{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T02:37:06Z","timestamp":1781836626189,"version":"3.54.5"},"reference-count":30,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["SAGE Open Nursing"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p> The Anorexia\u2013Cachexia Syndrome (ACS) is a severe complication of cancer and is considered to be a significant cause of morbidity and mortality affecting up to two-thirds of cancer patients and one that needs specialized nursing care. Studies showed that the ACS has been relatively under-researched and under-resourced whist the nurses\u2019 knowledge has not been systematically explored. <\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p> \u03a4o explores nurses\u2019 knowledge, understanding, and management of ACS in clinical practice in two European countries. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p> Descriptive-comparative study with 197 cancer nurses recruited during two National Conferences in Greece and Cyprus. Data were retrieved with the \u201cInvestigation of anorexia\u2013cachexia syndrome in Practice\u201d questionnaire. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> In terms of nurses\u2019 perceptions on ACS, the prevailing characteristic reported in both countries was anorexia ( p\u2009=\u2009.65) followed by weight loss ( p\u2009=\u2009.04). 189 nurses (95.9%, p\u2009=\u2009.176) do not currently use a tool to assess patients\u2019 nutritional status as part of their standard clinical practice. Statistically significant differences were found in relation to the routine assessment of nutritional-related symptoms including early satiety (Cyprus 64% vs. Greece 37%, p\u2009=\u2009.001), hiccough (66% vs. 36%, p\u2005&lt;\u2009.001), alteration of the taste\/odor sensation (77% vs. 45%, p\u2009&lt;\u2009.001), problems in the oral cavity (84% vs. 68%, p\u2009=\u2009.032) and daily activities (85% vs. 69%, p\u2009=\u2009.032). The priority level for the ACS management differed significantly in the two countries ( p\u2005=\u2009.006), with higher priority being reported in Cyprus. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p> The study showed that more education is needed for cancer nurses to better understand the ACS which can facilitate the better management of the syndrome in clinical practice. <\/jats:p><\/jats:sec>","DOI":"10.1177\/23779608211035208","type":"journal-article","created":{"date-parts":[[2021,9,30]],"date-time":"2021-09-30T14:13:43Z","timestamp":1633011223000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Nurses\u2019 Knowledge in Relation to the Anorexia\u2013Cachexia Syndrome in Cancer Patients: A Cross-National Comparison in Two European Countries"],"prefix":"10.1177","volume":"7","author":[{"given":"Georgia","family":"Socratous","sequence":"first","affiliation":[{"name":"Cyprus University of Technology, Limassol, Cyprus"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9126-8082","authenticated-orcid":false,"given":"Constantina","family":"Cloconi","sequence":"additional","affiliation":[{"name":"Cyprus University of Technology, Limassol, Cyprus"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ioanna","family":"Tsatsou","sequence":"additional","affiliation":[{"name":"Oncology-Hematology Department, Hellenic Airforce General Hospital, Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4050-031X","authenticated-orcid":false,"given":"Andreas","family":"Charalambous","sequence":"additional","affiliation":[{"name":"Cyprus University of Technology, Limassol, Cyprus"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,9,30]]},"reference":[{"key":"bibr1-23779608211035208","doi-asserted-by":"publisher","DOI":"10.1186\/s12885-018-5080-4"},{"key":"bibr2-23779608211035208","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2016.07.015"},{"key":"bibr3-23779608211035208","first-page":"1","author":"Bennett D.","year":"2018","journal-title":"The Clinical Teacher"},{"key":"bibr4-23779608211035208","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-6712.2011.00906.x"},{"key":"bibr5-23779608211035208","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"bibr6-23779608211035208","doi-asserted-by":"crossref","unstructured":"Churm D., Andrew I. M., Holden K, \u2026 (2009) A questionnaire study of the approach to the anorexia \u2013 cachexia syndrome in patients with cancer by staff in a district general hospital. 503\u2013507. https:\/\/doi.org\/10.1007\/s00520-008-0486-1.","DOI":"10.1007\/s00520-008-0486-1"},{"issue":"2","key":"bibr7-23779608211035208","first-page":"95","volume":"4","author":"Clara Granda-Cameron M. P. 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(2015) Conference on \u2018Nutrition and age-related muscle loss, sarcopenia and cachexia\u2019 Symposium 4: Sarcopenia and cachexia and social, clinical and public health dimensions The nursing contribution to nutritional care in cancer cachexia Proceedings of the N. 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