Validity of the malnutrition screening tool as an effective predictor of nutritional risk in oncology outpatients receiving chemotherapy

Isenring, Elisabeth; Cross, Giordana; Daniels, Lynne; Kellett, Elizabeth; Koczwara, Bogda

doi:10.1007/s00520-006-0070-5

Cited by 144 publications

(109 citation statements)

References 24 publications

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“…In a study by Bauer (2002), PG-SGA is suggested for cancer patients and shows that the resulting score of this questionnaire is related to weight loss in the previous 6 months and hospitalization (Akbari, 2008). In a similar study on 71 patients using PG-SGA, the results demonstrated a sensitivity of 98% and a specificity of 82% (Bauer et al, 2002;Isenring et al, 2006;Witowich, 2008). Isenring et al (2003) also examined the PG-SGA scores on the basis of weight loss over the previous 6 months, BMI and quality of life percent and also the changes in QOL after 4 weeks of radiation therapy.…”

Section: Nutritional Assessment Of Cancer Patients In Tehran Iranmentioning

confidence: 83%

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Nutritional Assessment of Cancer Patients in Tehran, Iran

Khoshnevis

Ahmadizar²,

Alizadeh³

et al. 2012

Asian Pacific Journal of Cancer Prevention

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Background and objectives: Weight loss and malnutrition are common among cancer patients, these two factors greatly affecting survival and quality of life during treatment. Since cancer is becoming increasingly common in the world and in order to provide better treatment measures, it is important to identify and prevent side effects. The present study has been conducted in 2010 on a sample of cancer patients in the oncology center of Shahid Beheshti University of Medical Sciences to determine the prevalence rates of malnutrition and the factors affecting it. Methods: The PG-SGA standard questionnaire was administered to 416 cancer patients to evaluate their nutrition status and determine the frequency of each malnutrition stage. Correlations and ANOVA tests were used to analyze the relationship between factors and weight loss and how they might affect the development of malnutrition. Results: The prevalence of malnutrition among the patients was 53.1% out of which 29.1% had moderate and 24% had severe malnutrition. The most common factors inducing nutritional symptoms were depression and anorexia. Some 35 % of the patients had over 5% weight loss in the last mouth. The average PG-SGA score was 10.1 with 49 being the highest. 46.1 percent of the patients scored over 9 (requiring critical nutrient intervention). Malnutrition has a high correlation with weight loss, activity limitations, nutritional symptoms, and cancer stage, but low correlation with treatment and pathologic type. Conclusion: Malnutrition has a high prevalence in Iranian cancer patients and has a close relationship with mortality, morbidity and treatment-related problems and also quality of life. Therefore, periodical assessment by PG-SGA to detect malnutrition in patients should be made so that appropriate nutritional interventions can be provided.

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Section: Nutritional Assessment Of Cancer Patients In Tehran Iranmentioning

confidence: 83%

“…The present study makes use of PG-SGA (Bauer et al, 2002;Isenring et al, 2006) which is considered as the best standard questionnaire used in oncologic patient's nutritional status (Ferguson et al, 1999).…”

Section: Discussionmentioning

confidence: 99%

Nutritional Assessment of Cancer Patients in Tehran, Iran

Khoshnevis

Ahmadizar²,

Alizadeh³

et al. 2012

Asian Pacific Journal of Cancer Prevention

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“…From the nutrition assessment tool of PG-SGA, the result we got indicated that BMI alone cannot be a reliable indicator of nutritional status of an individual in cancer patients. Previous studies in cancer patient groups also highlighted the limitations of using BMI as the sole measure of nutritional status (Desbrow et al, 2005;Isenring et al, 2006).…”

Section: Co-relation Between Pg-sga Score and Bmimentioning

confidence: 99%

Evaluation of Nutritional Status of Cancer Patients during Treatment by Patient-Generated Subjective Global Assessment: a Hospital-Based Study

Sharma

Kannan²,

Tapkire³

et al. 2016

Asian Pacific Journal of Cancer Prevention

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Cancer patients frequently experience malnutrition. Cancer and cancer therapy effects nutritional status through alterations in the metabolic system and reduction in food intake. In the present study, fifty seven cancer patients were selected as subjects from the oncology ward of Cachar Cancer Hospital and Research Centre, Silchar, India. Evaluation of nutritional status of cancer patients during treatment was carried out by scored Patient-Generated Subjective Global Assessment (PG-SGA). The findings of PG-SGA showed that 15.8% (9) were well nourished, 31.6% (18) were moderately or suspected of being malnourished and 52.6% (30) were severely malnourished. The prevalence of malnutrition was highest in lip/oral (33.33%) cancer patients. The study showed that the prevalence of malnutrition (84.2%) was high in cancer patients during treatment.

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“…26,27 The MST is a simple 3-question tool that asks respondents to report the presence and quantity of any recent weight loss and its relation to decreased appetite, with possible scores ranging from 0 to 6. A score of !2 indicates the patient is at risk of malnutrition.…”

Section: Nutritional Statusmentioning

confidence: 99%

A multidimensional examination of correlates of fatigue during radiotherapy

Purcell

Fleming

Bennett

et al. 2009

Cancer

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BACKGROUND: Cancer-related fatigue can be measured as both a unidimensional and a multidimensional construct. Unidimensional fatigue and its symptom correlates have undergone some previous investigation; however, minimal research has considered the differential effect of correlates on individual dimensions of fatigue. The objective of the current study was to investigate cancer-related fatigue in a radiotherapy sample using a multidimensional conceptualization to determine whether correlates of fatigue are consistent across all dimensions or whether each fatigue dimension has its own unique pattern of correlates. METHODS: The study used a prospective cohort design with data collected from radiotherapy patients at 3 time points; before, after, and 6 weeks after radiotherapy treatment. RESULTS: A total of 210 participants were enrolled in the study. Results indicated the following relations. Increased general fatigue was found to be associated with lower performance status, being in a de facto relationship, depression, having treatment to the brain, and reduced vigorous physical activity. Increased physical fatigue was associated with lower performance status, depression, reduced physical activity, reduced productive hours, and nausea. Higher levels of reduced activity were associated with depression, decreased participation in activities of daily living, decreased number of productive hours, and lower performance status. Higher levels of reduced motivation were associated with radiotherapy to the brain, reduced moderate physical activity, and depression. Increased mental fatigue was associated with diagnosis of a brain tumor, anxiety, depression, and sleep problems. CONCLUSIONS: The results of the current study support the recognition of multiple dimensions of fatigue, because each dimension examined had various correlates. These findings further develop our understanding of fatigue and may help clinicians provide more targeted information to people with cancer-related fatigue. Furthermore, these results can guide the development of group or individually tailored interventions that ultimately may reduce the impact of this distressing symptom on people with cancer. Cancer 2010;116:529-37.

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Validity of the malnutrition screening tool as an effective predictor of nutritional risk in oncology outpatients receiving chemotherapy

Abstract: The MST has acceptable relative validity, inter-rater reliability, sensitivity, and specificity to identify chemotherapy outpatients at risk of malnutrition and, hence, is an acceptable nutrition screening tool in this patient population.

Cited by 144 publications

References 24 publications

Nutritional Assessment of Cancer Patients in Tehran, Iran

Nutritional Assessment of Cancer Patients in Tehran, Iran

Evaluation of Nutritional Status of Cancer Patients during Treatment by Patient-Generated Subjective Global Assessment: a Hospital-Based Study

A multidimensional examination of correlates of fatigue during radiotherapy

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