Evaluation of perioperative nutritional status with subjective global assessment method in patients undergoing gastrointestinal cancer surgery

Erdim, Aylin; Aktan, A. Özdemir

doi:10.5152/turkjsurg.2017.3603

Cited by 3 publications

(21 citation statements)

References 8 publications

(4 reference statements)

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“…The SGA was first discussed in the 1980s as a tool to evaluate for PCM at the bedside, not with body composition analysis, but rather by evaluating dietary and medical history, weight changes and anthropometrics, and laboratory values 37 . The SGA was designed to evaluate the nutrition risk of surgical patients with infectious complications, but it is now largely utilized in other conditions that predispose PCM 38,39 . Given the absence of body composition analysis, the SGA relies heavily on clinical skills and the knowledge of the practitioner utilizing it.…”

Section: Malnutrition Nutrition Assessment Toolsmentioning

confidence: 99%

“…Researchers in Turkey evaluated the SGA in >100 patients admitted for gastrointestinal surgeries and found it to be efficient and effective in the diagnosis of PCM 38 . Similarly, researchers evaluated the validity of the SGA in patients with renal failure, AIDS, and cancer and found it to be an adequate tool in identifying PCM; however, they found it had a poor early sensitivity 39…”

Section: Malnutrition Nutrition Assessment Toolsmentioning

confidence: 99%

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Malnutrition screening and diagnosis tools: Implications for practice

House

Gwaltney

2021

Nut in Clin Prac

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Despite the prevalence of protein‐calorie malnutrition (PCM) in acute‐care hospitals and long‐term care centers, a national and global consensus on nutrition screening and malnutrition diagnosis is lacking. PCM is associated with various acute and chronic complications, such as impaired wound healing, increased risk for infection, debility, and increased risk for rehospitalization. The consequences of PCM are also incredibly costly to both the patient and the healthcare facility. The purpose of this paper is to identify nutrition screening tools and malnutrition diagnosis tools currently being utilized in acute‐care healthcare centers across the United States.

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Section: Malnutrition Nutrition Assessment Toolsmentioning

confidence: 99%

Section: Malnutrition Nutrition Assessment Toolsmentioning

confidence: 99%

Malnutrition screening and diagnosis tools: Implications for practice

House

Gwaltney

2021

Nut in Clin Prac

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“…Of the 16 studies included in the review, 13 were cross-sectional studies, where malnutrition was measured at one time point, and of these, 12 were prospective [23][24][25][26][27][28][29][30][31][32][33][34] and one was retrospective. 35 Two collected cross-sectional nutritional data across two sites 36 and preoperatively and postoperatively. 36,37 One study was diagnostic, 38 evaluating the Vajira Screening nutritional screening tool against the gold standard, validated Subjective Global Assessment (SGA) tool.…”

Section: Designmentioning

confidence: 99%

“…35 Two collected cross-sectional nutritional data across two sites 36 and preoperatively and postoperatively. 36,37 One study was diagnostic, 38 evaluating the Vajira Screening nutritional screening tool against the gold standard, validated Subjective Global Assessment (SGA) tool.…”

Section: Designmentioning

confidence: 99%

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Malnutrition and nutritional screening in patients undergoing surgery in low and middle income countries: A systematic review

Jones

Knight

Sremanakova

et al. 2022

JCSM Clinical Reports

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BackgroundThere is a high incidence of preoperative undernutrition in hospitalised patients in low and middle‐income countries (LMICs), leading to increased postoperative complications, length of hospital stay and early mortality. Review aims are to establish the prevalence of undernutrition and assess the use of validated nutritional screening tools in surgical patients across LMICs.MethodsProtocol was PRISMA compliant and Prospero registered (CRD42019126765). Twelve international databases were searched from January 1990 to April 2021. Included studies were on nutritional screening in adults (≥16 years) undergoing surgery in LMICs. Two researchers screened studies and assessed quality. Prevalence of undernutrition was presented as a weighted percentage with confidence intervals (CI).ResultsOf the 4649 records identified, 16 studies (n = 4032) were eligible. Subjective global assessment (SGA) or patient generated (PG)‐SGA were the tools used most widely. SGA and PG‐SGA showed a high prevalence of undernutrition overall (0.61, 95% CI 0.50, 0.73), with a proportion identified with moderate undernutrition (0.44, 95% CI 0.31, 0.57) or severe undernutrition (0.32, 95% CI 0.19, 0.45).ConclusionsData show the prevalence of undernutrition in surgical patients as high as three in five patients within LMICs. Results indicate that the SGA is suitable for assessing this group of patients and that it may be the most appropriate tool to use due to its subjectivity and reliability. PG‐SGA although similar includes more symptom assessment, which is important for nutritionally depleted cancer patients. The limited data on validity and reliability of nutritional screening tools in LMICs indicates further research is required.

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The association between pre-operative malnutrition and post-amputation clinical outcomes: A systematic review

Zheng

Yeo

Lew

2022

Proceedings of Singapore Healthcare

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Background: In patients who underwent lower limb amputation (LLA), the prevalence of malnutrition and its association with clinical outcomes are unclear. Objectives: This systematic review aims to identify literature and summarise existing information on (1) the prevalence of malnutrition in the patients with LLA and (2) the association between pre-operative nutritional status and post-surgery clinical outcomes in patients who require amputation. Methods: A search was conducted in four electronic databases (Cochrane Central Register of Controlled Trials (CENTRAL), PubMed, CINAHL and Scopus) to identify eligible studies. The search strategy was based on keywords – amputation, malnutrition and undernutrition. Article were included regardless of the study design; and if they were written in English; included adult patients with lower limb or foot amputation; and performed pre-amputation nutrition assessments. Results: Seven articles met the eligibility criteria. Malnutrition was assessed by biochemistry and/or anthropometry – none of which are validated nutrition assessment tools. Nevertheless, abnormal biochemistry and/or anthropometry results were associated with delayed wound healing, complications and failed amputation compared to normal ranges. The association between abnormal biochemistry and/or anthropometry parameters and mortality was less consistent. Only one study used a validated nutrition screen tool and found half of the population with LLA were at risk of malnutrition, but no association was reported. Conclusions: The association between malnutrition and clinical outcomes in patients who underwent LLA remains unclear as all the eligible studies that investigated association used unvalidated nutrition assessment tools. There is an urgent need to address this knowledge gap in future research.

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Evaluation of perioperative nutritional status with subjective global assessment method in patients undergoing gastrointestinal cancer surgery

Cited by 3 publications

References 8 publications

Malnutrition screening and diagnosis tools: Implications for practice

Malnutrition screening and diagnosis tools: Implications for practice

Malnutrition and nutritional screening in patients undergoing surgery in low and middle income countries: A systematic review

The association between pre-operative malnutrition and post-amputation clinical outcomes: A systematic review

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