Malnutrition and the Survival of Cervical Cancer Patients: A Prospective Cohort Study Using the PG-SGA Tool

Gelibo, Terefe; Roets, Lizeth

doi:10.1080/01635581.2021.1910320

Cited by 20 publications

(18 citation statements)

References 30 publications

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“…is finding was in line with studies done in Malaysia (43.5%) [24], Oman (40.21%) [25], and Ethiopia at Addis Ababa (47.1%) [26]. However, the finding of this study was higher than the study done in New Zealand (32%) [26], Vietnaam (34.1%) [27], Iran (6%) [5], and Japan (19%) [28]. A high level of malnutrition in this study could be explained by low socioeconomic status, differences in the assessment method used, less resourced health facilities, and lack of integration of dieticians in the treatment protocol of cancer [13,14].…”

Section: Discussionsupporting

confidence: 92%

“…This study has shown that the overall prevalence of malnutrition among adult cancer patients receiving chemotherapy was 48.1%. This finding was in line with studies done in Malaysia (43.5%) [ 24 ], Oman (40.21%) [ 25 ], and Ethiopia at Addis Ababa (47.1%) [ 26 ]. However, the finding of this study was higher than the study done in New Zealand (32%) [ 26 ], Vietnaam (34.1%) [ 27 ], Iran (6%) [ 5 ], and Japan (19%) [ 28 ].…”

Section: Discussionsupporting

confidence: 91%

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Nutritional Status and Its Determinants among Adult Cancer Patients Undergoing Chemotherapy Treatment at Hawassa University Comprehensive Specialized Hospital, Hawassa, Southern Ethiopia

Muhamed

Tesema

Hiruy³

et al. 2022

Journal of Nutrition and Metabolism

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Background. Malnutrition is a common problem in cancer patients. It has an impact on all aspects of the patient's life such as increasing the risk of infection, treatment toxicity, hospital stay, and health-care costs. Factors influencing the nutritional status of adult cancer patients undertaking chemotherapy treatment in Ethiopia have not been thoroughly investigated. As a result, the purpose of this study is to assess the nutritional status and its determinants among adult cancer patients undergoing chemotherapy treatment at Hawassa University Comprehensive Specialized Hospital. Objectives. The objective of this study is to determine the nutritional status and its determinants among adult cancer patients undergoing chemotherapy treatment at Hawassa University Comprehensive Specialized Hospital. Methods. A cross-sectional study was conducted among adult cancer patients undergoing chemotherapy treatment at Hawassa University Comprehensive Specialized Hospital Oncology Treatment Center, from January to May 2021. The data were gathered through a face-to-face interview and chart review method. Epi Data 4.6 was used to enter the data, which was then exported to SPSS version 25 for statistical analysis. Multivariable logistic regression analysis was used to determine the association between nutritional status and potential risk factors. A P value less than 0.05 was used to determine statistical significance. Result. This study revealed that 48.1% of participants have some level of malnutrition. Lowest wealth index AOR 0.06 (0.016–0.2), food insecurity AOR 0.1 (0.05–0.24), vomiting AOR 0.2 (0.110–.444), poor appetite AOR 0.2 (0.11–0.44), no diarrhea AOR 2.6 (1.34–5.00), and poor functioning AOR 0.3 (0.2–0.54) were significantly associated with good nutritional status. Conclusion and Recommendation. The prevalence of malnutrition among adult cancer patients undergoing chemotherapy treatment at HUCSH was high. Wealth index, food security, poor appetite, diarrhea, and performance status were significantly correlated with the nutritional status of the patients. To improve the patient’s nutritional status, economic support, early nutritional screening, and assessment, management of chemotherapy-induced symptoms should be considered.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 91%

Nutritional Status and Its Determinants among Adult Cancer Patients Undergoing Chemotherapy Treatment at Hawassa University Comprehensive Specialized Hospital, Hawassa, Southern Ethiopia

Muhamed

Tesema

Hiruy³

et al. 2022

Journal of Nutrition and Metabolism

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“…A validated abridged version, the PG-SGA Short Form, completed by patients in less than 5 minutes, allows for quick identification and prioritization of malnutrition in cancer patients. It is important to note that the short form of the PG-SGA has demonstrated value in prognostication, of several patient populations with cancer including elderly oncology patients ( 20 ); ambulatory patients receiving chemotherapy; patients with cervical cancer ( 21 ); and palliative care patients ( 22 ). Additionally, the Head and Neck patient symptom checklist (HNSC) is a comprehensive NIS assessment tool evaluating total symptom burden in patients with HNC.…”

Section: Reviewmentioning

confidence: 99%

Managing Nutrition Impact Symptoms in Cancer Cachexia: A Case Series and Mini Review

et al. 2022

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Malnutrition is common in cancer patients and can occur throughout a patient’s disease course. The contributors to the clinical syndrome of cancer cachexia are often multifactorial, and produced by the cancer and associated pro-inflammatory response. Since cancer cachexia is a multifactorial syndrome, a multimodal therapeutic approach is ideal. A key component of therapy is identifying and managing symptom barriers to adequate oral intake, known as nutritional impact symptoms (NIS). NIS are associated with reduced intake and weight loss in patients with advanced cancer, and aggregate NIS are a predictor of survival in patients with Head and Neck Cancer and in patients undergoing surgery for esophageal cancer. Currently, there are no guidelines regarding the specific management of NIS in oncology patients. Experience from specialist centers suggest relatively simple assessments and inexpensive interventions are available for the diagnosis and treatment of NIS. We present three patient cases from a cachexia clinic, where NIS management decreased symptom burden and improved clinical outcomes such as weight and physical performance.

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“…3,52,56,57 As malnutrition is associated with decreased survival, it is important to identify malnutrition in patients with cancer so they can be offered nutritional support interventions. 58 The results from the present review highlight a higher rate of undernutrition in LMICs in preoperative and postoperative surgical patients compared with data from high-income countries. 17,59 This is novel as the majority of research is focused on high-income countries and here we demonstrate that people in LMICs are exposed to pre-existing undernutrition in combination with disease-associated weight loss.…”

Section: Summary Of Evidencementioning

confidence: 56%

“…It is therefore not surprising that PG‐SGA is recommended in the nutritional assessment of cancer patients in many countries as part of clinical guidelines 3,52,56,57 . As malnutrition is associated with decreased survival, it is important to identify malnutrition in patients with cancer so they can be offered nutritional support interventions 58 …”

Section: Discussionmentioning

confidence: 99%

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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Malnutrition and the Survival of Cervical Cancer Patients: A Prospective Cohort Study Using the PG-SGA Tool

Cited by 20 publications

References 30 publications

Nutritional Status and Its Determinants among Adult Cancer Patients Undergoing Chemotherapy Treatment at Hawassa University Comprehensive Specialized Hospital, Hawassa, Southern Ethiopia

Nutritional Status and Its Determinants among Adult Cancer Patients Undergoing Chemotherapy Treatment at Hawassa University Comprehensive Specialized Hospital, Hawassa, Southern Ethiopia

Managing Nutrition Impact Symptoms in Cancer Cachexia: A Case Series and Mini Review

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

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