通过不同的营养评估工具评估胃癌患者确诊时的营养状况及其与三年死亡率的关系

IF 1.9 Q3 ENDOCRINOLOGY & METABOLISM Human Nutrition and Metabolism Pub Date : 2024-05-26 DOI:10.1016/j.hnm.2024.200274
Zeinab Nikniaz, Mohammad Hossein Somi, Shahnaz Naghashi
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引用次数: 0

摘要

本研究旨在通过不同的营养评估工具评估胃癌患者确诊时的营养状况及其与三年死亡率的关系。在确诊后和开始任何治疗前,使用 PG-SGA、NRS-2002 和 MUST 测试进行营养状况评估。所有患者每六个月接受一次随访,为期三年。结果根据 NRS-2002、MUST 和 PG-SGA 工具,营养不良发生率分别为 74.6%、66.7% 和 64.2%。PG-SGA 与 NRS2002 和 MUST,以及 NRS2002 与 MUST 之间略有一致。将 PG-SGA 作为参考工具,NRS2002 的灵敏度较高(83.5%),但 MUST 的灵敏度较低(71.6%)。两种测试的特异性都很低。根据 PG-SGA 工具,三年死亡率与有营养不良风险的患者之间存在明显关联(P = 0.04)。诊断时应使用 PG-SGA 筛查营养状况,并根据该工具的结果实施适当的营养干预,以改善 GC 患者的营养状况。
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Evaluation of the on-diagnosis nutritional status of patients with gastric cancer via different nutritional assessment tools and their association with three-year mortality

Aim

This study aimed to evaluate the on-diagnosis nutritional status of patients with gastric cancer via different nutritional assessment tools and their association with three-year mortality.

Materials and method

In the present prospective study, 303 participants with GC, aged≥18 years old were included. The nutritional status assessment was performed after diagnosis and before initiation of any treatment using PG-SGA, NRS-2002, and MUST tests. All patients were followed up every six months for three years. The overall survival (OS) was calculated from the diagnosis date to the date of death or last visit.

Results

The prevalence of malnutrition was 74.6 %, 66.7 %, and 64.2 % according to NRS-2002, MUST, and PG-SGA tools respectively. There was a slight agreement between PG-SGA and NRS2002 and MUST; and NRS2002 and MUST. Considering the PG-SGA as a reference tool, the sensitivity for NRS2002 was high (83.5 %), but MUST showed low sensitivity (71.6 %). The specificity for both tests was low. There was a significant association between three-year mortality and patients at risk of malnutrition based on the PG-SGA tool (P = 0.04).

Conclusion

The present study showed the high prevalence of malnutrition in GC patients on admission. At diagnosis, PG-SGA should be applied to screen nutritional status, and based on this tool results, proper nutritional interventions should be implemented to improve nutritional status in patients with GC.

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来源期刊
Human Nutrition and Metabolism
Human Nutrition and Metabolism Agricultural and Biological Sciences-Food Science
CiteScore
1.50
自引率
0.00%
发文量
30
审稿时长
188 days
期刊最新文献
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