Validity of a nutrition screening tool for childhood cancer.

IF 2.1 4区医学 Q3 NUTRITION & DIETETICS Nutrition in Clinical Practice Pub Date : 2024-12-16 DOI:10.1002/ncp.11265

Melda Kangalgil, Buket Meral, Alexia J Murphy Alford, Erol Erduran

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Abstract

Background: Malnutrition in pediatric oncology patients is a serious clinical condition. There is a need for standardized nutrition screening in pediatric oncology patients, as nutrition screening can offer a simple method to identify children with cancer at risk of malnutrition. This study aimed to determine the validity of a Turkish version of nutrition screening tool for childhood cancer (SCAN) in identifying the risk of malnutrition among children with cancer.

Materials and methods: A cross-sectional study was conducted with 78 children with cancer admitted to the pediatric hematology-oncology unit of a university hospital. In the first stage of this study, SCAN was translated into Turkish, and in the second stage, the validity of SCAN against pediatric Subjective Global Nutritional Assessment (SGNA) and Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition (AND/ASPEN) malnutrition criteria were evaluated.

Results: Patients had a median age of 8.0 years (range, 2-18 years; IQR, 5-14 years), 61.5% were male, and 60.3% were diagnosed with leukemia. According to SCAN, 53.8% had high risk of malnutrition. Validation of SCAN against pediatric SGNA showed that SCAN has a sensitivity of 97.5%, specificity of 94.5%, and accuracy of 96.1%.

Conclusion: The risk of malnutrition is common in children with cancer. The Turkish version of the SCAN is a simple, quick, and valid tool to determine the risk of malnutrition in children with cancer. Further research is needed to understand the impact of nutrition interventions on clinical outcomes in children at risk for malnutrition based on SCAN.

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背景：儿科肿瘤患者营养不良是一种严重的临床症状。有必要对儿科肿瘤患者进行标准化营养筛查，因为营养筛查可以提供一种简单的方法来识别有营养不良风险的癌症患儿。本研究旨在确定土耳其版儿童癌症营养筛查工具（SCAN）在识别癌症患儿营养不良风险方面的有效性：本研究对一家大学医院儿科血液肿瘤科收治的 78 名癌症患儿进行了横断面研究。在研究的第一阶段，SCAN 被翻译成土耳其语；在第二阶段，根据儿科主观全面营养评估（SGNA）和营养与饮食学会/美国肠外和肠内营养学会（AND/ASPEN）营养不良标准对 SCAN 的有效性进行了评估：患者的中位年龄为8.0岁（范围为2-18岁；IQR为5-14岁），61.5%为男性，60.3%确诊为白血病。根据 SCAN，53.8% 的患者营养不良风险较高。SCAN与儿科SGNA的验证结果显示，SCAN的灵敏度为97.5%，特异度为94.5%，准确度为96.1%：结论：癌症患儿普遍存在营养不良的风险。土耳其版 SCAN 是确定癌症儿童营养不良风险的一种简单、快速、有效的工具。需要进一步开展研究，以了解营养干预对基于 SCAN 的营养不良风险儿童临床结果的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nutrition in Clinical Practice 医学-营养学

CiteScore

6.00

自引率

9.70%

发文量

128

审稿时长

3 months

期刊介绍： NCP is a peer-reviewed, interdisciplinary publication that publishes articles about the scientific basis and clinical application of nutrition and nutrition support. NCP contains comprehensive reviews, clinical research, case observations, and other types of papers written by experts in the field of nutrition and health care practitioners involved in the delivery of specialized nutrition support. This journal is a member of the Committee on Publication Ethics (COPE).