Performance of Patient‐Generated Subjective Global Assessment (PG‐SGA) in Patients With Advanced Cancer in Palliative Care

Wiegert, Emanuelly Varea Maria; Padilha, Patrícia de Carvalho; Peres, Wilza Arantes Ferreira

doi:10.1177/0884533617725071

Cited by 36 publications

(26 citation statements)

References 32 publications

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“…The PG-SGA is the reference tool for oncology patients' nutritional assessment and is a sensitive, comprehensible, easy and quick tool to assess malnutrition [42,43]. Correcting for short-term improvements in weight and scoring multiple nutrition impact symptoms, it offers high accuracy in distinguishing well-nourished from malnourished patients; however, it ultimately categorises more patients at risk compared to other tools [44,45]. To the best of our knowledge, there have not been other studies assessing nutritional risk in cancer patients using the NST; therefore, comparison of the prevalence of patients identified as at risk of malnutrition using the NST with similar studies is disadvantaged.…”

Section: Discussionmentioning

confidence: 99%

Nutritional Status and Quality of Life in Hospitalised Cancer Patients Who Develop Intestinal Failure and Require Parenteral Nutrition: An Observational Study

et al. 2020

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(1) Background: Malnutrition in cancer patients impacts quality of life (QoL) and performance status (PS). When oral/enteral nutrition is not possible and patients develop intestinal failure, parenteral nutrition (PN) is indicated. Our aim was to assess nutritional status, QoL, and PS in hospitalised cancer patients recently initiated on PN for intestinal failure. (2) Methods: The design was a cross-sectional observational study. The following information was captured: demographic, anthropometric, biochemical and medical information, as well as nutritional screening tool (NST), patient-generated subjective global assessment (PG-SGA), functional assessment of cancer therapy-general (FACT-G), and Karnofsky PS (KPS) data. (3) Results: Among 85 PN referrals, 30 oncology patients (56.2 years, 56.7% male) were identified. Mean weight (60.3 ± 16.6 kg) corresponded to normal body mass index values (21.0 ± 5.1 kg/m2). However, weight loss was significant in patients with gastrointestinal tumours (p < 0.01). A high malnutrition risk was present in 53.3–56.7% of patients, depending on the screening tool. Patients had impaired QoL (FACT-G: 26.6 ± 9.8) but PS indicated above average capability with independent daily activities (KPS: 60 ± 10). (4) Conclusions: Future research should assess the impact of impaired NS and QoL on clinical outcomes such as survival, with a view to encompassing nutritional and QoL assessment in the management pathway of this patient group.

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Section: Discussionmentioning

confidence: 99%

Nutritional Status and Quality of Life in Hospitalised Cancer Patients Who Develop Intestinal Failure and Require Parenteral Nutrition: An Observational Study

et al. 2020

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“…In the present study, according to the SGA, 84.84% of patients were evaluated as malnourished (SGA B + C), while 42.42% subjects of all participants were severe malnourished (SGA C). Similarly, Wiegert et al evaluated the nutritional status of advanced cancer patients in palliative care (n = 120) in Brazil using PG-SGA [16]. It was shown that, 94.2% patients were malnourished [16].…”

Section: Discussionmentioning

confidence: 99%

“…Similarly, Wiegert et al evaluated the nutritional status of advanced cancer patients in palliative care (n = 120) in Brazil using PG-SGA [16]. It was shown that, 94.2% patients were malnourished [16]. Moreover, another trial including 172 advanced cancer patients also in Brazil, showed that 83.6% of these patients were malnourished (PG-SGA B + C) [17].…”

Section: Discussionmentioning

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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“…Nutritional status was assessed using Subjective Global Assessment (SGA) 4 . We assessed this patient had B on his SGA score.…”

Section: Casementioning

confidence: 99%

“…Nutritional screening should be performed regularly to all cancer patients as early nutrition status evaluation and assessment 3,4 . It is expected that nutritional therapy could improve biochemical values such as serum albumin levels and kidney function.…”

Section: Introductionmentioning

confidence: 99%

Nutrition Therapy on Cutaneous Lymphoma Patient with Anemia and Hypoalbuminemia: A Case Report

Tyas¹,

As’ad²,

Safitri³

et al. 2020

GMJ

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Nutrition is a part of cancer management during therapy, recovery, remission, and recurrence prevention. Malnutrition and cachexia often occur in cancer patients and influence morbidity, mortality, and quality of life, especially in the advanced stage of malignancy. We reported a case of cutaneous lymphoma with anemia and hypoalbuminemia in the terminal condition. This case report focuses on nutritional therapy and palliative care on nutrition. We reported a case of a 40-year-old-man with Cutaneous Lymphoma (CL) and moderate protein-energy malnutrition that was developed to severe protein-energy malnutrition due to difficulty in dietary access. He had an eating problem because of multiple tumors and ulcers on his mouth. We provided access for parenteral nutrition from Central Venous Catheter (CVC) and orogastric tube (OGT) for enteral feeding. Even though the dietary target was never accomplished, there was a slight recovery on hypoalbuminemia and renal function during hospitalization. This case showed a considerable challenge in nutritional therapy due to limited dietary access. Since death was inevitable, we have tried different dietary access to provide adequate intake.

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Performance of Patient‐Generated Subjective Global Assessment (PG‐SGA) in Patients With Advanced Cancer in Palliative Care

Abstract: The scored PG-SGA is an independent prognostic factor of survival and thus can be a useful tool for nutrition evaluation in palliative care.

Cited by 36 publications

References 32 publications

Nutritional Status and Quality of Life in Hospitalised Cancer Patients Who Develop Intestinal Failure and Require Parenteral Nutrition: An Observational Study

Nutritional Status and Quality of Life in Hospitalised Cancer Patients Who Develop Intestinal Failure and Require Parenteral Nutrition: An Observational Study

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

Nutrition Therapy on Cutaneous Lymphoma Patient with Anemia and Hypoalbuminemia: A Case Report

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