Relationship between patient-generated subjective global assessment and survival in patients in palliative care

Carvalho, Celina Soares; Souza, Daiane Spitz de; Lopes, Jessica Rodrigues; Castanho, Ivany Alves; Lopes, Agnaldo José

doi:10.21037/apm.2017.03.03

Cited by 16 publications

(12 citation statements)

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“…Cunha et al 5 observed in a cohort that patients in palliative care who had scores greater than 19 had lower survival. Carvalho et al 12 found that patients with a score greater than 9 had a median survival of 3 months, when compared to those with a lower score on the PG-SGA.…”

Section: Discussionmentioning

confidence: 99%

Predictive Factors of Death on Hospitalization in Patients With Advanced Cancer in Palliative Care

Rosa

Cypriano

Albuquerque

et al. 2020

Am J Hosp Palliat Care

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Background: Prognostic assessment is essential to plan the care of patients with advanced cancer in palliative care. Objective: Thus, this study aims to assess the predictors of death in inpatients with advanced cancer in palliative care. Methods: This is a clinical, observational cohort study with patients aged >20 years, of both genders, evaluated within 48 hours of the first hospitalization. The independent variables were tumor location, nutritional risk [through the Patient-Generated Subjective Global Assessment (PG-SGA) short form], laboratory tests [C-reactive protein and albumin] and Karnofsky Performance Status (KPS). Logistic regression analyses were performed. Results: Eighty-two patients were evaluated, whose mean age was 61.8 (± 13.2) years. Forty-nine (59.8%) patients died during hospitalization, among which the majority had KPS of 30-40% (p-value = 0.043), higher means of the total score of the PG-SGA (p-value = 0.050) and lower serum albumin concentrations (p-value = 0.011). According to the multivariate model, tumor location in the gastrointestinal (GI) tract (OR: 1.73; 95% CI: 1.57 -1.94), 30-40% KPS (OR: 1.29; 95% CI: 1.07 -1.63) and albumin concentrations <3.5 g/dL (OR: 4.65; 95% CI: 1.22-17.7) were independent factors associated with an increased chance of death from hospitalization. Conclusion: Presenting an advanced tumor with localization in the GI tract, KPS ≤40% and serum albumin concentration <3.5 g/dL at admission were predictors of death in inpatients under palliative care.

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Section: Discussionmentioning

confidence: 99%

Predictive Factors of Death on Hospitalization in Patients With Advanced Cancer in Palliative Care

Rosa

Cypriano

Albuquerque

et al. 2020

Am J Hosp Palliat Care

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“…Several studies among patients with solid cancers have reached the similar conclusion. [ 22 , 23 ] Leukemia cells in high-risk patients tended to be more progressive than those in patients with lower risk, which indicates that progressiveness influenced the function of major organs and might be related to malnutrition and lead to poor outcomes. There was no evidence of differences in other clinical characteristics; however, patients aged more than 60 years and patients with onset to admission time of more than 7 days tended to have higher scores.…”

Section: Discussionmentioning

confidence: 99%

Severe malnutrition evaluated by patient-generated subjective global assessment results in poor outcome among adult patients with acute leukemia

Wang²,

Liu³

et al. 2018

Medicine

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“…The association of the NRS-2002 score with the mortality and morbidity of hospitalized patients has been demonstrated in previous studies [9][10][11]. In addition, the association of the NRS-2002 score with survival has also been demonstrated in a number of diseases such as metastatic cancer patients [12], congestive heart failure patients [13].…”

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confidence: 76%

“…According to this, the conditions that increase the length of stay in the hospital are as follows: cancer, hypoxic brain, elderly patients are affected negatively; Infection causes such as PEG (percutaneous endoscopic gastrostomy), total parenteral nutrition (TPN); chronic diseasessuch as hypertension and agents such as E. coli, proteus, Pseudomonas and Acynetobacter affect long hospital stay [15]. Another study, which was published a few months ago, emphasized that the median survival in significant malnutrition end-stage cancer patients was significantly reduced [16]. Decreased phase angle is positively correlated with nutrition of end stage cancer patients in palliative care.…”

Section: Discussionmentioning

confidence: 99%

The impact of nutritional status on the outcomes of cancer patients such as mortality, survey and length of hospitalization in palliative care

Avcı

Çetinkaya

2019

The European Research Journal

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Objectives: The aim of this study was to determine the effects of nutritional status of the cancer patients in the palliative unit on some important outcomes such as mortality, hospitalization periods and survey. Methods: The study was carried out through a retrospective review of 65 cancer patients who were treated at the palliative care center. The age and gender of the patients, the type of cancer, the place where they are referred to the palliative unit (from home or from the hospital), from which unit they came from (oncology, intensive care unit, other services), the length of stay, how long they lived after discharge, how long each patient lived after the palliative unit hospitalization day and the NRS-2002 scores were recorded. Results: There was a statistically significant difference between the median hospital duration of the homebased patients and the median duration of hospital-based patients (11 [2-42] days versus 22 [2-180] days) (p = 0.001). The mean survival time of the home-based patients was median 87.5 (2-323) days, while this was 9 (2-104) days in hospital-based patients (p = 0.017). While 29.5% (n = 13/27) of the patients coming from the house died in the palliative care center, it was 70.5% in the patients taken from the hospital (p = 0.002). The NRS-2002 scores of the cancer patients who were followed up at the palliative unit were correlated with the age of the patients (r = 0.365, p = 0.003). Conclusions: We concluded that the patients who came to palliative care from home have better surveys than the ones came from the hospital.

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Relationship between patient-generated subjective global assessment and survival in patients in palliative care

Abstract: In addition to evaluating nutritional status, the PG-SGA is directly related with survival in terminal cancer patients. The use of this tool in the studied population is of paramount importance to provide individualised and adequate support for these patients.

Cited by 16 publications

References 0 publications

Predictive Factors of Death on Hospitalization in Patients With Advanced Cancer in Palliative Care

Predictive Factors of Death on Hospitalization in Patients With Advanced Cancer in Palliative Care

Severe malnutrition evaluated by patient-generated subjective global assessment results in poor outcome among adult patients with acute leukemia

The impact of nutritional status on the outcomes of cancer patients such as mortality, survey and length of hospitalization in palliative care

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