Comparison of two nutritional screening tools to detect nutritional risk in hematologic inpatients

Fiol-Martínez, Lucía; Calleja-Fernández, Alicia; Maza, Begoña Pintor de la; Casariego, Alfonso Vidal; Villar-Taibo, Rocío; Urioste-Fondo, Ana; Cuervo, Marta; Cano-Rodríguez, Isidoro; Ballesteros-Pomar, María D.

doi:10.1016/j.nut.2016.09.009

Cited by 18 publications

(11 citation statements)

References 15 publications

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“…Moreover, patients at advanced stages of disease generally display a higher prevalence of overt malnutrition as compared to those in earlier stages [2]. In addition, the screening tool adopted to diagnose malnutrition may influence the prevalence rate [44], as well as the adoption of criteria that include the assessment of body composition to detect low muscle mass, such as computed tomography, DEXA, or BIA.…”

Section: Magnitude Of the Problem According To Cancer Typesmentioning

confidence: 99%

The Spectrum of Malnutrition/Cachexia/Sarcopenia in Oncology According to Different Cancer Types and Settings: A Narrative Review

et al. 2021

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Nutritional status in oncological patients may differ according to several modifiable and non-modifiable factors. Knowledge of the epidemiology of malnutrition/cachexia/sarcopenia may help to manage these complications early in the course of treatment, potentially impacting patient quality of life, treatment intensity, and disease outcome. Therefore, this narrative review aimed to critically evaluate the current evidence on the combined impact of tumor- and treatment-related factors on nutritional status and to draw some practical conclusions to support the multidisciplinary management of malnutrition in cancer patients. A comprehensive literature search was performed from January 2010 to December 2020 using different combinations of pertinent keywords and a critical evaluation of retrieved literature papers was conducted. The results show that the prevalence of weight loss and associated symptoms is quite heterogeneous and needs to be assessed with recognized criteria, thus allowing a clear classification and standardization of therapeutic interventions. There is a large range of variability influenced by age and social factors, comorbidities, and setting of cures (community-dwelling versus hospitalized patients). Tumor subsite is one of the major determinants of malnutrition, with pancreatic, esophageal, and other gastroenteric cancers, head and neck, and lung cancers having the highest prevalence. The advanced stage is also linked to a higher risk of developing malnutrition, as an expression of the relationship between tumor burden, inflammatory status, reduced caloric intake, and malabsorption. Finally, treatment type influences the risk of nutritional issues, both for locoregional approaches (surgery and radiotherapy) and for systemic treatment. Interestingly, personalized approaches based on the selection of the most predictive malnutrition definitions for postoperative complications according to cancer type and knowledge of specific nutritional problems associated with some new agents may positively impact disease course. Sharing common knowledge between oncologists and nutritionists may help to better address and treat malnutrition in this population.

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Section: Magnitude Of the Problem According To Cancer Typesmentioning

confidence: 99%

The Spectrum of Malnutrition/Cachexia/Sarcopenia in Oncology According to Different Cancer Types and Settings: A Narrative Review

et al. 2021

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“…Several studies compared malnutrition short assessment tools, some of those studies used SGA as a reference method or a "gold standard" [25,[33][34][35]. Both MUST and NRS-2002 showed good agreement with SGA in identification of nutritional risk in 577 adult patients admitted to a public emergency room [34].…”

Section: Discussionmentioning

confidence: 99%

Comparison of Nutrition Risk Screening 2002 and Subjective Global Assessment Form as Short Nutrition Assessment Tools in Older Hospitalized Adults

et al. 2021

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The aim of the present study was to compare two widely recommended short nutrition assessment tools—Nutrition Risk Screening 2002 (NRS-2002) and Subjective Global Assessment Form (SGA)—with other Comprehensive Geriatric Assessment (CGA) measurements. The study included 622 consecutively hospitalized older subjects, aged 81.7 ± 7.8 years. The criteria to participate were the ability to communicate and given consent. Both NRS-2002 and SGA were inversely related to anthropometric measurements, functional assessment tests, Mini-Mental State Examination (MMSE) and positively associated with the Vulnerable Elders Survey-13 (VES-13) score. Results of SGA and NRS-2002 were not related to sex and 15-item Geriatric Depression Scale (GDS) score. Comparison of well-nourished subjects and patients with suggested problems with nutrition according to NRS-2002 (0–2 vs. 3–7) and SGA (A vs. B + C) gave comparable results. Both nutritional scales at given cut-off points similarly discriminated anthropometric data and other CGA tools in the populations of well-nourished vs. malnourished hospitalized older subjects. In conclusion, we can recommend using both NRS-2002 and SGA to detect malnutrition or risk of malnutrition in a routine clinical practice of the geriatric department ward.

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“…Além disso, a desnutrição está associada a desfechos desfavoráveis, como perda de massa muscular, comprometimento imunológico com aumento de infecções, estresse psicossocial, menor qualidade de vida, toxicidade do tratamento e maior tempo de internação hospitalar com consequente aumento do custo 11 . Estudos demonstraram que a prevalência de desnutrição especificamente entre pacientes hematológicos na admissão hospitalar, utilizando a ASG-PPP, variou de 17,5% a 47,7% 14,19,20 . Essa amplitude de valores pode ser justificada pelos diferentes tipos de câncer hematológicos compreendidos em tais amostras.…”

Section: Discussionunclassified

Prevalência de Desnutrição em Pacientes Adultos e Idosos em Fase de Pré-Tratamento de Leucemia

Silva

Oliveira²

2020

Rev. Brasileira.De.Cancerologia

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Introdução: O estado nutricional em fase pré-tratamento pode estar relacionado a desfechos clínicos desfavoráveis em pacientes com câncer. Objetivo: Avaliar o estado nutricional de pacientes adultos e idosos com leucemia em fase de pré-tratamento oncológico. Método: Trata-se de um estudo transversal, retrospectivo, envolvendo pacientes com leucemia em fase pré-tratamento oncológico. Os critérios de inclusão foram ≥20 anos de idade; ambos os sexos; e matricula no Instituto Nacional de Câncer Jose Alencar Gomes da Silva (INCA). Os critérios de exclusão foram não ter diagnostico confirmado de leucemia; registro de avaliação do estado nutricional por meio da avaliação subjetiva global produzida pelo paciente; e não ter recebido tratamento oncológico prévio. Os testes qui-quadrado e t de Student foram utilizados. Resultados: Foram avaliados 69 pacientes com leucemia em fase pré-tratamento oncológico, sendo em sua maioria homens (52,2%) com menos de 60 anos de idade (52,2%). A prevalência de desnutrição foi de 65,2%, sendo mais expressiva nos idosos (78,8%, p=0,023). A prevalência de risco nutricional apresentou a mesma frequência (65,2%), no entanto, foi maior em pacientes com comorbidades (80,8%, p=0,017) e historia de tabagismo (90,9%, p=0,056). Conclusão: A maior parte dos pacientes com leucemia iniciou seu tratamento oncológico com o estado nutricional debilitado, o que se exacerbou entre aqueles com leucemia crônica, idosos, com comorbidades e historia de tabagismo.

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Comparison of two nutritional screening tools to detect nutritional risk in hematologic inpatients

Cited by 18 publications

References 15 publications

The Spectrum of Malnutrition/Cachexia/Sarcopenia in Oncology According to Different Cancer Types and Settings: A Narrative Review

The Spectrum of Malnutrition/Cachexia/Sarcopenia in Oncology According to Different Cancer Types and Settings: A Narrative Review

Comparison of Nutrition Risk Screening 2002 and Subjective Global Assessment Form as Short Nutrition Assessment Tools in Older Hospitalized Adults

Prevalência de Desnutrição em Pacientes Adultos e Idosos em Fase de Pré-Tratamento de Leucemia

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