In the oncology population, malnutrition is common, with a reported overall prevalence of 31%. The consequences malnutrition can include reduced performance status, quality of life, and tolerance to treatment.

The aims of this study were to identify and understand oncology clinician’s knowledge, attitudes, practices and perceived learning needs related to cancer malnutrition.

A survey was distributed by Survey Monkey to clinicians working in oncology via discipline specific interest groups, professional associations and the Integrated Cancer Services network. The targeted disciplines were doctors, nursing, allied health and radiotherapists in the acute setting; general practioners and practice nurses in the community setting.

A total of 325 clinicians across all surveyed craft groups completed the survey with a balanced distribution across all disciplines. Approximately 60% had greater than 5 years’ experience working in oncology and almost 80% of participants were from a metropolitan setting.

The results indicated that participants had inconsistent knowledge about the prevalence of cancer malnutrition, the criteria for diagnosing malnutrition and the validated screening and assessment tools available for this patient group Almost 40% of clinicians self-rated their knowledge as lacking/very poor.

The survey highlighted that whilst the majority of clinicians felt patients should be screened for malnutrition throughout their journey, there is variation as to who they believe is responsible for this. A number of clinicians take on this task of nutrition assessment and monitoring, but this is inconsistent and many utilised non-validated measures or tools , which may give rise to inappropriate patient referrals or management.

There is inconsistent knowledge, practices and opinions related to cancer malnutrition screening, assessment and management among clinicians. As a consequence cancer patients may not be receiving optimal nutrition care, which could affect their health and treatment outcomes. Multidisciplinary cancer clinician education is required to ensure consistency of knowledge and clinical practice.