Mini Nutritional Assessment for Adult Cancer Patients: A Systematic Review and Meta-Analysis

Wang, Pengpeng; Jiang, Li; Soh, Kim Lam; Ying, Yanping; Liu, Yuanhang; Huang, Xueling; Tan, Yanmei

doi:10.1080/01635581.2022.2104877

Cited by 7 publications

(4 citation statements)

References 45 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although GLIM has unified the diagnostic criteria for malnutrition to a certain extent, it remains an expert consensus, and its clinical effect still needs to be verified [ 38 ]. The applicability of MNA to Asians may be limited due to the absence of race-specific metrics, and the definition of BMI in MNA may need to be adapted to account for racial differences [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

“…Although malnutrition is common and nutritional assessment is critical, there is currently no universally accepted standard for nutritional assessment [ 17 , 18 ]. However, commonly used malnutrition assessment tools have limitations [ 19 ]. For example, PG-SGA is complex and time-consuming, and its results also depend on the experience of the observer [ 37 ].…”

Section: Introductionmentioning

confidence: 99%

“…While GLIM remains an expert consensus, and its clinical effect still needs to be verified [ 38 ]. The applicability of MNA to Asians may be limited due to the absence of race-specific metrics, and the definition of BMI in MNA may need to be adapted to account for racial differences [ 19 ]. To address these gaps, the study aims to develop a specific tool for assessing malnutrition in NPC patients.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Assessing malnutrition in patients with nasopharyngeal carcinoma: Diagnostic protocol for the development and validation of a new nutritional assessment tool

Wang,

Soh,

Japar

et al. 2024

PLoS ONE

Self Cite

View full text Add to dashboard Cite

Introduction There is currently no gold standard or specific nutritional assessment tool to assess malnutrition in patients with nasopharyngeal carcinoma (NPC). Our study aims to develop a new nutritional assessment tool for NPC patients. Methods and analysis NPC patients will be required to complete a risk factor questionnaire after obtaining their informed consent. The risk factor questionnaire will be used to collect potential risk factors for malnutrition. Univariate and multivariate logistic regression analyses will be used to identify risk factors for malnutrition. A new nutritional assessment tool will be developed based on risk factors. The new tool’s performance will be assessed by calibration and discrimination. The bootstrapping will be used for internal validation of the new tool. In addition, external validation will be performed by recruiting NPC patients from another hospital. Discussion If the new tool is validated to be effective, it will potentially save medical staff time in assessing malnutrition and improve their work efficiency. Additionally, it may reduce the incidence of malnutrition and its adverse consequences. Strengths and limitations of this study The study will comprehensively analyze demographic data, disease status, physical examination, and blood sampling to identify risk factors for malnutrition. Furthermore, the new tool will be systematically evaluated, and validated to determine their effectiveness. However, the restricted geographical range may limit the generalizability of the results to other ethnicities. Additionally, the study does not analyze subjective indicators such as psychology. Ethics and dissemination The ethical approval was granted by the Ethical Committee of the First Affiliated Hospital of Guangxi Medical University (NO. 2022-KT-GUI WEI-005) and the Second Affiliated Hospital of Guangxi Medical University (NO. 2022-KY-0752). Clinical trial registration number ChiCTR2300071550.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Assessing malnutrition in patients with nasopharyngeal carcinoma: Diagnostic protocol for the development and validation of a new nutritional assessment tool

Wang,

Soh,

Japar

et al. 2024

PLoS ONE

Self Cite

View full text Add to dashboard Cite

show abstract

“… 19 , 20 R+ Dietitian, a digital smartphone-based self-administered tool for nutritional risk screening (NRS), has demonstrated remarkable consistency in dietary assessment compared to assessments performed by professional dietitians. 21 The user interface of the R+ Dietitian is shown in Figure 1 , which includes collecting patients’ basic information, automatically conducting electronic nutritional assessments using the NRS-2002 tool and the Patient-Generated Subjective Global Assessment Short Form (PG-SGA-SF) tool, 14 , 22 – 24 and evaluating energy and protein intake through the assessment of dietary intake of rice, meat, and milk. This digital tool holds great potential for practical implementation in real-world clinical nutritional assessment and support for cancer patients.…”

Section: Introductionmentioning

confidence: 99%

Association between nutritional status assessed by a digital self-administered tool (R+ dietitian) and clinicopathologic factors in cancer patients: A comprehensive analysis

Zhu,

Wang,

et al. 2024

DIGITAL HEALTH

View full text Add to dashboard Cite

Objective Malnutrition is prevalent among cancer patients, smartphone-based self-administered nutritional assessment tools offer a promising solution for effective nutritional screening. This study aims to retrospectively analyze the relationships between nutritional status evaluated by the digital tool (R+ Dietitian) and clinicopathologic factors of cancer patients. Methods Cancer patients who met the inclusion criteria were divided into two subgroups based on age, Nutritional Risk Screening-2002, Patient-Generated Subjective Global Assessment Short Form, body mass index, and hospital stays for comparison. Correlation and regression analysis were used to comprehensively assess the relationship between nutritional status and clinicopathologic factors. Findings A total of 535 hospitalized cancer patients (58.32 ± 11.24 years old) were recruited. Patients identified with nutritional risk assessed by R+ Dietitian were significantly older, had lower body weight, lower body mass index, greater weight loss, and longer hospital stays (all of above, P < 0.01). Multiple logistic regression analysis indicated that serum prealbumin concentration (odds ratio: 0.992, 95% confidence interval: 0.987–0.997, P = 0.001), weight loss (odds ratio: 7.309, 95% confidence interval: 4.026–13.270, P < 0.001), and body mass index < 18.5 (odds ratio: 5.882, 95% confidence interval: 2.695–12.821, P < 0.001) predicted nutritional risk indicated by Nutritional Risk Screening-2002 score ≥3. Hemoglobin concentration (odds ratio: 0.983, 95% confidence interval: 0.970–0.996, P = 0.011), weight (odds ratio: 1.111, 95% confidence interval: 1.056–1.169, P < 0.001), weight loss (odds ratio: 7.502, 95% confidence interval: 4.394–12.810, P < 0.001), body mass index (odds ratio: 0.661, 95% confidence interval: 0.564–0.775, P < 0.001), and energy intake (odds ratio: 0.996, 95% confidence interval: 0.995–0.997, P < 0.001) predicted nutritional risk indicated by Patient-Generated Subjective Global Assessment Short Form score ≥4. Multiple linear regression analysis revealed that Patient-Generated Subjective Global Assessment Short Form scores ≥3 ( b = 2.032, P = 0.008) were significantly associated with longer hospital stays. Conclusions The nutritional risks assessed by R+ Dietitian accurately reflected the characteristics of malnutrition in cancer patients and predicted hospital stay and cost, indicating the applicability of R+ Dietitian to improving the efficiency of nutritional management for cancer patients.

show abstract

Prevalence of malnutrition and impact on 30‐day hospital readmission in adults receiving home care and ambulatory care: A descriptive cohort study

Goharian,

Keller,

Desai

2024

J Parenter Enteral Nutr

View full text Add to dashboard Cite

BackgroundLittle is known about the prevalence of malnutrition among patients receiving home care (HC) and ambulatory care (AC) services. Further, the risk of hospital readmission in malnourished patients transitioning from hospital to HC or AC is also not well established. This study aims to address these two gaps.MethodsA descriptive cohort study of newly referred HC and AC patients between January and December 2019 was conducted. Nutrition status was assessed by clinicians using the Mini Nutritional Assessment–Short Form (MNA‐SF). Prevalence of malnutrition and at risk of malnutrition (ARM) was calculated, and a log‐binomial regression model was used to estimate the relative risk of hospital readmission within 30 days of discharge for those who were malnourished and referred from hospital.ResultsA total of 3704 MNA‐SFs were returned, of which 2402 (65%) had complete data. The estimated prevalence of malnutrition and ARM among newly referred HC and AC patients was 21% (95% CI: 19%–22%) and 55% (95% CI: 53%–57%), respectively. The estimated risk of hospital readmission for malnourished patients was 2.7 times higher (95% CI: 1.9%–3.9%) and for ARM patients was 1.9 times higher (95% CI: 1.4%–2.8%) than that of patients with normal nutrition status.ConclusionThe prevalence of malnutrition and ARM among HC and AC patients is high. Malnutrition and ARM are correlated with an increased risk of hospital readmission 30 days posthospital discharge.

show abstract

Mini Nutritional Assessment for Adult Cancer Patients: A Systematic Review and Meta-Analysis

Cited by 7 publications

References 45 publications

Assessing malnutrition in patients with nasopharyngeal carcinoma: Diagnostic protocol for the development and validation of a new nutritional assessment tool

Assessing malnutrition in patients with nasopharyngeal carcinoma: Diagnostic protocol for the development and validation of a new nutritional assessment tool

Association between nutritional status assessed by a digital self-administered tool (R+ dietitian) and clinicopathologic factors in cancer patients: A comprehensive analysis

Prevalence of malnutrition and impact on 30‐day hospital readmission in adults receiving home care and ambulatory care: A descriptive cohort study

Contact Info

Product

Resources

About