{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T05:06:02Z","timestamp":1789189562325,"version":"build-2803163510"},"reference-count":26,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T00:00:00Z","timestamp":1788998400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Amgen"},{"id":[{"id":"https:\/\/ror.org\/00gvw5y42","id-type":"ROR","asserted-by":"publisher"}]},{"DOI":"10.13039\/100004331","name":"Johnson & Johnson","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100004331","id-type":"DOI","asserted-by":"crossref"}]},{"id":[{"id":"https:\/\/ror.org\/04z0qye94","id-type":"ROR","asserted-by":"publisher"}]},{"name":"GlaxoSmithKline"},{"id":[{"id":"https:\/\/ror.org\/02zz8mw60","id-type":"ROR","asserted-by":"publisher"}]},{"name":"Soci\u00e9t\u00e9 des Produits Nestl\u00e9 SA"},{"name":"Gloria Baylis Foundation"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Curr. Oncol.","Current Oncology"],"abstract":"<jats:p>Nutrition is an essential component of colorectal cancer (CRC) care, influencing treatment tolerance, functional status, and quality of life, yet it remains inconsistently integrated into practice. This study examined experiences with nutrition management and gaps in nutrition care among patients with CRC, caregivers, and healthcare professionals across Canada through a multi-center, cross-sectional survey conducted from July 2025 to February 2026. A total of 243 participants completed the survey, including 121 patients, 45 caregivers, and 77 healthcare professionals. Among patients, 51.2% reported that nutritional status was discussed or assessed during treatment, while 24.0% reported it was never discussed. More than half of patients (55.4%) said they did not receive adequate information regarding weight loss during treatment. Caregivers described substantial nutrition impact symptoms and identified a need for clearer guidance, emotional support, and improved access to dietitians. Healthcare professionals rated nutrition care as highly important yet reported barriers to effective delivery, including limited staffing, lack of standardized screening, and reactive care processes. Across groups, respondents emphasized the importance of timely, personalized, and culturally relevant nutrition care. Overall, nutrition remains insufficiently embedded in CRC care, highlighting the need for routine screening, standardized referral pathways, earlier intervention, and integrated patient-centered nutrition care models to improve CRC care.<\/jats:p>","DOI":"10.3390\/curroncol33090547","type":"journal-article","created":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T08:07:41Z","timestamp":1789027661000},"page":"547","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Nutrition Care Practices in Colorectal Cancer: A National Survey of Patients, Caregivers, and Healthcare Professionals in Canada"],"prefix":"10.3390","volume":"33","author":[{"given":"Iris M.","family":"Karry","sequence":"first","affiliation":[{"name":"Colorectal Cancer Canada, Montreal, QC H3Z 2P9, Canada"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"methodology","vocabulary":"credit"},{"role":"formal-analysis","vocabulary":"credit"},{"role":"investigation","vocabulary":"credit"},{"role":"data-curation","vocabulary":"credit"},{"role":"writing-original-draft","vocabulary":"credit"},{"role":"visualization","vocabulary":"credit"},{"role":"project-administration","vocabulary":"credit"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-2633-660X","authenticated-orcid":false,"given":"Sally S.","family":"Chung","sequence":"additional","affiliation":[{"name":"Colorectal Cancer Canada, Montreal, QC H3Z 2P9, Canada"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"formal-analysis","vocabulary":"credit"},{"role":"investigation","vocabulary":"credit"},{"role":"data-curation","vocabulary":"credit"},{"role":"writing-original-draft","vocabulary":"credit"},{"role":"writing-review-editing","vocabulary":"credit"},{"role":"visualization","vocabulary":"credit"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-3048-5124","authenticated-orcid":false,"given":"Barry D.","family":"Stein","sequence":"additional","affiliation":[{"name":"Colorectal Cancer Canada, Montreal, QC H3Z 2P9, Canada"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"conceptualization","vocabulary":"credit"},{"role":"methodology","vocabulary":"credit"},{"role":"validation","vocabulary":"credit"},{"role":"writing-review-editing","vocabulary":"credit"}]},{"given":"Olga","family":"Graifer","sequence":"additional","affiliation":[{"name":"Department of Clinical Nutrition, Cedars Cancer Centre, McGill University Health Centre, Montreal, QC H4A 0B1, Canada"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"writing-review-editing","vocabulary":"credit"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8620-9360","authenticated-orcid":false,"given":"Katherine L.","family":"Ford","sequence":"additional","affiliation":[{"name":"Department of Kinesiology and Health Sciences, University of Waterloo, Waterloo, ON N2L 3G1, Canada"},{"name":"Canadian Malnutrition Task Force, Canadian Nutrition Society, Kemptville, ON K0G 1J0, Canada"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"writing-review-editing","vocabulary":"credit"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7069-0519","authenticated-orcid":false,"given":"R. Thomas","family":"Jagoe","sequence":"additional","affiliation":[{"name":"McGill Cancer Nutrition Rehabilitation Program, Jewish General Hospital, Montreal, QC H3T 1E2, Canada"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"writing-review-editing","vocabulary":"credit"}]},{"given":"Marianne","family":"Fillion","sequence":"additional","affiliation":[{"name":"Purdie Pascoe Ltd., London SW11 4LR, UK"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"writing-review-editing","vocabulary":"credit"}]},{"given":"Karmen","family":"More","sequence":"additional","affiliation":[{"name":"Department of Clinical Nutrition, Princess Margaret Cancer Centre, University Health Network, Toronto, ON M5G 2M9, Canada"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"writing-review-editing","vocabulary":"credit"}]},{"given":"Natasha","family":"Bassett-Saltarelli","sequence":"additional","affiliation":[{"name":"Colorectal Cancer Canada, Montreal, QC H3Z 2P9, Canada"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"writing-review-editing","vocabulary":"credit"},{"role":"funding-acquisition","vocabulary":"credit"}]},{"given":"Joseph","family":"Chon","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, University of Toronto, Toronto, ON M5S 2W6, Canada"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"writing-review-editing","vocabulary":"credit"}]},{"given":"Natalie","family":"Leon","sequence":"additional","affiliation":[{"name":"Segal Cancer Center, Jewish General Hospital, Montreal, QC H3T 1E2, Canada"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"writing-review-editing","vocabulary":"credit"}]},{"given":"Timothy R.","family":"Asmis","sequence":"additional","affiliation":[{"name":"The Ottawa Hospital Cancer Centre, Ottawa, ON K1H 8L6, Canada"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"writing-review-editing","vocabulary":"credit"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0406-9692","authenticated-orcid":false,"given":"Martin","family":"Chasen","sequence":"additional","affiliation":[{"name":"Palliative Care, William Osler Health System, Brampton, ON L6R 3J7, Canada"},{"name":"Faculty of Medicine, University of Toronto, Toronto, ON M5S 2W6, Canada"},{"name":"Faculty of Family Medicine, McMaster University, Hamilton, ON L8S 4L8, Canada"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"methodology","vocabulary":"credit"},{"role":"validation","vocabulary":"credit"},{"role":"writing-review-editing","vocabulary":"credit"},{"role":"supervision","vocabulary":"credit"}]}],"member":"1968","published-online":{"date-parts":[[2026,9,10]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"E526","DOI":"10.1503\/cmaj.252152","article-title":"Projected estimates of cancer in Canada in 2026","volume":"198","author":"Brenner","year":"2026","journal-title":"Can. 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