Differentiating Malnutrition Screening and Assessment: A Nutrition Care Process Perspective

Field, Lindsey B.; Hand, Rosa K.

doi:10.1016/j.jand.2014.11.010

Cited by 79 publications

(64 citation statements)

References 23 publications

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“…SGA is a useful method to assess nutrition across many disease states and provides a diagnosis of well nourished, moderately malnourished or severely malnourished. 31 However, SGA does not have the specificity to detect improvements in nutritional status within a short time frame as one would expect during hospitalization. 32 Therefore, the PG form was adapted from the SGA and developed for patients with cancer.…”

Section: Importance Of Malnutrition Identification For Urologistsmentioning

confidence: 99%

Emerging Impact of Malnutrition on Surgical Patients: Literature Review and Potential Implications for Cystectomy in Bladder Cancer

et al. 2017

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Purpose Malnutrition is emerging as a significant factor in patient outcomes. A contemporary review of malnutrition has not been performed for the urologist. We review the available literature and current standards of care for malnutrition screening, assessment and intervention, focusing on patients with bladder cancer treated with cystectomy. Materials and Methods Our multidisciplinary team searched PubMed® for available literature on malnutrition, focusing on definition and significance, importance to urologists, screening, assessment, diagnosis, immunological and economic impacts, and interventions. Results The prevalence of malnutrition in hospitalized patients is estimated to range from 15% to 60%, reaching upward of 71% in those with cancer. Malnutrition has been shown to increase inflammatory markers, further intensifying catabolism and weight loss. Bladder cancer is catabolic and patients undergoing cystectomy have increased resting energy expenditure postoperatively. Data are emerging on the impact of malnutrition in the cystectomy population. Recent studies have identified poor nutritional status based on low albumin or sarcopenia (loss of muscle) as having an adverse impact on length of hospitalization, complications and survival. The current standard of care malnutrition assessment tool, the 2012 consensus statement of the Academy of Nutrition and Dietetics and the American Society for Parenteral and Enteral Nutrition, has not been evaluated in the urological literature. Perioperative immunonutrition in patients undergoing colorectal surgery has been associated with significant decreases in postoperative complications, and recent pilot work has identified the potential for immunonutrition to positively impact the cystectomy population. Conclusions Malnutrition has a significant impact on surgical patients, including those with bladder cancer. There are emerging data in the urological literature regarding how best to identify and improve the nutritional status of patients undergoing cystectomy. Additional research is needed to identify malnutrition in these patients and interventions to improve surgical outcomes.

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Section: Importance Of Malnutrition Identification For Urologistsmentioning

confidence: 99%

Emerging Impact of Malnutrition on Surgical Patients: Literature Review and Potential Implications for Cystectomy in Bladder Cancer

et al. 2017

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“…Pressure ulcers are twice as likely to develop in malnourished hospital patients compared with well-nourished patients, and the risk of surgical site infections is 3 times higher. 12 Use of an inappropriate screening tool (one that has not been validated or has been validated in a different population) negatively influences patient care and risks misdiagnosis (or missed diagnosis) of nutrition-related problems.…”

Section: Consequences Of Malnutrition In Elderlymentioning

confidence: 99%

“…12,13 Given the multifactorial nature of malnutrition in the elderly, and in the absence of a single objective measure or gold standard, several nutrition screening tools specific to the older adult population have been developed. Well-known examples include MNA, 1-3 MST, 4 MUST, 5 NRS 2002, 6 SGA 7 and SNAQ.…”

Section: Nutrition Screeningmentioning

confidence: 99%

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Screening for Malnutrition in Older People

Guyonnet

Rolland²

2015

Clinics in Geriatric Medicine

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“…1 Nutrition screening tools are used to identify risk of malnutrition. 2 They should be quick and simple to implement and able to be used by any trained person or the patient themselves. Once risk is identified, a diagnosis of malnutrition should be made by a qualified health professional, such as a registered dietitian nutritionist, after a more comprehensive assessment of nutrition status.…”

mentioning

confidence: 99%

Nutrition Screening in Geriatric Rehabilitation: Criterion (Concurrent and Predictive) Validity of the Malnutrition Screening Tool and the Mini Nutritional Assessment−Short Form

Marshall¹,

Young²,

Bauer³

et al. 2016

Journal of the Academy of Nutrition and Dietetics

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Differentiating Malnutrition Screening and Assessment: A Nutrition Care Process Perspective

Cited by 79 publications

References 23 publications

Emerging Impact of Malnutrition on Surgical Patients: Literature Review and Potential Implications for Cystectomy in Bladder Cancer

Emerging Impact of Malnutrition on Surgical Patients: Literature Review and Potential Implications for Cystectomy in Bladder Cancer

Screening for Malnutrition in Older People

Nutrition Screening in Geriatric Rehabilitation: Criterion (Concurrent and Predictive) Validity of the Malnutrition Screening Tool and the Mini Nutritional Assessment−Short Form

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