Comparison of a novel, simple nutrition screening tool for adult oncology inpatients and the Malnutrition Screening Tool (MST) against the Patient-Generated Subjective Global Assessment (PG-SGA)

Shaw, Clare; Fleuret, Catherine; Pickard, Jennifer; Mohammed, Kabir; Black, Gayle; Wedlake, Linda

doi:10.1007/s00520-014-2319-8

Cited by 78 publications

(52 citation statements)

References 37 publications

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“…Using the PG-SGA as a method of nutritional evaluation, Bauer et al (8) found that the incidence of malnutrition in ambulant cancer patients receiving radiation therapy was 75%. Shaw et al (4), reported that the prevalence of malnutrition in cancer outpatients was 71%. The prevalence of malnutrition in cancer is often quoted as 40–80% (17,18), and this may depend largely on the method of assessment and screening, the clinical setting and diagnostic group studied.…”

Section: Discussionmentioning

confidence: 99%

“…Once a patient is diagnosed with a malignant tumor, nutritional risk screening (NRS-2002) must be carried out in a timely manner (4). Recently, two screening tools have been widely-used the NRS-2002, recommended by the European Society for Clinical Nutrition and Metabolism (ESPEN) (5), and patient-generated subjective global assessment (PG-SGA), developed by Ottery (6) for the oncology population.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of different methods for nutrition assessment in patients with tumors

Liu

Xie

et al. 2017

Oncology Letters

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Nutrition screening to identify patients at risk of malnutrition is vital for cancer patients because of the high prevalence of malnutrition in this population. The aim of the present study was to compare different methods of nutrition assessment in patients with tumors. From June 2013 to June 2014, we conducted an observational multicenter study to compare the assessment of nutritional status in patients with tumors by anthropometry, biochemical indicators, nutritional risk screening (NRS-2002) and patient-generated subjective global assessment (PG-SGA). Mann-Whitney test and Kruskal-Wallis H non-parametric test were used for intergroup comparisons. Spearmans rank correlation coefficients were calculated to evaluate the association between different methods of nutritional assessment. The κ statistic was used to evaluate the agreement between two assessment methods. A total of 927 oncology inpatients underwent full nutritional assessment and nutrition screening. The PG-SGA tool determined that 13.7% of patients were well-nourished (PG-SGA from 0–1) and the rest (86.3%) were malnourished. Among the malnourished patients, 57.8% were moderately malnourished (PG-SGA from 2–8) and 28.5% were severely malnourished (PG-SGA ≥9). According to NRS-2002, 30.7% of patients were at nutritional risk (NRS-2002 ≥3). There was a significant positive correlation between PG-SGA scores and NRS-2002 scores in both men and women. Compared to albumin, the PG-SGA had a sensitivity of 93.78% and specificity of 21.80%. In comparison, NRS-2002 had a low sensitivity of 43.13% and relatively higher specificity of 82.16%. In conclusion, the relationship between PG-SGA, NRS-2002 and nutritional status is statistically significant. Compared with NRS-2002, PG-SGA is a suitable screening tool for detecting the risk of malnutrition in patients with cancer.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Comparison of different methods for nutrition assessment in patients with tumors

Liu

Xie

et al. 2017

Oncology Letters

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“…In this study, percentage weight loss was determined using the current and last recorded weight. Where the last recorded weight was unavailable, patients were asked to self-report but this is often normal in routine clinical practice and incorporated into nutrition screening tools, for example, MUST [13,29]. Likewise, the timeframe within changes in weight were assessed was not specified and it was therefore variable.…”

Section: Discussionmentioning

confidence: 99%

A multicentre Study of Nutrition Risk Assessment in Adult Patients with Inflammatory Bowel Disease Attending Outpatient Clinics

et al. 2018

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Background: Overnutrition and undernutrition can affect patients with inflammatory bowel disease (IBD). Although all IBD outpatients should be screened for nutrition risk, screening is not routinely performed, potentially leading to reduced identification and treatment. This study aimed to estimate the prevalence of nutrition risk in adult IBD outpatients and the proportion of cases who discussed diet and/or nutrition during their routine clinical appointment. Methods: Adults with IBD attending outpatient clinics at 4 hospitals in Greece and in UK were recruited. Demographic and anthropometric data were collected using face-to-face patient interviews and clinical records. Patients were classified as high (i.e., body mass index [BMI] < 18.5 or 18.5–20 kg/m² and weight loss > 5%), moderate (i.e., BMI 20–25 kg/m² and weight loss > 5%) or low risk of undernutrition and high risk of obesity (i.e., BMI 25–30% and weight gain > 5%). The proportion of patients who discussed diet and/or nutrition during their clinical appointment was calculated. Results: In total, 390 IBD patients participated. Sixteen (4%) patients were underweight, 113 (29%) were overweight and 71 (18%) were obese. Twenty-one (5%) patients were at high risk of undernutrition; of these 4 (19%) were under dietetic care. Of those at high risk of undernutrition, 11 (52%) had discussed diet and/or nutrition during their routine clinical appointment. Fifty-six (14%) patients had gained more than 5% weight since their last recorded/reported weight and 19 (5%) were at high risk of obesity. Conclusions: Few patients were identified to be at high risk of undernutrition and less than a fifth of these were under dietetic care. Overnutrition is a growing problem in IBD with almost half of adult patients being overweight or obese. Diet and/or nutrition were not routinely discussed in this group of IBD outpatients.

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“…12 A limitation of our study is that the patients had various types of cancer, which hampers a comprehensive analysis of the results, considering that patients with cancer in the upper and lower digestive system and tumors of the head and neck are at greater nutritional risk. 17,18 On the other hand, the strength of our study was the application of three sequential evaluations during treatment, which allowed us to identify high nutritional risk at the beginning of cancer therapy. Our results suggest that dietary/nutritional measures should be implemented from the start of cancer treatment, aiming to improve the nutritional status or even prevent its deterioration.…”

Section: Discussionmentioning

confidence: 99%

Longitudinal assessment of nutritional risk in patients under chemo or radiotherapy

Mastelaro

Pupin

Ribeiro³

et al. 2016

Rev. Assoc. Med. Bras.

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Comparison of a novel, simple nutrition screening tool for adult oncology inpatients and the Malnutrition Screening Tool (MST) against the Patient-Generated Subjective Global Assessment (PG-SGA)

Cited by 78 publications

References 37 publications

Comparison of different methods for nutrition assessment in patients with tumors

Comparison of different methods for nutrition assessment in patients with tumors

A multicentre Study of Nutrition Risk Assessment in Adult Patients with Inflammatory Bowel Disease Attending Outpatient Clinics

Longitudinal assessment of nutritional risk in patients under chemo or radiotherapy

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