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Online appendix
Questionnaire on perioperative nutrition
Please reply to every question by choosing the most appropriate answer(s). One or more answers may be given
per question if adequate.
1. Where do you work?
University hospital
Non University hospital
O
O
>400/year
<400/year
O
O
2. How many GI surgical interventions are performed in your facility?
Screening
3. Does your facility conduct a nutritional screening?
4. Who is responsible for the nutritional screening?
5. When is the screening performed?
6. How is the screening performed?
Always
Sometimes
Rarely
Never
O
O
O
O
Surgeon
O
Anaesthesiologist
O
Responsible nursing staff
O
Nutritionist
O
Preoperatively in outpatient clinic
O
Preoperatively on admission
O
Postoperatively
O
In the ICU
O
Clinical parameters (weight loss, BMI, etc.)
Examples: _____________________________________
Laboratory values (albumine, (prealbumine), etc.)
Examples: _____________________________________
O
O
Biometrical measurements (impedance, subcutaneous fat,
etc.)
O
Examples: _____________________________________
Clinical scores (SGA, NRS, etc.)
Examples: _____________________________________
O
Nutritional supplementation
7. Immunonutrition contains in your opinion ...
Arginine
O
Glutamine
O
Non-saturated fatty acids
O
mRNA
O
Others:______________________________
8. Do your patients receive a preoperative nutritional
supplementation?
9. Who is receiving the treatment?
O
Always
Sometimes
Rarely
Never
O
O
O
O
All patients
O
All patients before major GI surgery
O
All patients previously identified by nutritional screening
O
All patients before oncological GI surgery
O
Others: _________________________________
O
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10. Who is conducting the treatment?
Surgeon
O
Responsible nursing staff
O
Nutritionist
O
Preoperatively
O
Postoperatively
O
Preoperatively und postoperatively
O
12. How long is the preoperative treatment
3 days
O
conducted?
5 days
O
7 days
O
No preoperative treatment in our facility
O
13. Which type of nutritional support is used for
Protein drinks
O
preoperative treatment?
Immunonutrition
O
11. When is the treatment conducted?
O
Others: ________________________________
14. How do you control the success of the
No control/No preoperative treatment
O
preoperative treatment?
Nutritional diary
O
Clinical parameters (weight loss, BMI, etc)
O
Examples: __________________________________
Laboratory values (albumine, (prealbumine), etc)
O
Examples: __________________________________
Biometrical measurements(impedance, subcutaneous fat,
etc)
O
Examples: __________________________________
Appraisal of current evidence of preoperative nutritional supplementation
Yes
No
O
O
O
O
17. Is there sufficient evidence available for the use of preoperative nutritional supplementation?
O
O
18. Is there sufficient evidence available in favour of preoperative Immunonutrition?
O
O
19. Too expensive with regard to the ambiguous absorption of cost
O
O
20. Logistical efforts
O
O
21. No sufficient scientific evidence available
O
O
22. Others: ________________________________________________________________
O
O
Please express your opinion!
15. Does the use of preoperative nutritional supplementation have a positive impact on the length of
stay in the hospital?
16. Does the use of preoperative nutritional supplementation have a positive impact on the perioperative
complication rate?
Reasons against the use of preoperative Immunonutrition: