GLIM criteria has fair sensitivity and specificity for diagnosing malnutrition when using SGA as comparator

Allard, Johane P.; Keller, Heather; Gramlich, Leah; Jeejeebhoy, Khursheed N.; Laporte, Manon; Duerksen, Donald R.

doi:10.1016/j.clnu.2019.12.004

Cited by 115 publications

(157 citation statements)

References 28 publications

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“…Finally, GLIM diagnostic criteria for malnutrition still need further concurrent and predictive validation, especially in the group of patients with liver disease. However, in other clinical profiles, the GLIM criteria showed fair to good sensitivity and specificity with SGA and good predictive capacity for mortality ( 13,18,19 ) .…”

Section: Discussionmentioning

confidence: 96%

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Comparison between criteria for diagnosing malnutrition in patients with advanced chronic liver disease: GLIM group proposal versus different nutritional screening tools

Boulhosa

Lourenço²,

Côrtes

et al. 2020

J Human Nutrition Diet

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Background Different nutritional screening instruments can be used to identify the risk of malnutrition in advanced chronic liver disease patients. The present study aimed to evaluate and compare two nutrition screening tools with the Global Leadership Initiative on Malnutrition (GLIM) diagnostic criteria for malnutrition in patients with advanced chronic liver disease. Methods Two nutritional screening tools, Nutritional Risk Screening 2002 (NRS‐2002) and Royal Free Hospital Nutritional Prioritizing Tool (RFH‐NPT), were assessed for 166 patients with liver cirrhosis. We compared medium/high nutritional risk screening with the diagnosis of malnutrition, using the GLIM criteria as the reference standard. Results According to the GLIM criteria, 57.3% of the patients were malnourished. NRS and RFH‐NPT identified, respectively, 36.1% and 52.4% of patients with nutritional risk. RFH‐NPT presented better agreement with the diagnosis according to GLIM criteria (k = 0.64; 95% confidence interval = 0.52–0.75), higher sensitivity (80%), higher negative predictive value (79%) and larger area under the curve (82.3%) compared to the NRS. Conclusions RFH‐NPT, when compared with the GLIM method, has substantial agreement in identifying nutritional risk, good sensitivity and good value for diagnosing malnutrition in patients with advanced chronic liver disease.

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Section: Discussionmentioning

confidence: 96%

“…The malnutrition criteria of the GLIM group have been used to estimate malnutrition in different clinical profiles ( 15‐19 ) . So far, only Lindqvist et al .…”

Section: Discussionmentioning

confidence: 99%

Comparison between criteria for diagnosing malnutrition in patients with advanced chronic liver disease: GLIM group proposal versus different nutritional screening tools

Boulhosa

Lourenço²,

Côrtes

et al. 2020

J Human Nutrition Diet

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“…COVID-19患者前, 营养治疗团队应该常规调查患者的营养状况 [11] , 采用合适的营养诊断工具, 实施三级营养诊断, 即营养筛查、营养评估及综合评价 [12] . 推荐使用重症患者营养评估工具(the nutrition risk in critically ill, NUTRIC)或改良的NUTRIC进行营养筛 13~15] ; 采用主观整体评估(subjective global assessment, SGA) [13,16] 、全球领导人营养不良倡议(global leadership initiative on malnutrition, GLIM)等工具进行营养评估 [17,18] . 根据临床观察报告, 与非重症患者相 [24] .…”

Section: 营养诊断是营养治疗的前提在开始系统治疗unclassified

Expert suggestions on nutrition therapy for severe COVID-19 patients

Shi¹,

Yu²,

Yu³

et al. 2020

Sci. Sin.-Vitae

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“…Thoresen et al have reported that 65.22% advanced cancer patients were malnourished according to the SGA method [5]. SGA has been shown to be the best predictor of clinical outcome in comparison with NRS 2002 [6,7]. Notably, SGA is easy-to-use and noninvasive.…”

Section: Introductionmentioning

confidence: 99%

Influence of malnutrition stage according to GLIM 2019 criteria and SGA method on the quality of life of patients with advanced cancer – a prospective study

Kaźmierczak-Siedlecka¹,

Skonieczna-Żydecka²,

Folwarski³

et al. 2020

Preprint

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Objectives The primary aims of this study were the assessment of nutritional status based on Global Leadership Initiative on Malnutrition (GLIM) criteria 2019 and Subjective Global Assessment (SGA) as well as quality of life (QOL) with World Health Organization Quality of Life-BREF questionnaire (WHOQOL-BREF) of advanced cancer patients. The secondary aim was to investigate the impact of severity of malnutrition on QOL of these patients. Results This study included 33 advanced cancer patients from Nutritional Counselling Centre Copernicus in Gdansk and Department of Surgical Oncology, Medical University in Gdansk, Poland. The majority of patients suffered from head/neck (n=12, 33.33%) and espohageal cancer (n=11, 33.33%). According to the SGA method, most of the patients were malnourished (n=14, 42.42%) and severely malnourished (n=14, 42.42%). Based on the GLIM criteria, 69.7% of patients (n=23) were severely malnourished. Among all participants, the highest impairment of QOL in self-assessment of satisfaction of health, environmental, and psychological domain was observed. The severe malnutrition significantly impairs QOL in psychological (GLIM stage 2, p=0.0033; SGA C, p=0.0310) and somatic domain (GLIM stage 2, p=0.0423). This is the first study assessing the impact of severity of malnutrition based on new GLIM criteria on QOL of advanced cancer patients.

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GLIM criteria has fair sensitivity and specificity for diagnosing malnutrition when using SGA as comparator

Cited by 115 publications

References 28 publications

Comparison between criteria for diagnosing malnutrition in patients with advanced chronic liver disease: GLIM group proposal versus different nutritional screening tools

Comparison between criteria for diagnosing malnutrition in patients with advanced chronic liver disease: GLIM group proposal versus different nutritional screening tools

Expert suggestions on nutrition therapy for severe COVID-19 patients

Influence of malnutrition stage according to GLIM 2019 criteria and SGA method on the quality of life of patients with advanced cancer – a prospective study

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