Early Education Programme in Malnourished Cancer Patients

Inclusion Criteria:

* Male or female
* From 18 to 70 years old
* Patient with an ORL, pancreatic, oesogastric, duodenal or broncho-pulmonary cancer
* Patient who have not begun their treatments or patient in the beginning of their treatments, less than or equal to two sessions of chemotherapy or radiotherapy
* patient living in a private home (personal or family)
* Prognosis greater than 12 months
* Decision taken at a multidisciplinary consultation meeting (RCP) for a curative treatment
* WHO Score Performance Status ≤2
* Patient undernourished at the advertisement codes E44.1 "Mild protein-energy malnutrition" or E44.0 "Moderate protein-energy malnutrition", according to the latest HAS recommendations
* Patient not undernourished at the time of the announcement, but going to receive a treatment or combination of treatments for curative purposes, whose therapeutic sequences are known to induce nutritional complications inducing a risk of stopping treatment
* Per os nutrition
* With internet access and reachable by phone
* Patient affiliated to the social security system
* Patient information and signature of informed consent
* Patient accompanied by a family member or not

Exclusion Criteria:

* Patient with severe malnutrition corresponding to at least one of the criteria\* below:

  (i) BMI \< 17 kg/m². (ii) weight loss ≥ 10% in 1 month or ≥ 15% in 6 months or ≥ 15% of the usual weight before the onset of the disease (iii) albuminemia ≤ 30 g/L. (\*) Annex 15.8: HAS 2019 source : A single criterion of severe undernutrition takes precedence over one or more criteria of moderate undernutrition.
* Treatment for curative purposes not applicable
* Comorbidities that do not allow participation in the prehabilitation course (patient presenting at least one of the criteria below):

Weight greater than 130kgs (limit of resistance of the beds in the reception centre) Sensory deficits: visual, auditory, olfactory, gustatory (not allowing to follow the educational workshops) Cognitive deficit (reading, writing, counting) Physical (ability to move around and participate in activities) Patient at risk of alcohol withdrawal

* TNM coupled with a deteriorated general condition of the patient at the time of the announcement; prediction of highly mutilating surgery involving an inability to eat through the mouth; metastatic stage.
* Patient institutionalized and/or not responsible for his or her diet
* Patient requiring parenteral or artificial enteral nutrition (feeding tube, nasogastric tube, gastrostomy or feeding jejunostomy)
* History of organ failure (cirrhosis, moderate or severe renal failure, heart failure (NYHA\>2), chronic oxygen-dependent respiratory failure)
* Anaemic patient (hemoglobin level less than 9g/dL)
* Person deprived of liberty or under guardianship
* Inability to undergo the medical monitoring of the trial for geographical, social or psychological reasons.
* Pregnant woman or Breastfeeding woman
* A delay before the first treatment does not allow inclusion in the NEHOTEL prehabilitation.