Malnutrition by European Society for Clinical Nutrition and Metabolism criteria predicts prognosis in patients with gastrointestinal and hepatobiliary–pancreatic cancer

Aotani, Nozomi; Yasui-Yamada, Sonoko; Kagiya, Natsumi; Takimoto, Mami; Oiwa, Yu; Matsubara, Atsumi; Matsuura, Sayaka; Tanimura, Mayu; Tani-Suzuki, Yoshiko; Kashihara, Hideya; Saito, Yu; Nishi, Masaaki; Hamada, Y.

doi:10.1016/j.clnesp.2021.01.023

Cited by 14 publications

(11 citation statements)

References 41 publications

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“…Previous studies have reported a significant association between cancer patients diagnosed as being malnourished and short-and long-term prognosis. 4,12,34 As an objective measure, GLIM is not at the discretion of clinicians or patients. Based on these, we can say that GLIM-based malnutrition is a better predictor of long-term outcomes than PG-SGA in patients with NHL.…”

Section: Discussionmentioning

confidence: 99%

“…Published studies have reported that malnutrition was an independent prognostic risk factor in various solid malignancies, yet there are few researches on NHL. [11][12][13] Patient-Generated Subjective Global Assessment (PG-SGA), a well-accepted nutrition evaluation tool, was considered as a golden standard for patients with cancer recommended by the European society for clinical nutrition and metabolism (ESPEN) and American Dietetic Association Oncology Nutrition Dietetic Practice Group. [14][15][16] However, it consists of seven components and must be completed entirely by a trained professional, meaning it is a timeconsuming assessment.…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, there is a great clinical need for a reasonable, efficient, economical and convenient tool for identifying malnutrition. Published studies have reported that malnutrition was an independent prognostic risk factor in various solid malignancies, yet there are few researches on NHL 11–13 …”

Section: Introductionmentioning

confidence: 99%

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Malnutrition diagnosed by GLIM criteria better predicts long‐term outcomes for patients with non‐Hodgkin's lymphoma: A prospective multicenter cohort study

Zou

et al. 2022

Hematological Oncology

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Since Global Leadership Initiative on Malnutrition (GLIM) method was proposed, few studies have applied these new criteria to hematological tumors. In this study, we explored the prevalence of malnutrition according to the GLIM criteria and scored Patient‐Generated Subjective Global Assessment (sPG‐SGA) and their association with 1‐year, 3‐year and 5‐year mortality among patients with non‐Hodgkin's lymphoma (NHL). Malnutrition of all patients were assessed by GLIM criteria and sPG‐SGA. Relationship between the malnutrition based on GLIM criteria or sPG‐SGA and mortality was investigated by Cox regression analyses. The performance of GLIM criteria was evaluated by assessing the sensitivity, specificity, k‐value, receiver operating characteristic (ROC) curve and time‐dependent ROC. Of 963 patients with NHL, the prevalence of malnutrition was 38.8% with GLIM criteria, 65.3% with GLIM‐omitted NRS‐2002 and 53.2% with sPG‐SGA. In comparison with sPG‐SGA, the sensitivity of GLIM criteria was 61.7%, the specificity was 84.8%, and the agreement was moderate (k = 0.48, p < 0.001). Malnutrition based on GLIM criteria could also predict 3‐year and 5‐year mortality after adjusting for confounders, except for sPG‐SGA (HR = 1.816, 95%CI = 1.274–2.589, p = 0.001 for 3‐year mortality; HR = 1.707, 95%CI = 1.223–2.382, p = 0.002 for 5‐year mortality). For patients with NHL, GLIM criteria could be applied as an effective replacement to sPG‐SGA for nutrition assessment and mortality prediction, especially for predicting long‐term prognostic outcomes.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Malnutrition diagnosed by GLIM criteria better predicts long‐term outcomes for patients with non‐Hodgkin's lymphoma: A prospective multicenter cohort study

Zou

et al. 2022

Hematological Oncology

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“…Prevalence rates of malnutrition in hospitals are high, varying between 19–40% depending on different cohorts and methods [ 1 , 2 , 3 ]. Geriatric patients have an even greater risk of malnutrition, with rates up to 56.2% [ 4 , 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

Malnutrition and Inadequate Eating Behaviour during Hospital Stay in Geriatrics—An Explorative Analyses of NutritionDay Data in Two Hospitals

Graeb

Wolke

2021

Nursing Reports

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(1) Background: Malnutrition in hospitalized patients is prevalent worldwide, but the severity of the issue is often underestimated by practitioners. The purpose of this study is to investigate the prevalence of malnutrition and inadequate eating behaviour in a geriatric sample. (2) Methods: Two hospitals participated with six wards on nutritionDay in 2017, 2018 and 2019. Nutritional status, food intake, and nutritional interventions were analyzed for all patients ≥ 65 years (n = 156), using the official nutritionDay questionnaires. Malnutrition risk is identified by Malnutrition Universal Screening Tool (MUST), malnutrition by the ESPEN criteria (European Society of Clinical Nutrition and Metabolism). (3) Results: According to MUST (n = 136) 16.9% (n = 23) were at medium risk of malnutrition, 33.8% (n = 46) at high risk of malnutrition, 28.1% (n = 38) were malnourished. Overall, 62.8% (n = 98) showed an inadequate eating behaviour during hospital stay. Moreover, patients with inadequate nutrition had significantly worse self-reported health statuses (p = 0.001; r = −0.276), were less able to walk on nutritionDay (p = 0.002; r = −0.255), had eaten little in the week before admission to hospital (p < 0.001; r = −0.313), and had an increased length of stay (p = 0.036; r = −0.174). (4) Conclusion: To identify malnourished patients is a significant barrier for practitioners seeking to administer specific, tailored interventions. Malnutrition screening protocols must be improved, just as nutrition monitoring in general.

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“…After HPB surgery, about a quarter of patients experience serious complications, such as infections and blood clots [7][8][9], and about 15-20% of patients are readmitted to the hospital within 30 days of HPB surgery [10,11]. One of the most challenging aspects of patient management following HPB surgery is malnutrition, or the inadequate uptake or absorption of nutrients for maintaining one's health [12]. Up to 40% of patients undergoing HPB surgery experience malnutrition 30 days after surgery [13][14][15][16].…”

Section: Introductionmentioning

confidence: 99%

Pilot trial of remote monitoring to prevent malnutrition after hepatopancreatobiliary surgery

et al. 2021

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Background Patients undergoing hepatopancreatobiliary (HPB) surgery, such patients with pancreatic, periampullary, and liver cancer, are at high risk for malnutrition. Malnutrition increases surgical complications and reduces overall survival. Despite its severity, there are limited interventions addressing malnutrition after HPB surgery. The aim of this pilot trial was to examine feasibility, acceptability, usability, and preliminary efficacy of a remote nutrition monitoring intervention after HPB surgery. Methods Participants received tailored nutritional counseling before and after surgery at 2 and 4 weeks after hospital discharge. Participants also recorded nutritional intake daily for 30 days, and these data were reviewed remotely by registered dietitians before nutritional counseling visits. Descriptive statistics were used to describe study outcomes. Results All 26 patients approached to participate consented to the trial before HPB surgery. Seven were excluded after consent for failing to meet eligibility criteria (e.g., did not receive surgery). Nineteen participants (52.6% female, median age = 65 years) remained eligible for remote monitoring post-surgery. Nineteen used the mobile app food diary, 79% of participants recorded food intake for greater than 80% of study days, 95% met with the dietitian for all visits, and 89% were highly satisfied with the intervention. Among participants with complete data, the average percent caloric goal obtained was 82.4% (IQR: 21.7). Conclusions This intervention was feasible and acceptable to patients undergoing HPB surgery. Preliminary efficacy data showed most participants were able to meet calorie intake goals. Future studies should examine intervention efficacy in a larger, randomized controlled trial. Trial registration Clinicaltrials.gov. Registered 16 September 2019, https://clinicaltrials.gov/ct2/show/NCT04091165.

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Malnutrition by European Society for Clinical Nutrition and Metabolism criteria predicts prognosis in patients with gastrointestinal and hepatobiliary–pancreatic cancer

Cited by 14 publications

References 41 publications

Malnutrition diagnosed by GLIM criteria better predicts long‐term outcomes for patients with non‐Hodgkin's lymphoma: A prospective multicenter cohort study

Malnutrition diagnosed by GLIM criteria better predicts long‐term outcomes for patients with non‐Hodgkin's lymphoma: A prospective multicenter cohort study

Malnutrition and Inadequate Eating Behaviour during Hospital Stay in Geriatrics—An Explorative Analyses of NutritionDay Data in Two Hospitals

Pilot trial of remote monitoring to prevent malnutrition after hepatopancreatobiliary surgery

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