Malnutrition among gynaecological cancer patients

Abstract

Objective: To assess the nutritional status of patients with gynaecological cancer. Design: A prospective study assessing the nutritional status of gynaecological patients with suspected or proven gynaecological cancer. Setting: Queensland Centre for Gynaecological Cancer, Brisbane, Australia; a tertiary referral centre for gynaecological cancer. Subjects: One hundred forty-five patients with suspected or proven gynaecological cancer aged 20-91 years. Intervention: Scored patient-generated subjective global assessment (PG-SGA) and serum albumin before treatment. Results: One hundred and sixteen (80%) patients were categorized as PG-SGA class A, 29 (20%) patients were PG-SGA B and none of the patients were PG-SGA C. Ovarian cancer patients had significantly lower serum albumin levels (P ¼ 0.003) and higher PG-SGA scores (Po0.001) than patients with other types of cancer and benign conditions. Sixty-seven per cent of patients with ovarian cancer were classified as PG-SGA B. After adjusting for patient's age, body mass index and albumin level, ovarian cancer patients were 19 times more likely to be categorized as PG-SGA class B compared to patients with benign conditions (95% confidence interval: 3.03-129.8; P ¼ 0.002). Conclusion: Malnutrition in gynaecological cancer patients is a significant problem, especially among those patients diagnosed with ovarian cancer.

Nutritional Assessment of Cancer Patients in Tehran, Iran

“…In a study done in Queensland University of Australia in 2007 on 145 gynecological cancer patients who completed PG-SGA questionnaire, 80% were assigned well nourished and 20% to moderate malnutrition (Laky et al, 2007). No article or specific relevant study was found to be done in Iran or other under developed countries.…”

Albumin-globulin Ratio for Prediction of Long-term Mortality in Lung Adenocarcinoma Patients

“…Albumin and globulins play a pivotal role in the inflammatory process . Serum albumin is also an objective parameter that reflects the degree of long-term nutrition status (Laky et al, 2007). The globulins play an important role in immunity and chronic inflammation and reflects a cumulative exposure of different cytokines (Azab et al, records; (4) patient had complete follow-up data.…”

“…Albumin and globulins play a pivotal role in the inflammatory process . Serum albumin is also an objective parameter that reflects the degree of long-term nutrition status (Laky et al, 2007 …”

Depression and appetite: predictors of malnutrition in gynecologic cancer

“…Although it is well known that malnutrition is most prevalent in patients with gastric, lung, pancreatic, and colon cancer, the reported prevalence of malnutrition and related factors in gynecologic cancer varies [15][16][17][18]. Approximately 20-26 % of gynecologic cancer patients were found to have a nutritional disorder [13,16,18], while 50-67 % of ovarian cancer patients were reported to have a nutritional disorder [16,17].…”