Patient-Generated Subjective Global Assessment Short Form (PG-SGA SF) is a valid screening tool in chemotherapy outpatients

Abbott, J.; Teleni, Laisa; McKavanagh, Daniel; Watson, Julia; McCarthy, Alexandra; Isenring, Elisabeth

doi:10.1007/s00520-016-3196-0

Cited by 133 publications

(115 citation statements)

References 20 publications

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“…These tools provide a more comprehensive view of malnutrition including food intake; risk factors for food intake; function; and body mass or composition. Short versions intended for screening for nutrition risk are available for both the PG-SGA (Abbott et al 2016) and the MNA (Vellas et al 1999). Experts in Canada, Australia, and Brazil recommend SGA to assess malnutrition (DAA Malnutrition Guideline Steering Committee 2009; Keller et al 2015;Raslan et al 2011).…”

Section: Nutrition Assessment and Screening Toolsmentioning

confidence: 99%

Malnutrition or frailty? Overlap and evidence gaps in the diagnosis and treatment of frailty and malnutrition

Laur

McNicholl

Valaitis

et al. 2017

Appl. Physiol. Nutr. Metab.

125

116

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Abstract:There is increasing awareness of the detrimental health impact of frailty on older adults and of the high prevalence of malnutrition in this segment of the population. Experts in these 2 arenas need to be cognizant of the overlap in constructs, diagnosis, and treatment of frailty and malnutrition. There is a lack of consensus regarding the definition of malnutrition and how it should be assessed. While there is consensus on the definition of frailty, there is no agreement on how it should be measured. Separate assessment tools exist for both malnutrition and frailty; however, there is intersection between concepts and measures. This narrative review highlights some of the intersections within these screening/assessment tools, including weight loss/decreased body mass, functional capacity, and weakness (handgrip strength). The potential for identification of a minimal set of objective measures to identify, or at least consider risk for both conditions, is proposed. Frailty and malnutrition have also been shown to result in similar negative health outcomes and consequently common treatment strategies have been studied, including oral nutritional supplements. While many of the outcomes of treatment relate to both concepts of frailty and malnutrition, research questions are typically focused on the frailty concept, leading to possible gaps or missed opportunities in understanding the effect of complementary interventions on malnutrition. A better understanding of how these conditions overlap may improve treatment strategies for frail, malnourished, older adults.Key words: frailty, malnutrition, screening, assessment, diagnosis, handgrip strength, oral nutritional supplements, older adult.Résumé : Les effets néfastes de la fragilité des personnes âgées sur leur santé ainsi que la forte prévalence de malnutrition dans cette strate de la population suscitent une prise de conscience grandissante. Les experts dans ces deux domaines doivent être au fait du chevauchement des construits, du diagnostic et du traitement de la fragilité et de la malnutrition. Il n'y a pas encore de consensus au sujet de la définition de la malnutrition et de son évaluation. Concernant la fragilité, on s'entend sur sa définition, mais pas sur sa mesure. Il existe pourtant des outils distincts de mesure de la malnutrition et de la fragilité et, d'ailleurs, les concepts et mesures présentent une intersection. Cette revue narrative souligne les intersections entre les outils de dépistage et d'évaluation comme la perte de poids/diminution de la masse corporelle, de la capacité fonctionnelle et la faiblesse (force de préhension manuelle). En guise de tentative, on propose un ensemble minimal de mesures objectives pour la détermination ou, à tout le moins, l'identification d'un risque dans les deux conditions. La fragilité et la malnutrition aboutissent, études à l'appui, à des problèmes de santé similaires justifiant des stratégies communes de traitement tels les suppléments nutritionnels oraux. Alors que plusieurs résultats du traitement c...

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Section: Nutrition Assessment and Screening Toolsmentioning

confidence: 99%

Malnutrition or frailty? Overlap and evidence gaps in the diagnosis and treatment of frailty and malnutrition

Laur

McNicholl

Valaitis

et al. 2017

Appl. Physiol. Nutr. Metab.

125

116

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“…Food intake: As compared to my normal intake, I would rate my food intake during the past month as unchanged (0) more than usual (0) less than usual (1) I am now taking normal food but less than normal amount (1) little solid food (2) only liquids (3) only nutritional supplements (3) very little of anything (4) only tube feedings or only nutrition by vein (0) Box 2 3. Symptoms: I have had the following problems that have kept me from eating enough during the past two weeks (check all that apply) no problems eating (0) no appetite, just did not feel like eating (3) vomiting (3) nausea (1) diarrhea (3) constipation (1) dry mouth (1) mouth sores (2) smells bother me (1) things taste funny or have no taste (1) feel full quickly (1) problems swallowing (2) fatigue (1) pain; where? (3) _________________ other (1)** _____________________ **Examples: depression, money, or dental problems Box 3…”

Section: Appendixmentioning

confidence: 99%

“…normal with no limitations (0) not my normal self, but able to be up and about with fairly normal activities (1) not feeling up to most things, but in bed or chair less than half the day (2) able to do little activity and spend most of the day in bed or chair (3) pretty much bed ridden, rarely out of bed (3) Box 4 The remainder of this form is to be completed by your doctor, nurse, dietitian, or therapist. Thank you.…”

Section: Appendixmentioning

confidence: 99%

“…(2,3) The PG-SGA includes a patient-generated component and a professional component, thus providing cumulative insight from both perspectives with respect to the nutritional status of the patient. The PG-SGA was first validated in the oncology setting (3)(4)(5)(6) and has subsequently been validated in other settings, such as nephrology and geriatric settings (7,8) .…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of change in dietitians’ perceived comprehensibility and difficulty of the Patient‐Generated Subjective Global Assessment (PG‐SGA) after a single training in the use of the instrument

Sealy

Schans

Roodenburg

et al. 2017

J Human Nutrition Diet

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Evaluation of change in dietitians' perceived comprehensibility and difficulty of the PatientGenerated Subjective Global Assessment (PG-SGA) after a single training in the use of the instrument Sealy, M. J.; Ottery, F. D.; van der Schans, C. P.; Roodenburg, J. L. N.; Jager-Wittenaar, H. Abstract Background: The Patient-Generated Subjective Global Assessment (PG-SGA) is an instrument used to assess malnutrition and its risk factors. Some items of the PG-SGA may be perceived as hard to comprehend or as difficult by healthcare professionals. The present study aimed to determine whether and how dietitians' perceptions of comprehensibility and difficulty of the PG-SGA change after a single training in PG-SGA use. Methods: In this prospective evaluation study, Dutch PG-SGA-na€ ıve dietitians completed a questionnaire regarding perceived comprehensibility and difficulty of the PG-SGA before (T0) and after (T1) receiving a single training in the use of the instrument. Perceived comprehensibility and difficulty were operationalised by calculating item and scale indices for comprehensibility (I-CI, S-CI) and difficulty (I-DI, S-DI) at T0 and T1. An item index of 0.78 was considered acceptable, a scale index of 0.80 was considered acceptable and a scale index of 0.90 was considered excellent. Results: A total of 35 participants completed the questionnaire both at T0 and T1. All item indices related to comprehensibility and difficulty improved, although I-DI for the items regarding food intake and physical examination remained below 0.78. Scale indices for difficulty and comprehensibility of the PG-SGA changed significantly (P < 0.001) from not acceptable at T0 (S-CI = 0.69; S-DI = 0.57) to excellent for comprehensibility (S-CI = 0.95) and acceptable for difficulty (S-DI = 0.86) at T1. Conclusions: The findings of the present study suggest that significant improvement in PG-SGA-na€ ıve dietitians' perception of comprehensibility and difficulty of the PG-SGA can be achieved quickly by providing a 1 day of training in the use of the PG-SGA.58

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“…The Patient‐Generated Subjective Global Assessment Short Form (PG‐SGA SF, © FD Ottery 2005, 2006, 2015) has been shown to be valid as a screening tool for the oncology setting . The PG‐SGA SF comprises the first 4 Boxes of the full Scored PG‐SGA (PG‐SGA, © FD Ottery 2005, 2006, 2015).…”

Section: Introductionmentioning

confidence: 99%

Self‐Completion of the Patient‐Generated Subjective Global Assessment Short Form Is Feasible and Is Associated With Increased Awareness on Malnutrition Risk in Patients With Head and Neck Cancer

et al. 2019

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Background We aimed to assess feasibility of self‐completion of the Patient‐Generated Subjective Global Assessment Short Form (PG‐SGA SF) by head and neck cancer patients, and to assess self‐reported increased awareness regarding malnutrition risk after self‐completion. Methods Participants were randomized to complete the PG‐SGA SF by paper or app. Feasibility was assessed by time needed to complete the PG‐SGA SF, perceived difficulty, and help needed during completion. Participants were asked if they knew what malnutrition was (yes/no) and if they could define “malnutrition.” They were also asked 9 questions on whether they perceived increased awareness of malnutrition risk after having completed the PG‐SGA SF and 2 on their intention to change lifestyle habits. Results Of all participants (n = 59; 65.9 ± 12.6 years; 73% male), 55% completed the PG‐SGA SF paper version and 46% the Pt‐Global app. Median time needed for self‐completion of the PG‐SGA SF was 2 minutes 41 seconds (interquartile range: 1 minute 49 seconds–3 minutes 50 seconds). Forty‐eight percent needed help with completion, indicating acceptable feasibility. Participants who completed the Pt‐Global app needed help significantly more often (66%; 21/32) than those who completed the PG‐SGA SF paper version (26%; 7/27) (P = 0.005). All difficulty scores were excellent. For 7/9 questions on malnutrition risk awareness, >50% of the participants answered positively. Conclusion The results of this study show that self‐completion of the PG‐SGA SF by head and neck cancer patients is feasible and that awareness regarding malnutrition risk may increase after completing the PG‐SGA SF.

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Patient-Generated Subjective Global Assessment Short Form (PG-SGA SF) is a valid screening tool in chemotherapy outpatients

Abstract: The validity of the PG-SGA SF in chemotherapy outpatients was confirmed. The present study however demonstrated that the functional capacity question (box 4) does not improve the overall discriminatory value of the PG-SGA SF.

Cited by 133 publications

References 20 publications

Malnutrition or frailty? Overlap and evidence gaps in the diagnosis and treatment of frailty and malnutrition

Malnutrition or frailty? Overlap and evidence gaps in the diagnosis and treatment of frailty and malnutrition

Evaluation of change in dietitians’ perceived comprehensibility and difficulty of the Patient‐Generated Subjective Global Assessment (PG‐SGA) after a single training in the use of the instrument

Self‐Completion of the Patient‐Generated Subjective Global Assessment Short Form Is Feasible and Is Associated With Increased Awareness on Malnutrition Risk in Patients With Head and Neck Cancer

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