Original article

Analysis on evaluation of patients with gastric and colon cancer using modified patient-generated subjective global assessment

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  • Departement of Clinical Nutrition, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China

Received date: 2022-06-20

  Online published: 2023-01-30

Abstract

Objective: To evaluate the nutritional status of inpatients using modified patient-generated subjective global assessment (mPG-SGA), and to compare the correlation of evaluation between mPG-SGA and the standard patient-generated subjective global assessment (PG-SGA), and between mPG-SGA and the other indexes. Methods: The nutritional status of 258 patients with gastric and colon cancer at admission in Department of Surgery, Ruijin Hospital was evaluated by traditional single laboratory indexes including serum prealbumin, albumin in serum or hemoglobin, and human measurement indexes including body mass index, triceps skinfold, or arm muscle circumference, and PG-SGA, mPG-SGA. The correlations of evaluation results between mPG-SGA and each traditional single nutrition evaluation indexes and that between mPG-SGA and PG-SCA were compared. Results: The average time of evaluation using mPG-SGA (302.2±15.7) min was significantly less than that using PG-SGA (855.6±20.0) min. The incidence of malnutrition in the patients was 36.4% evaluated by mPG-SGA. The correlation of evaluative results was present significantly between mPG-SGA and PG-SGA and between mPG-SGA and each traditional single nutritional evaluation indexes (P<0.01). Conclusions: mPG-SGA could be a more convenient tool of nutritional assessment for Chinese cancer patients. Further studies will be needed for the patients with other malignant tumors.

Cite this article

LUO Xi, SHI Yongmei, CHEN Ke, JIANG Shuo, WU Yuwei . Analysis on evaluation of patients with gastric and colon cancer using modified patient-generated subjective global assessment[J]. Journal of Surgery Concepts & Practice, 2022 , 27(06) : 545 -550 . DOI: 10.16139/j.1007-9610.2022.06.013

References

[1] Fu Z, Zhang R, Wang KH, et al. Development and validation of a modified patient-generated subjective global assessment as a nutritional assessment tool in cancer patients[J]. J Cachexia Sarcopenia Muscle, 2022, 13(1):343-354.
[2] Balstad TR, Bye A, Jenssen CR, et al. Patient interpretation of the patient-generated subjective global assessment (PG-SGA) short form[J]. Patient Prefer Adherence, 2019, 13:1391-1400.
[3] Mendes NP, Barros TA, Rosa COB, et al. Nutritional screening tools used and validated for cancer patients: a systematic review[J]. Nutr Cancer, 2019, 71(6):898-907.
[4] Di Bella A, Croisier E, Blake C, et al. Assessing the concurrent validity and interrater reliability of patient-led screening using the malnutrition screening tool in the ambulatory cancer care outpatient setting[J]. J Acad Nutr Diet, 2020, 120(7):1210-1215.
[5] Mauricio SF, Xiao J, Prado CM, et al. Different nutritio-nal assessment tools as predictors of postoperative complications in patients undergoing colorectal cancer resection[J]. Clin Nutr, 2018, 37(5):1505-1511.
[6] Nitichai N, Angkatavanich J, Somlaw N, et al. Validation of the scored patient-generated subjective global assessment (PG-SGA) in Thai setting and association with nutritional parameters in cancer patients[J]. Asian Pac J Cancer Prev, 2019, 20(4):1249-1255.
[7] Vigano AL, di Tomasso J, Kilgour RD, et al. The abridged patient-generated subjective global assessment is a useful tool for early detection and characterization of cancer cachexia[J]. J Acad Nutr Diet, 2014, 114(7):1088-1098.
[8] Kim JY, Wie GA, Cho YA, et al. Development and validation of a nutrition screening tool for hospitalized cancer patients[J]. Clin Nutr, 2011, 30(6):724-729.
[9] Erickson N, Storck LJ, Kolm A, et al. Tri-country translation, cultural adaptation, and validity con- firmation of the scored patient-generated subjective global assessment[J]. Support Care Cancer, 2019, 27(9):3499-3507.
[10] Li R, Wu J, Ma M, et al. Comparison of PG-SGA, SGA and body- composition measurement in detecting malnutrition among newly diagnosed lung cancer patients in stage ⅢB/Ⅳ and benign conditions[J]. Med Oncol, 2011, 28(3):689-696.
[11] Bahl A, Elangovan A, Kaur S, et al. Pre-treatment nutritional status and radiotherapy outcome in patients with locally advanced head and neck cancers[J]. Gulf J Oncolog, 2017, 1(25):61-63.
[12] de Bruin JS, Schuh C, Seeling W, et al. Assessing the feasibility of a mobile health-supported clinical decision support system for nutritional triage in oncology outpatients using Arden syntax[J]. Artif Intell Med, 2018, 92:34-42.
[13] van Bokhorst-de, van der Schueren MAE, Guaitoli PR, Jansma EP, et al. Nutrition screening tools: does one size fit all? A systematic review of screening tools for the hospital setting[J]. Clin Nutr, 2014, 33(1):39-58.
[14] 罗茜, 曹伟新, 吴蓓雯. 不同营养评价方法对消化系恶性肿瘤病人营养状况评价的意义[J]. 外科理论与实践, 2010, 15(4):393-397.
[15] 石汉平, 赵青川, 王昆华, 等. 营养不良的三级诊断[J]. 中国癌症防治杂志, 2015, 7(5):313-319.
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