The first version of the General and Tumor Specific Nutrition and Dietary Intervention Guidelines were written in 2006. In 2012 the guidelines were revised by the DDOG (Dutch Dietitians Oncology Group) (Dutch: LWDO - Landelijke Werkgroep Diëtisten Oncologie). The guidelines have been rewritten in 2017 based on the 2016 Nutrition in Cancer Handbook and can be seen as a compact digital version of the published recommendations hardcopy, accountable to the DDOG, specifically the Academic Hospitals Surgical Dietitians Consultation Group (Dutch: Chirurgisch Overleg Diëtisten Academische Ziekenhuizen (CHIODAZ)) and the National Dietitians Hematology and Stem cell Transplant Consultation group (Dutch: Landelijk Overleg Diëtisten Hematologie en Stamceltransplantatie (LODHS)). Guidelines have been worked on and edited by a group of dietitians specializing in cancer care, spanning from various hospitals and treatment centers across the country including; J. Vogel, dr. S. Beijer, P. Delsink, N. Doornink, H ten Have and R. van Lieshout.
Cancer patients need both qualitative and quantitative nutrition support that fits within their lifestyle to maintain a nutritional balance. A positive nutrition status makes it possible for a patient to endure necessary treatments, minimizes damages from treatment, supports recovery and increases a patient’s quality of life.
The purpose of these guidelines are to provide insight into the current knowledgebase surrounding nutrition and cancer, nutrition related complications, and the ability to provide the best nutritional care throughout targeted intervention.
The guidelines are aimed to provide information and support to dietitians working with cancer patients. The guidelines are also meant to help inform other healthcare professionals, as nutritional intervention also influences the care provided by the physician, nursing and other members of the paramedic team.
The guidelines are separated into two sections: Firstly, the General Nutrition and Dietary Intervention Guidelines outline the nutritional aspects applicable to cancer care and treatment in general.
The Tumour Specific Nutrition and Dietary Intervention Guidelines outline specific nutritional information by tumour type. Per tumour type, nutritional concerns according to tumour stage are outlined with respect to possible nutritional treatment.
Nutritional interventions are evidenced based when possible, however, this is less often possible than desired. Nutrition interventions in cancer care are based on a combination of existing research and practice experience from oncology dietitians, which has reached consensus within the DDOG group (best-practice-based).
The guidelines are consistent with the Guideline Malnutrition in cancer patients (Webpage only available in Dutch)