Evaluation of Nutritional Status of Cancer Patients during Treatment by Patient-Generated Subjective Global Assessment: a Hospital-Based Study

Sharma, Dibyendu; Kannan, Ravi; Tapkire, Ritesh; Nath, Soumitra

doi:10.7314/apjcp.2015.16.18.8173

Cited by 20 publications

(21 citation statements)

References 24 publications

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“…Malnutrition has been known to occur mostly as a comorbidity among cancer patients with an estimated prevalence of 20-80% [2,3,13]. Combined effects of the cancer and treatment option often predispose cancer participants to nutrient depletion and inadequate food intake resulting in poor nutritional profiles [14][15][16].…”

Section: Discussionmentioning

confidence: 99%

“…Similarly, patients with digestive organ and lip cancers had higher levels of under nutrition compared to those with breast and cancers that affect female reproductive organs. Studies have shown that participants with lip/oral cancers report highest levels of malnutrition [16] hence need for timely nutrition intervention among these patients. Most of these patients experience dysphagia hence consume less food especially in cases where enteral or parenteral modes of feeding have not been initiated.…”

Section: Discussionmentioning

confidence: 99%

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Nutritional status of cancer outpatients using scored patient generated subjective global assessment in two cancer treatment centers, Nairobi, Kenya

et al. 2017

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Background: Malnutrition is a universal problem in cancer patients renowned as an important factor for increased morbidity, decreased quality of life and high mortality. Early diagnosis of malnutrition risk through nutrition screening followed by comprehensive and timely interventions reduces mortality associated with malnutrition. The Scored Patient-Generated Subjective Global Assessment (PGSGA) method has been proved efficient in identifying cancer patients with nutrition challenges and guiding appropriate interventions. However this tool has not been adopted in management of cancer patients in Kenya. The aim of the study was to assess and describe nutrition status of cancer outpatients receiving treatment at Kenyatta National Hospital Hospital (KNH) and Texas Cancer Centre (TCC). Methods: The study adopted a hospital based descriptive cross sectional study. Cancer outpatients with confirmed stage 1-4 cancers, physically stable, aged 18 years and above and receiving cancer treatment were recruited and assessed using Scored PGSGA tool. Proportions, measures of central tendency and pearsons' chi-square test were used in statistical analysis. Results: Among the 471 participants assessed, 71.8% were female and 28.2% male. Most participants had stage 2, 3 and 4 cancers at 27.2%, 27.2% and 24.3% respectively. Highest proportion of participants had breast (29.7%) and female genital cancers (22.9%). Sixty nine percent of participants were well nourished (SGA-A), 19.7% moderately malnourished (SGA-B) and 11.3% severely malnourished (SGA-C) and this difference was statistically significant. The mean PGSGA score was 6.76 (SD 5.17). Based on the score, 33.8% of participants required critical nutrition care, 34. 8% symptoms management, 14.2% constant nutrition education and pharmacological intervention while 17.2% required routine assessments and reassurance. More (m;54.7%, f; 45.3%) males than females were severely malnourished(SGA-C) and this was statistically significant (P < 0.001).Prevalence of severe malnutrition was highest among participants with digestive organ cancers (49.1%) followed by those with lip cancer (17%) and the least prevalence reported in those with Karposi Sarcoma (0%). Most of stage 4 participants were moderately (37.5%) and severely (29.4%) malnourished. Conclusions: The Scored Patient-Generated Subjective Global Assessment is able to identify cancer patients both at risk of malnutrition and those severely malnourished. It also provides a guideline on the appropriate nutrition intervention hence an important tool in nutrition management of cancer patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Nutritional status of cancer outpatients using scored patient generated subjective global assessment in two cancer treatment centers, Nairobi, Kenya

et al. 2017

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“…Malnutrition in patients with cancer is widely known as a negative prognosis factor with expressive consequences, such as a decreased response to treatment; an increased incidence of infections; increased morbidity, mortality, and length of hospitalization; decreased functional ability; and increased hospital costs [1–4], moreover, malnutrition affects 20% to 80% of the patients with cancer population [4–6].…”

Section: Introductionmentioning

confidence: 99%

Association of Adductor Pollicis Muscle Thickness and Handgrip Strength with nutritional status in cancer patients

et al. 2019

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Background and aim Malnutrition is common in patients with cancer, and its early diagnosis can reduce or prevent further complications and improve the clinical and nutritional prognosis. Adductor Pollicis Muscle Thickness (APMT) and Handgrip Strength have been explored in this population to identify a reduction in strength and muscle mass prior to the use of conventional methods. We aimed to correlate APMT and Handgrip Strength with conventional anthropometric variables in cancer patients and verify their association with nutritional status as determined by the Patient-Generated Subjective Global Assessment (PG-SGA). Methods A cross-sectional study was conducted with 80 patients diagnosed with cancer who were candidates for surgery. Nutritional status was obtained from the PG-SGA. Conventional anthropometric measurements were taken, as well as APMT and Handgrip Strength. Pearson’s correlation analysis and multivariate linear regression were applied to detect the influence of variables on APMT and HGS. A significance level of 5.0% was considered. Results A high prevalence of malnutrition and the need for dietotherapic intervention was found, identified by the PG-SGA. Correlations between APMT and Handgrip Strength with anthropometric variables and with the PG-SGA score were observed. After regression adjustments, the variables that interacted with APMT were TSF and AC, and the PG-SGA score, corrected Muscle Arm Area (CAMA), and age interacted with Handgrip Strength. Conclusion Correlations between anthropometric measurements and the PG-SGA score with APMT and Handgrip Strength were observed, even after adjusting for age and sex. These associations demonstrate that APMT and Handgrip Strength can be used with criterion in patients with cancer as complementary methods to evaluate nutritional risk and the need for nutritional intervention.

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“…A study conducted in Brazil in similar study settings observed the prevalence of malnutrition was 71.1 %, with similar frequencies between moderate (35.4 %) and severe malnutrition (35.7 %) [ 22 ]. A previous study, although having small sample size (n = 57) using the same assessment tool reported 15.5% were well-nourished, 31.6% were moderately malnourished, and 52.6% were severely malnourished [ 25 ]. In contrast to our result, a study from Iceland reported 40% of the cancer patient were malnourished [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

Quality of Life (QoL) of cancer patients and its association with nutritional and performance status: A pilot study

Alam

Rahman

Afroz

et al. 2020

Heliyon

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Background Quality of Life (QoL), for long, has been a multifactorial concerning issue in oncology. The aim of this study was to determine QoL of cancer patients and its association with nutrition, and performance status. Methodology This was a hospital based cross-sectional study carried out at 2 cancer centers and one tertiary level hospital in Dhaka city during the months of July to December, 2019. Data was collected through structured interviews and analyzed by SPSS-25 statistical package software. Results Among 279 participants, 14(5.02%) had high QoL, 35(12.54%) had average QoL, 150(53.76%) had low QoL, and remaining 80(28.67%) had very low QoL. The prevalence of severe malnutrition was 12.5% and 43.7% of patients had poor performance status. A statistically significant association between QoL and, nutritional and performance status was identified (p < 0.05) . The ANOVA also indicated a statistically significant variation in QoL score among nutritional categories (P < 0.01) and performance status (P = 0.013). Conclusion A relatively higher prevalence of poor QoL was identified in this study which varies among nutritional categories and performance statuses. The proper management of predictors of QoL is imperative during treatment procedures.

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Evaluation of Nutritional Status of Cancer Patients during Treatment by Patient-Generated Subjective Global Assessment: a Hospital-Based Study

Cited by 20 publications

References 24 publications

Nutritional status of cancer outpatients using scored patient generated subjective global assessment in two cancer treatment centers, Nairobi, Kenya

Nutritional status of cancer outpatients using scored patient generated subjective global assessment in two cancer treatment centers, Nairobi, Kenya

Association of Adductor Pollicis Muscle Thickness and Handgrip Strength with nutritional status in cancer patients

Quality of Life (QoL) of cancer patients and its association with nutritional and performance status: A pilot study

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