Diagnostic Performance of SGA, PG-SGA and MUST for Malnutrition Assessment in Adult Cancer Patients: A Systematic Literature Review and Hierarchical Bayesian Meta-Analysis

Nakyeyune, Rena; Ruan, Xiaoli; Shen, Yi; Shao, Yi; Niu, Chen; Zang, Zhaoping; Liu, Fen

doi:10.1080/01635581.2021.1942080

Cited by 13 publications

(7 citation statements)

References 43 publications

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“…The Academy of Nutrition and Dietetics indicates that MST is the tool that should be used in any patient, regardless of age, clinical history, or place where it is performed, based on Table 9 [195]. With reference to the groups of patients, in cancer patients, SGA and PG-SGA are the most widely used tools [157,[196][197][198][199], although some authors also find MNA-SF [200], MST [201], MUST [35], SGA, or NRS [202] useful. In acute hospitalized patients, the most commonly used tools are the NRS-2002 and the MUST score [203,204].…”

Section: Discussionmentioning

confidence: 99%

Malnutrition Screening and Assessment

et al. 2022

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Malnutrition is a serious problem with a negative impact on the quality of life and the evolution of patients, contributing to an increase in morbidity, length of hospital stay, mortality, and health spending. Early identification is fundamental to implement the necessary therapeutic actions, involving adequate nutritional support to prevent or reverse malnutrition. This review presents two complementary methods of fighting malnutrition: nutritional screening and nutritional assessment. Nutritional risk screening is conducted using simple, quick-to-perform tools, and is the first line of action in detecting at-risk patients. It should be implemented systematically and periodically on admission to hospital or residential care, as well as on an outpatient basis for patients with chronic conditions. Once patients with a nutritional risk are detected, they should undergo a more detailed nutritional assessment to identify and quantify the type and degree of malnutrition. This should include health history and clinical examination, dietary history, anthropometric measurements, evaluation of the degree of aggression determined by the disease, functional assessment, and, whenever possible, some method of measuring body composition.

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Section: Discussionmentioning

confidence: 99%

Malnutrition Screening and Assessment

et al. 2022

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“…Medical professionals and cancer patients alike believe toxicities are inevitable and general amelioration techniques are often overlooked. Difficulty eating and malnutrition during cancer therapy are common problems that can be assessed with many tools [35][36][37][38][39][40][41][42][43][44][45][46][47][48][49][50][51]. The challenge is to have an acceptable quality and quantity of nutrient intake with minimal toxicity without compromising effective cancer treatment.…”

Section: Drug Combinationsmentioning

confidence: 99%

“…Malnutrition in cancer patients is a common problem. There are many indices and tools to define malnutrition, cachexia, and sarcopenia [35][36][37][38][39][40][41][42][43][44][45][46][47][48][49][50][51]62,[69][70][71][72][73][74][75][76][77]. Although weight loss from the time of diagnosis is one measure, the quantity and quality of food in the diet and information from the patient generated subjective global assessment (PG-SGA) tool can provide more specific information [35,36,45,51,62,66,[69][70][71][72][73][78][79][80].…”

Section: Review Of Strategies To Improve Eating Behaviors While Receiving Chemotherapy And/or Radiationmentioning

confidence: 99%

Strategies to Mitigate Chemotherapy and Radiation Toxicities That Affect Eating

et al. 2021

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Background: Cancer and its therapy is commonly associated with a variety of side effects that impact eating behaviors that reduce nutritional intake. This review will outline potential causes of chemotherapy and radiation damage as well as approaches for the amelioration of the side effects of cancer during therapy. Methods: Information for clinicians, patients, and their caregivers about toxicity mitigation including nausea reduction, damage to epithelial structures such as skin and mucosa, organ toxicity, and education is reviewed. Results: How to anticipate, reduce, and prevent some toxicities encountered during chemotherapy and radiation is detailed with the goal to improve eating behaviors. Strategies for health care professionals, caregivers, and patients to consider include (a) the reduction in nausea and vomiting, (b) decreasing damage to the mucosa, (c) avoiding a catabolic state and muscle wasting (sarcopenia), and (d) developing therapeutic alliances with patients, caregivers, and oncologists. Conclusions: Although the reduction of side effects involves anticipatory guidance and proactive team effort (e.g., forward observation, electronic interactions, patient reported outcomes), toxicity reduction can be satisfying for not only the patient, but everyone involved in cancer care.

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“…The PG-SGA has been shown to be more sensitive and speci c in the nutritional assessment of cancer patients than other tools [12] and is often considered a semi-gold standard for nutritional screening in oncology [13,14]. The validity of PG-SGA has also been con rmed in evaluating the nutritional status of nephrology and neurology patients, in elderly and palliative care, amongst others [15][16][17][18].…”

Section: Introductionmentioning

confidence: 99%

Polish translation, cultural adaptation, and validity confirmation of the Scored Patient-Generated Subjective Global Assessment

Zabłocka-Słowińska,

Pieczyńska,

Prescha

et al. 2024

Preprint

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Purpose: The Scored Patient-Generated Subjective Global Assessment (PG-SGA©) is a validated nutritional screening, assessment, monitoring, and triage tool. The aim of this study was to perform translation, cultural adaptation, as well as linguistic and content validation of the translated and culturally adapted version of the PG-SGA for the Polish setting. Methods: The study was performed in concordance with the International Society for Pharmacoeconomics and Outcomes Research (ISPOR) Principles. Patients (n=174) and healthcare professionals (HCPs, n=188) participated in the study. Comprehensibility and difficulty were assessed by patients for the PG-SGA Short Form, and by HCPs for the professional component. Content validity was assessed for the full PG-SGA by HCPs only. Evaluations were operationalized by a 4-point scale. Item and scale indices were calculated using the average item ratings divided by the number of respondents. Item indices <0.78 required further analysis of the item, while scale indices ≥0.90 were defined as excellent and 0.80–0.89 as acceptable. Results: The PG-SGA Short Form was rated as excellent for content validity (Scale-CVI = 0.90) by HCPs and easy to comprehend (Scale-CI = 0.96) and use (Scale-DI = 0.94) by patients. The professional component of the PG-SGA was perceived as acceptable for content validity (Scale-CVI = 0.80), comprehension (Scale-CI = 0.87) and difficulty (Scale-DI = 0.80). The physical exam was rated the least comprehensible, the most difficult, and with the lowest content validity. We found significant differences in scale indices (p<0.05 for all) between HCPs with different professions and between those being familiar with PG-SGA and not. Conclusion: Translation and cultural adaptation of the PG-SGA for the Polish setting preserved the purpose and conceptual meaning of the original PG-SGA. Validation revealed that the Polish version of PG-SGA is well understood and easy to complete by patients and professionals, and considered relevant by professionals. However, detailed results indicate the need for appropriate training of the Polish HCPs, especially physicians and nurses, mainly in the worksheets related to the metabolic demand and physical exam.

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Diagnostic Performance of SGA, PG-SGA and MUST for Malnutrition Assessment in Adult Cancer Patients: A Systematic Literature Review and Hierarchical Bayesian Meta-Analysis

Cited by 13 publications

References 43 publications

Malnutrition Screening and Assessment

Malnutrition Screening and Assessment

Strategies to Mitigate Chemotherapy and Radiation Toxicities That Affect Eating

Polish translation, cultural adaptation, and validity confirmation of the Scored Patient-Generated Subjective Global Assessment

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