counseling before and after integration of a dedicated registered dietitian (RD) into a surgical oncology clinic. We conducted a retrospective cohort study of adults undergoing oncologic surgery from January 2021 through August 2025. The primary outcome was documented perioperative RD counseling; postoperative outcomes were exploratory. Among 234 surgeries, 133 preceded RD integration and 101 followed it. Counseling increased from 15.0% (20\/133) to 65.3% (66\/101;\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.001). Post-integration patients had higher odds of counseling (OR 10.65, 95% CI 5.69-19.96). Counseled patients had lower baseline BMI, suggesting preferential referral of patients at greater nutritional risk. Dedicated RD integration substantially improved access to perioperative nutritional counseling, a clinically meaningful step toward timely, individualized nutrition assessment and intervention, while identifying opportunities to strengthen referral pathways and documentation.\n                  <\/jats:p>","DOI":"10.1177\/00031348261502189","type":"journal-article","created":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T04:22:01Z","timestamp":1792642921000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Optimizing Recovery: Integration of a Registered Dietitian in Surgical Oncology Clinic"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-6371-6151","authenticated-orcid":false,"given":"Jack T.","family":"Lucas","sequence":"first","affiliation":[{"name":"University of South Carolina School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ankur","family":"Makani","sequence":"additional","affiliation":[{"name":"University of South Carolina School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine","family":"Cushman","sequence":"additional","affiliation":[{"name":"University of South Carolina School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Casey","family":"Morehouse","sequence":"additional","affiliation":[{"name":"University of South Carolina School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-0814-6557","authenticated-orcid":false,"given":"Andrew N.","family":"Hendrix","sequence":"additional","affiliation":[{"name":"University of South Carolina School of Medicine"},{"name":"University of Virginia School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan J.","family":"McFadden","sequence":"additional","affiliation":[{"name":"University of South Carolina School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chelsea","family":"Bruce","sequence":"additional","affiliation":[{"name":"Prisma Health\u2013Midlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debora","family":"Hurley","sequence":"additional","affiliation":[{"name":"Prisma Health\u2013Midlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jesse","family":"Clanton","sequence":"additional","affiliation":[{"name":"University of South Carolina School of Medicine"},{"name":"Prisma Health\u2013Midlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,21]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(22)00550-2"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1017\/S0029665126102195"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2017.02.013"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2021.02.005"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/jpen.2688"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2016.4952"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000002743"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2025.08.029"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0261-5614(03)00098-0"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1200\/JOP.2013.001134"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/jhn.13006"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-019-04173-5"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.3389\/fonc.2023.1058187"},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2023.41.16_suppl.e13504"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348261502189","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348261502189","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348261502189","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,25]],"date-time":"2026-10-25T17:58:52Z","timestamp":1792951132000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00031348261502189"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,21]]},"references-count":14,"alternative-id":["10.1177\/00031348261502189"],"URL":"https:\/\/doi.org\/10.1177\/00031348261502189","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,21]]},"article-number":"00031348261502189"}}