Banca de DEFESA: Carlos Álvaro Corrêa Araujo

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : Carlos Álvaro Corrêa Araujo
DATE: 27/12/2023
TIME: 10:00
LOCAL: FS/UnB
TITLE:

Nutrition in Palliative Care and Terminal Illness: A Bibliometric and Social Network Analysis to Identify Trends, Gaps, and Future Perspectives

KEY WORDS:

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PAGES: 100
BIG AREA: Ciências da Saúde
AREA: Medicina
SUMMARY:

“Introduction: Food consumption is not only driven by a desire for nutrients and satiety. Meals are also fundamental elements of human interaction and culture. While some patients in palliative care and terminality perceive nutrition as a hope for survival, others choose to stop eating and drinking voluntarily. Health professionals, caregivers, and family members are frequently involved in these situations. In this context, making decisions based on the best scientific evidence and the wishes of patients and families is essential. This review aims to obtain an overview of evidence-based knowledge and pinpoints existing knowledge gaps related to nutrition in palliative care and terminality to identify the actual knowledge regarding this topic and areas requiring further research. Methods: Data were retrieved from the Web of Science Core Collection on Octuber 2023, incluind articles published from January 2004 to September 2023. There was no language restriction. Bibliometrics and social network analysis were used to explore and map the knowledge structure, research hotspots, development status, authors, institutions, countries, journals, and development trends of nutrition in palliative care and terminality. The Bibliometrics, VOXviewer, Excel, and BibExcel software were used for the bibliometric analysis. Results: Two hundred eighty-nine articles were included, written by 1355 authors from 43 countries and published in 166 journals with an average of 5.2 co-authors per document and 22.2 citations per doc. The annual papers increased from four in 1994 to 35 in 2022, with a 2-year moving average of 29.5 between 2021 and 2022. “Healthcare Science & Services” were the most common WOS subject category. The United States contributed the highest number of articles. The keywords were stratified into sex clusters: "Comprehensive End-of-Life Care" (the largest category), "Advanced Cancer Nutritional Support", "Ethical Decision-Making in End-of-Life Choices", "Gastrointestinal Obstruction", and "Anorexia Nervosa". The trend topic analysis suggests an increase in the use of the terms related to patients' refusal of nutrition and artificial nutrition, assisted dying, anorexia nervosa, and eating disorders in the last years, shifting from the main themes, such as withdrawn and withholding Life-sustaining therapy in advanced cancer and dementia. Among the top 20 cited articles, although all papers addressed nutrition in palliative care and terminality in their content, it was the core element of the article in only nine papers. Conclusion: Even with the rising number of publications per year, the annual number of articles remains low, and the level of collaboration between countries and authors was found to be relatively low. Nutrition in palliative and terminal care has been little covered in journals specializing in nutritional therapy. It is worth mentioning that few articles evaluated perceptions surrounding the meaning of food in terminal illness, whether for patients or family members.

COMMITTEE MEMBERS:
Externa à Instituição - JULIANA ASCENÇÃO DE SOUZA - ESCS
Externa à Instituição - Aline Mizusaki Imoto de Oliveira - ESCS
Presidente - ***.645.631-** - FABIO FERREIRA AMORIM - ESCS
Externo à Instituição - FRANCISCO DE ASSIS ROCHA NEVES - MEC