Complementarity of nutritional assessment tools to predict prolonged hospital stay and readmission in older patients with solid tumors: A secondary analysis of a cohort study

Stefani, Giovanna Potrick; Crestani, Mariana Scortegagna; Scott, Laura Machado; Soares, Camilla Horn; Steemburgo, Thais

doi:10.1016/j.nut.2023.112089

Cited by 4 publications

(3 citation statements)

References 45 publications

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“…In our cohort of patients with gastrointestinal or head and neck cancer, nutritional risk was identi ed in 72.5% (PG-SGA SF) and malnutrition in 57.3% (SGA) and 87.1% (PG-SGA). Our results are consistent with those of previous studies investigating these two types of cancer, with malnutrition ranging from 43.8-86.3% depending on the nutritional assessment tool used [38][39][40][41]. In fact, PG-SGA can identify a higher prevalence of malnutrition because it is an oncologyspeci c tool that assesses symptoms and clinical conditions speci c to patients with cancer [15].…”

Section: Prevalence Of Nutritional Risk Malnutrition and Nutritional ...supporting

confidence: 91%

Low BMI Demonstrates Satisfactory Specificity for Diagnosing Malnutrition and is Associated with Longer Hospitalization in Patients with Gastrointestinal or Head and Neck Cancer: A Prospective Cohort Study

Soares,

Stefani,

Scott

et al. 2024

Preprint

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Purpose Few studies have evaluated the individual performance of the nutritional indicators body mass index (BMI), calf circumference (CC), and handgrip strength (HGS) for the diagnosis of malnutrition in the cancer setting. We aimed to evaluate the ability of these nutritional indicators to accurately diagnose malnutrition and their association with hospital length of stay (LOS) in patients with cancer. Methods This cohort study prospectively evaluated 171 patients with gastrointestinal or head and neck cancer. Nutritional status was assessed within 48 hours of hospital admission using BMI, CC, and HGS as well as 2 reference standards: Subjective Global Assessment (SGA) and Patient-Generated SGA (PG-SGA). The accuracy of each nutritional indicator was measured by the area under the receiver operating characteristic curve (AUC), compared with the reference standards. Multiple logistic regression analysis, adjusted for confounders, was used to determine whether malnutrition was associated with LOS. Results Of 171 patients, 59.1% had low CC, 46.2% had low HGS, and 13.5% had low BMI. The SGA and PG-SGA scores indicated malnutrition in 57.3% and 87.1% of patients, respectively. All nutritional indicators had poor accuracy in diagnosing malnutrition (AUC < 0.70). However, compared with SGA and PG-SGA, low BMI had satisfactory specificity (> 80%) and was associated with 1.79 times higher odds of LOS ≥ 6 days. Malnutrition diagnosed by SGA and PG-SGA increased the odds of LOS ≥ 6 days by 3.60-fold and 2.78-fold, respectively. Conclusion Low BMI showed adequate specificity for diagnosing malnutrition and was associated with longer LOS in patients with gastrointestinal or head and neck cancer.

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Section: Prevalence Of Nutritional Risk Malnutrition and Nutritional ...supporting

confidence: 91%

Low BMI Demonstrates Satisfactory Specificity for Diagnosing Malnutrition and is Associated with Longer Hospitalization in Patients with Gastrointestinal or Head and Neck Cancer: A Prospective Cohort Study

Soares,

Stefani,

Scott

et al. 2024

Preprint

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“…Recent research has highlighted PG-SGA as a robust predictor of hospital stay duration specifically for patients with cancer during treatment. 26 Additionally, other studies have indicated that NRS-2002 and PG-SGA-SF scores are inversely correlated with various nutritional parameters in cancer patients. 30 – 32 The findings of this study are consistent, as both nutritional risks scoring systems were negatively correlated with total protein, prealbumin, body weight, BMI, energy intake, protein intake, and other variables.…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies have clearly demonstrated a significant association between malnutrition and adverse clinical outcomes in cancer patients. 7 , 11 , 25 , 26 As a result, NRS is both important and necessary for cancer patients. NRS-2002 and PG-SGA-SF are recommended for NRS in many countries, but this often necessitates a substantial professional workforce.…”

Section: Discussionmentioning

confidence: 99%

Association between nutritional status assessed by a digital self-administered tool (R+ dietitian) and clinicopathologic factors in cancer patients: A comprehensive analysis

Zhu,

Wang,

et al. 2024

DIGITAL HEALTH

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Objective Malnutrition is prevalent among cancer patients, smartphone-based self-administered nutritional assessment tools offer a promising solution for effective nutritional screening. This study aims to retrospectively analyze the relationships between nutritional status evaluated by the digital tool (R+ Dietitian) and clinicopathologic factors of cancer patients. Methods Cancer patients who met the inclusion criteria were divided into two subgroups based on age, Nutritional Risk Screening-2002, Patient-Generated Subjective Global Assessment Short Form, body mass index, and hospital stays for comparison. Correlation and regression analysis were used to comprehensively assess the relationship between nutritional status and clinicopathologic factors. Findings A total of 535 hospitalized cancer patients (58.32 ± 11.24 years old) were recruited. Patients identified with nutritional risk assessed by R+ Dietitian were significantly older, had lower body weight, lower body mass index, greater weight loss, and longer hospital stays (all of above, P < 0.01). Multiple logistic regression analysis indicated that serum prealbumin concentration (odds ratio: 0.992, 95% confidence interval: 0.987–0.997, P = 0.001), weight loss (odds ratio: 7.309, 95% confidence interval: 4.026–13.270, P < 0.001), and body mass index < 18.5 (odds ratio: 5.882, 95% confidence interval: 2.695–12.821, P < 0.001) predicted nutritional risk indicated by Nutritional Risk Screening-2002 score ≥3. Hemoglobin concentration (odds ratio: 0.983, 95% confidence interval: 0.970–0.996, P = 0.011), weight (odds ratio: 1.111, 95% confidence interval: 1.056–1.169, P < 0.001), weight loss (odds ratio: 7.502, 95% confidence interval: 4.394–12.810, P < 0.001), body mass index (odds ratio: 0.661, 95% confidence interval: 0.564–0.775, P < 0.001), and energy intake (odds ratio: 0.996, 95% confidence interval: 0.995–0.997, P < 0.001) predicted nutritional risk indicated by Patient-Generated Subjective Global Assessment Short Form score ≥4. Multiple linear regression analysis revealed that Patient-Generated Subjective Global Assessment Short Form scores ≥3 ( b = 2.032, P = 0.008) were significantly associated with longer hospital stays. Conclusions The nutritional risks assessed by R+ Dietitian accurately reflected the characteristics of malnutrition in cancer patients and predicted hospital stay and cost, indicating the applicability of R+ Dietitian to improving the efficiency of nutritional management for cancer patients.

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The Importance of Nutrition in Cancer Care: A Narrative Review

Soares,

Beuren,

Friedrich

et al. 2024

Curr Nutr Rep

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Complementarity of nutritional assessment tools to predict prolonged hospital stay and readmission in older patients with solid tumors: A secondary analysis of a cohort study

Cited by 4 publications

References 45 publications

Low BMI Demonstrates Satisfactory Specificity for Diagnosing Malnutrition and is Associated with Longer Hospitalization in Patients with Gastrointestinal or Head and Neck Cancer: A Prospective Cohort Study

Low BMI Demonstrates Satisfactory Specificity for Diagnosing Malnutrition and is Associated with Longer Hospitalization in Patients with Gastrointestinal or Head and Neck Cancer: A Prospective Cohort Study

Association between nutritional status assessed by a digital self-administered tool (R+ dietitian) and clinicopathologic factors in cancer patients: A comprehensive analysis

The Importance of Nutrition in Cancer Care: A Narrative Review

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