Identifying Malnutrition: Nutritional Status in Newly Diagnosed Patients With Cancer

Krishnasamy, Karthikayini; Tang, Li Yoong; Chong, Mei Chan; Lau, Peng-Choong; Chinna, Karuthan

doi:10.1188/17.cjon.e23-e29

Cited by 10 publications

(18 citation statements)

References 19 publications

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“…Malnutrition constitutes an important complication of cancer. Patients with cancer are at high risk for malnutrition, due to the disease itself and the treatments used [1,2]. Inadequate nutritional intake is frequently observed, associated with weight loss and may arise for many reasons: dry mouth, intestinal obstruction, malabsorption, constipation, diarrhea, vomiting, reduced intestinal motility, chemosensory alteration, and side effects of drugs [1].…”

Section: Introductionmentioning

confidence: 99%

Assessment of nutritional status using objective and subjective methods in Greek patients with cancer

Vamvakari

Evangelou

Kalafati

et al. 2023

memo

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Summary Purpose Malnutrition constitutes an important complication of cancer. Nutritional status is associated with the progression of malignant neoplasms. This study aimed to assess the nutritional status of patients with cancer using objective and subjective assessment methods. Materials and methods The following validated questionnaires were used to assess the nutritional status of 152 patients with cancer recruited in Attica, Greece: Patient-Generated Subjective Global Assessment (PG-SGA), Nutritional Risk Screening-2002 (NRS-2002), Simplified Nutritional Appetite Questionnaire (SNAQ). Geriatric nutritional risk index (GNRI) was calculated, handgrip strength (HGS) test was carried out, and the arm circumference (MUAC) and triceps skinfold thickness (TSF) were measured. Results Based on the PG-SGA assessment, 54.9% of the individuals were severely malnourished. Imminent risk was observed in 83.6% (NRS-2002) and 48.7% of participants were at increased risk of a 5% reduction in body weight within the next 6‑months (SNAQ). Severely malnourished patients experienced significant weight reduction in the 6 months prior to recruitment and had lower HGS and TSF. MUAC was similar within the PG-SGA categories. High risk for malnutrition was estimated for geriatric patients (GNRI: 46.45 [IQR: 5.17]). Malnourishment, based on PG-SGA, was positively associated with percent weight loss within the past 6 months and negatively associated with body mass index (BMI), hemoglobin (Hgb), HGS, and MUAC (all p ≤ 0.05). Conclusion The present study highlighted a high risk of malnutrition in patients with cancer. Poor nutritional status was positively associated with weight loss, Hgb, and MUAC and negatively associated with BMI, HGS, and TSF.

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Section: Introductionmentioning

confidence: 99%

Assessment of nutritional status using objective and subjective methods in Greek patients with cancer

Vamvakari

Evangelou

Kalafati

et al. 2023

memo

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“…However, there is no indicator that owns wide applicability. CONUT is a complex score and was first introduced as an efficient tool for early detection and continuous control of hospital undernutrition (18,32). The CONUT score could provide a more comprehensive assessment in patient nutritional and immune status.…”

Section: Discussionmentioning

confidence: 99%

Prognostic significance of the Controlling Nutritional Status (CONUT) score in surgically treated breast cancer patients

Huang¹,

Song²,

Huang³

et al. 2020

Gland Surg

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Background: Breast cancer is one of the most common malignancy in women with high mortality rate.Given the growing evidence shows that immune-inflammatory system influences the survival of patients with cancer, we assessed the prognostic significance of the preoperative Controlling Nutritional Status (CONUT) score in patients with breast cancer who underwent surgery.Methods: We conducted a retrospective analysis of 1,367 breast cancer patients who underwent surgery between December 2010 and October 2012. All individual preoperative serum albumin concentration, total cholesterol concentration, and total peripheral lymphocyte count were counted to calculate CONUT.Higher CONUT score is in line with worse nutritional status. The optimal cut-off of CONUT score was set at 3 to categorize the investigated patients into two groups, namely a high-or low-CONUT score group. We adopted univariate and multivariate analyses (Cox proportional hazards regression model) statistical method.Results: Patients in the high-CONUT score group had shorter overall survival (OS) and recurrencefree survival (RFS) in comparison with those in the low-CONUT score group, 66.43 vs. 69.30 months and 54.70 vs. 59.98 months respectively (all P value <0.05). Univariate and multivariate analyses revealed that the CONUT score was an independent predictor of OS (P=0.029 and 0.046, respectively) and RFS (P=0.001, P=0.013, respectively). Conclusions:The CONUT score was identified as an independent prognostic indicator in surgically treated breast cancer patients, indicating that, compared with the low CONUT score, a high CONUT score may lead to poorer prognosis.

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“…If used consistently, it can lead to an increase in nurse-driven interventions and identification of at-risk patients with cancer, resulting in improved outcomes. A core oncology nursing competency is the integration of nutritional screening and the appropriate management of malnutrition (Krishnasamy et al, 2017;van Veen et al, 2017). In addition, nurse leaders can consider introducing a nutritional screening protocol for all patients diagnosed with cancers that disproportionately affect nutrition.…”

Section: Implications For Nursingmentioning

confidence: 99%

Nutritional Screening: Development and Implementation of a Protocol in Patients With Head and Neck Cancer

Laursen¹

2020

CJON

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Identifying Malnutrition: Nutritional Status in Newly Diagnosed Patients With Cancer

Cited by 10 publications

References 19 publications

Assessment of nutritional status using objective and subjective methods in Greek patients with cancer

Assessment of nutritional status using objective and subjective methods in Greek patients with cancer

Prognostic significance of the Controlling Nutritional Status (CONUT) score in surgically treated breast cancer patients

Nutritional Screening: Development and Implementation of a Protocol in Patients With Head and Neck Cancer

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