An evaluation of three nutritional screening tools in a Portuguese oncology centre

Abstract

MUST had the highest agreement with NRS-2002 in hospitalized cancer patients and better identified patients at-risk for a longer LOS.

Frecuencia de riesgo de desnutrición según la Escala de Tamizado para Desnutrición (MST) en un servicio de Medicina Interna

“…Dos estudios posteriores evaluaron la predicción de desenlaces sin que se encontraran resultados positivos; sin embargo, estos estudios se hicieron en ancianos y en pacientes oncológicos y tienen falencias claras 26 . Un estudio evaluó la escala en 130 pacientes oncológicos y solamente mostró alta sensibilidad y especificidad cuando se restringió el análisis a aquellos con alto riesgo nutricional (tumores de cabeza y cuello y gastrointestinales) 26 . Otro estudio en pacientes oncológicos ambulatorios evaluó la concordancia con un estándar aceptable (valoración nutricional completa) y mostró validez aceptable de la escala 27 .…”

A multicentre study to implement nutritional risk screening and evaluate clinical outcome and quality of life in patients with cancer

“…The prevalence of nutritional risk in hospitalized patients with cancer in our study was higher than that reported in those studies in European and American hospitals by using the same parameters. 3,6,[18][19][20][21][22][23][24][25][26][27][28][29] It indicates that compared with cancer patients from European and American countries, there is a higher proportion of Chinese cancer patients at nutritional risk and with nutritional deficiencies at admission and during hospitalization. The possible reasons for this difference include: (1) compared with cancer patients in Western countries, the Chinese patients has relatively lower body weight and poor nutritional status at admission, and (2) relatively fewer doctors in Chinese hospitals can identify cancer patients at nutritional risk early in order to plan Nutritional risk, clinical outcome and quality of life in cancer patients K Yu et al the best possible intervention, which make the patients' nutritional status tended to worsen during the hospitalization.…”

“…16 A large comparative study has shown that Nutritional Risk Screening 2002 (NRS-2002), a screening tool to detect nutritional risk in patients within the hospital setting, has a better performance than the malnutrition universal screening tool (MUST) and the nutrition risk index (NRI) compared with subjective global assessment (SGA). 9 Among all the screening tools, NRS-2002 was based on 128 randomized controlled clinical trials, which has been recommended by ESPEN.…”

Evaluation of Nutritional Status of Cancer Patients during Treatment by Patient-Generated Subjective Global Assessment: a Hospital-Based Study

“…The majority of cancer patients experience weight loss as their disease progresses and, in general, weight loss is a major prognostic indicator of poor survival and impaired response to cancer treatment (Khoshnevis et al, 2012). Cancer patients are particularly susceptible to nutritional depletion due to the combined effects of the malignant disease and its treatment (Amaral et al, 2008;Paccagnella et al, 2010).…”