Prognostic Value of the Nutritional Risk Screening 2002 Scale in Metastatic Gastric Cancer: A Large-Scale Cohort Study

Li, Yuan Fang; Nie, Run‐Cong; Wu, Ting; Li, Shu Man; Shi, Chen; Wang, Wei; Chen, Xiao Jiang; Chen, Guo Ming; Zhou, Zhiwei; Yuan, Shu Qiang

doi:10.7150/jca.27729

Cited by 30 publications

(27 citation statements)

References 32 publications

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“…Nutritional risk screening 2002 (NRS 2002) is an assessment tool which has been widely validated in perioperative settings, it was developed by the Danish Association of Parenteral and Enteral Nutrition (DAPEN), and was recommended by European Society for Clinical Nutrition and Metabolism (ESPEN) [ 17 ]. In present study, the incidence of malnutrition is 53.6 % assessed by NRS2002 which was in line with previous studies [ 24 – 28 ].…”

Section: Discussionsupporting

confidence: 93%

Malnutrition is not related with emergence delirium in older patients after noncardiac surgery

Zhang

et al. 2021

BMC Geriatr

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Background Delirium is one of the most common complications in older surgical patients. Although previous studies reported that preoperative malnutrition was related with postoperative delirium (POD), there was lack of evidence to illustrate the relationship between malnutrition and emergency delirium (ED). The objective of this study was to investigate the relationship between preoperative malnutrition and ED in older patients undergoing noncardiac surgery. Methods The study was carried out in accordance with STROBE guidelines. This was a secondary analysis of a prospective cohort study. Older patients (65–90 years) who underwent noncardiac surgery under general anesthesia were enrolled in Peking University First Hospital. Results 915 patients were enrolled. The incidence of malnutrition was 53.6 % (490/915). The incidence of emergency delirium was 41.8 % (205/490) in malnutrition group and 31.5 % (134/425) in control group, P < 0.001. After adjusting confounding factors (i.e., age, cognitive impairment, American Society of Anesthesiologists classification (ASA), duration of surgery, pain score, low body temperature and allogeneic blood transfusion), malnutrition was not associated with increased risk of emergency delirium (OR = 1.055, 95 % CI 0.767–1.452, P = 0.742). Conclusions Malnutrition was common in older patients undergoing non-cardiac surgery, but it’s not related with emergence delirium after adjusted for confounders. Trial registration Chinese Clinical Trial Registry (http://www.chictr.org.cn) (ChiCTR-OOC-17,012,734).

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Section: Discussionsupporting

confidence: 93%

Malnutrition is not related with emergence delirium in older patients after noncardiac surgery

Zhang

et al. 2021

BMC Geriatr

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“…Sun et al [6] reported that ALB and neutrophils could predict postoperative overall survival (OS) in patients with GC, and Kim et al [7] observed that the platelet-to-lymphocyte ratio (PLR) is able to predict the prognosis of GC. Other nutritional assessment tools have been reported for cancer patients, including the Nutritional Risk Screening (NRS), Skeletal Muscle Index (SMI) and Naples Prognostic Score (NPS) [8][9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Preoperative Controlling Nutritional Status (CONUT) score predicts short-term outcomes of patients with gastric cancer after laparoscopy-assisted radical gastrectomy

et al. 2021

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Background An emerging prediction tool, the Controlling Nutritional Status (CONUT) score, has shown good assessment ability of postoperative outcomes in cancer patients. This study evaluated the role of the preoperative CONUT score regarding the short-term outcomes of gastric cancer (GC) after laparoscopic gastrectomy. Methods Three hundred and nine GC patients undergoing laparoscopic gastrectomy from January 2016 to June 2019 were analysed, retrospectively. The patients were divided into two groups according to the CONUT optimal cut-off value. Clinical characteristics and postoperative complications in the two groups were analysed and evaluated. Risk factors for complications were identified by univariate and multivariate analyses. Results A total of 309 patients underwent laparoscopic gastrectomy; 91 (29.4%) patients experienced postoperative complications. The preoperative CONUT score showed a good predictive ability for postoperative complications (area under the curve (AUC) = 0.718, Youden index = 0.343) compared with other indices, with an optimal cut-off value of 2.5. Patients with high CONUT score had a significantly higher incidence of overall complications (P < 0.001). Age, haemoglobin, C-reactive protein, red blood cell levels, CONUT scores, surgical procedure type, T1, T4, N0 and N3 pathological TNM classification, and pathological stages of I and III were associated with postoperative complications (P < 0.05). Furthermore, the preoperative CONUT score was identified as an independent risk predictor of postoperative complications (P = 0.012; OR = 2.433; 95% CI, 1.218-4.862) after multivariate analysis. Conclusions The preoperative CONUT score is a practical nutritional assessment for predicting short-term outcomes in GC patients after laparoscopy-assisted gastrectomy.

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“…This may suggest that the use of the NRS >5 as a cut-off value should be questioned. Although previous studies have demonstrated that regrouping the NRS may be more effective, we believe that a standardized grouping system is vital for the universal use of the screening tools, rather than the use of different cut-off values (32,33). We also strongly agree that the development of new tools is redundant since dozens of screening tools are already available (10,14).…”

Section: Discussionmentioning

confidence: 58%

Comparison of Nutritional Screening Tools in Patients Undergoing Surgery for Gastric Cancer

Yıldırım¹,

Candaş²,

Usta³

et al. 2020

Haseki

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Nutritional screening tools are mainly used to identify patients at risk of malnutrition. We aimed to compare commonly used nutritional tools in assessing the nutritional status of patients undergoing surgery for gastric cancer Methods: Consecutive patients undergoing surgery for gastric cancer between January 2017 and May 2019 were retrospectively evaluated from the comprehensive database. Nutritional Risk Screening-2002 (NRS), Malnutrition Universal Screening Tool, Subjective Global Assessment, Mini Nutritional Assessment-Short Form (MNA-SF), Malnutrition Screening Tool, and Short Nutritional Assessment Questionnaire scores were calculated for all patients. The assessment capabilities of these tools were compared using the European Society for Clinical Nutrition and Metabolism (ESPEN) diagnostic criteria for malnutrition as the reference standard. The distinctive abilities of the tool risk groups were also evaluated using parameters reflecting nutritional status, including albumin, lymphocyte count, and fat-free mass index. Results: One hundred forty patients with the mean age of 64.2±11.8 years were analyzed, and 29 (20.71%) of whom were diagnosed as malnourished based on the ESPEN criteria. The strongest association (phi=0.62, large effect) and the highest agreement (kappa=0.59, moderate agreement) between tools and malnutrition were found for MNA-SF. This exhibited the highest specificity (0.84, 95% CI: 0.76 to 0.90), positive predictive value (0.58, 95% CI: 0.42 to 0.73), accuracy (0.84, 95% CI: 0.77 to 0.90), area under curve (0.850, 95% CI: 0.777 to 0.923), and diagnostic odds ratio (32.29, 95% CI: 10.02 to 104.04). Statistically significant decreases in all three parameters were observed only for the NRS risk groups. Additionally, MNA-SF exhibited a statistically significant decrease in the fat-free Amaç: Beslenme tarama araçları çoğunlukla malnutrisyon riski olan hastaları belirlemek için kullanılır. Bu çalışmada mide kanseri nedeniyle ameliyat planlanan hastaların beslenme durumlarını değerlendirmede sıklıkla kullanılan beslenme araçlarını karşılaştırmayı amaçladık. Yöntemler: Ocak 2017-Mayıs 2019 tarihleri arasında mide kanseri nedeniyle ameliyat olan hastalar, kapsamlı veri tabanından elde edilen bilgiler ile retrospektif olarak değerlendirildi. Tüm hastalar için Nutritional Risk Screening-2002 (NRS), Malnutrition Universal Screening Tool, Subjective Global Assessment, Mini Nutritional Assessment-Kısa Form (MNA-SF), Malnutrition Screening Tool, ve Short Nutritional Assessment Questionnaire araçlarının skorları hesaplandı. Bu araçların beslenme değerlendirme becerilerinin karşılaştırılmasında, referans standart olarak Avrupa Klinik Beslenme ve Metabolizma Derneği'nin (ESPEN) malnutrisyon tanı kriteri kullanıldı. Araçların risk gruplarını ayırt edici özellikleri ise albümin, lenfosit sayısı ve yağsız kitle indeksi gibi beslenme durumunu yansıtan parametreler kullanılarak değerlendirildi. Bulgular: Bu çalışmada yaş ortalaması 64.2±11.8 olan toplam 140 hasta analiz edildi ve bu hastaların 29'u (%20.71) E...

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Prognostic Value of the Nutritional Risk Screening 2002 Scale in Metastatic Gastric Cancer: A Large-Scale Cohort Study

Cited by 30 publications

References 32 publications

Malnutrition is not related with emergence delirium in older patients after noncardiac surgery

Malnutrition is not related with emergence delirium in older patients after noncardiac surgery

Preoperative Controlling Nutritional Status (CONUT) score predicts short-term outcomes of patients with gastric cancer after laparoscopy-assisted radical gastrectomy

Comparison of Nutritional Screening Tools in Patients Undergoing Surgery for Gastric Cancer

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