Comparation of different malnutrition screening tools according to GLIM criteria in cancer outpatients

Ruiz, Marta Gascón; Deza, Diego Casas; Torres-Ramón, Irene; Zapata-Garcia, Maria; Alonso, Natalia Gutiérrez; Sesma, Andrea; Lambea, J.; Álvarez-Alejandro, María; Quilez, Elisa; Isla, Dolores; Arbonés-Mainar, José M.

doi:10.1038/s41430-021-01021-1

Cited by 9 publications

(9 citation statements)

References 36 publications

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“…Of the final included articles, eleven addressed the prevalence of undernutrition in the outpatient cancer patient [ 18 , 19 , 21 , 23 , 24 , 27 , 28 , 29 , 30 , 32 , 34 ], while five studies additionally focused on assessing nutritional risk [ 19 , 20 , 26 , 28 , 29 ]. Notably, three of these studies considered both prevalence and nutritional risk, thus allowing comparison of both percentages [ 19 , 28 , 29 ].…”

Section: Resultsmentioning

confidence: 99%

A Narrative Review Comparing Nutritional Screening Tools in Outpatient Management of Cancer Patients

Gil-Andrés,

Cabañas-Alite

2024

Nutrients

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Malnutrition during cancer has a negative impact on prognosis and quality of life. Therefore, it is important to identify those patients at higher nutritional risk to prevent its development. There are nutritional screening tools, such as MUST and NRS-2002, that focus on the patient on admission to hospital. However, most patients will develop malnutrition in the outpatient or ambulatory setting. This study aims to determine which nutritional screening tool is most effective in assessing nutritional risk in the outpatient oncology patient, highlighting the parameters analysed by these tools. Seventeen articles were reviewed, with the most important variables being tumour location, tumour stage, age, and gender, as well as recent weight loss, dietary intake, and digestive disorders. The Nutriscore, NRS-2002, and MUST tools are considered suitable, but the choice varies depending on these parameters. MNA is suitable for elderly patients, while SNAQ was not considered reliable in this population. In conclusion, MUST, NRS-2002, and Nutriscore are suitable tools, but their choice depends on specific characteristics. There is currently no universal tool for nutritional risk assessment in outpatients.

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Section: Resultsmentioning

confidence: 99%

A Narrative Review Comparing Nutritional Screening Tools in Outpatient Management of Cancer Patients

Gil-Andrés,

Cabañas-Alite

2024

Nutrients

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“…Moreover, it also has the advantages of objectivity and feasibility, which can be used for long-term monitoring of nutritional status, timely detection of malnutrition, and the adoption of intervention methods ( 32 ). However, on the other hand, studies have shown that CONUT, although very specific, is not very sensitive ( 37 ). And the CONUT score has its limitations because it consists of only a few laboratory indicators and lacks basic nutritional indicators, such as recent weight and appetite loss ( 38 ).…”

Section: Discussionmentioning

confidence: 99%

CONUT score is associated with short-term prognosis in patients with severe acute pancreatitis: a propensity score matching cohort study

Shi

Wang

et al. 2023

Front. Nutr.

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BackgroundThe Controlling Nutritional Status (CONUT) score was designed to assess the immune-nutritional status in patients. This study aimed to investigate the role of the CONUT score in the short-term prognosis of severe acute pancreatitis.MethodsThis was a retrospective cohort study. 488 patients with severe acute pancreatitis at the Department of Critical Care Medicine of the West China Hospital of Sichuan University (Chengdu, China) were enrolled in the study. Baseline data were collected from the West China Hospital of Sichuan University database. The primary outcome during follow-up was all-cause mortality. The secondary outcomes were 28 day mortality, renal insufficiency, length of stay (LOS) in the ICU, and length of stay (LOS) in the hospital. Patients were divided into two groups based on a median CONUT score of 7, and baseline differences between the two groups were eliminated by propensity matching. Univariate Cox regression analyses were performed to estimate the association between CONUT score and outcomes. The Kaplan–Meier method was used to estimate the survival rate of patients.ResultsCONUT score was an independent predictor of all-cause mortality (hazard ratio [HR]:2.093; 95%CI: 1.342–3.263; p < 0.001) and 28 day mortality (hazard ratio [HR]:1.813; 95%CI: 1.135–2.896; p < 0.013). CONUT score was not statistically significant in predicting the incidence of renal insufficiency. The high CONUT group had significantly higher all-cause mortality (p < 0.001), and 28 day mortality (p < 0.011) than the low CONUT group.ConclusionThe CONUT score is an independent predictor of short-term prognosis in patients with severe acute pancreatitis, and timely nutritional support is required to reduce mortality in patients with severe acute pancreatitis.

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“…The NUTRISCORE, a newly developed cancer-specific nutrition assessment tool, has not been previously evaluated regarding cancer survival. However, a few studies recently reported comparing the NUTRISCORE with other nutritional assessment tools [11,16,33]. To the best of our knowledge, no studies have reported the association with survival through multiple nutritional assessments using PG-SGA or NUTRISCORE during the post-gastrectomy follow-up period.…”

Section: Discussionmentioning

confidence: 99%

Associations of patient-generated subjective global assessment (PG-SGA) and NUTRISCORE with survival in gastric cancer patients: timing matters, a retrospective cohort study

et al. 2022

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Background The timing of nutritional assessment may be important to treat cancer patients and predict their prognosis. This study examined whether Patient-Generated Subjective Global Assessment (PG-SGA) and NUTRISCORE scores were associated with survival among gastric cancer patients who underwent surgery and chemotherapy and whether the timing of the assessment after surgery mattered. Methods A total of 952 gastric cancer patients (622 men and 330 women) were included in this retrospective cohort study. The PG-SGA and NUTRISCORE scores were calculated at 1 month (n = 952), 2 months (n = 657), and 3 months (n = 294) after surgery. Cox proportional hazards model was used to calculate the hazard ratios (HRs) and 95% confidence intervals (CIs). Results The PG-SGA scores assessed at 1 month after gastrectomy were not associated with survival. However, high PG-SGA scores at 2 months after gastrectomy (median = 65 days) were associated with an increased risk of mortality; the HR (95% CI) was 2.26 (1.22–4.21) for 9–11 vs. ≤ 5 of PG-SGA scores. When we included patients who received all three consecutive consultations, HR (95% CI) was 2.56 (1.02–6.42) for ≥ 9 (malnutrition) vs. ≤ 8 of PG-SGA scores assessed at 3 months after surgery (median days = 98 days). Likewise, high NUTRISCORE scores assessed at the 3-month follow-up were associated with higher mortality; the HR (95% CI) was 3.84 (1.18–12.55) for ≥ 7 vs. ≤ 4 of NUTRISCORE scores. Conclusion Malnutrition assessed with the PG-SGA and NUTRISCORE at 2 to 3 months after gastrectomy was associated with poor survival among gastric cancer patients. Our findings suggest that the timing of the nutritional evaluation may be important in identifying and treating malnutrition related to gastric cancer prognosis.

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Comparation of different malnutrition screening tools according to GLIM criteria in cancer outpatients

Cited by 9 publications

References 36 publications

A Narrative Review Comparing Nutritional Screening Tools in Outpatient Management of Cancer Patients

A Narrative Review Comparing Nutritional Screening Tools in Outpatient Management of Cancer Patients

CONUT score is associated with short-term prognosis in patients with severe acute pancreatitis: a propensity score matching cohort study

Associations of patient-generated subjective global assessment (PG-SGA) and NUTRISCORE with survival in gastric cancer patients: timing matters, a retrospective cohort study

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