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Evidence summaries for nutritional screening of head-and-neck cancer patients

Journal of Integrative Nursing 2021年第3期3卷 135-140页

作者： Ye LI Yi‑Yuan LIU Ya‑Juan TIAN Ling TANG Department of Nursing Dongfang Hospital of Beijing University of Chinese MedicineBeijingChina

The guidelines for nutritional screening of head-and-neck cancer patients were systematically searched and screened from BMJ Best Practice,National Comprehensive Cancer Network,Britain's National Institute for Health and Clinical Excellence,National Guideline Clearinghouse,Scottish Intercollegiate Guidelines Network,Guidelines International Network,New Zealand Guidelines Group,Australian National Health and Medical Research Council,Medlive,PubMed,Embase,CINAHL,China Biology Medicine,VIP,Chinese National Knowledge Infrastructure,and *** researchers evaluated the quality of the included literature and extracted evidence from the literature that met the quality ***,a total of six guidelines were included and ten best evidences were *** only one guideline in this study is from China,and the rest are from other countries,the applicability and effectiveness of some evidence in the Chinese population still need to be further explored and ***,when using evidence,medical staff should make appraisal on working environment in their hospital,factors that facilitate or hinder the use of evidence,and willingness of patients,and thus scientifically provide the best evidence for the management of clinical nutrition for head-and-neck cancer patients and provide a reference for the establishment of the standard process of nutritional screening for head-and-neck cancer patients.

关键词： Evidence summaries head‑and‑neck cancer nutritional screening

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nutritional screening in a University Hospital:Comparison between Oncologic and Non-Oncologic Patients

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Food and Nutrition Sciences 2015年第1期6卷 75-82页

作者： Selma F.C.Cunha Lidiane S.Tanaka Roberta G.Salomao Danielle M.Macedo Thatiane D.Santos Fernanda M.Peria Division of Clinical Nutrition Department of Internal MedicineSchool of Medicine of Ribeirao PretoUniversity of Sao PauloRibeirao PretoBrazil Parenteral and Enteral Nutrition Team of Clinical Hospital School of Medicine of Ribeirao PretoUniversity of Sao PauloRibeirao PretoBrazil Division of Oncology Department of Internal MedicineSchool of Medicine of Ribeirao PretoUniversity of Sao PauloRibeirao PretoBrazil

Background & Aims: We compared the screening nutritional data of patients with malignant and non-malignant disease, and classified their nutritional risk according to the primary tumor’s site. Methods: Subjective Global Assessment was applied to 3008 patients within 48 h of admission to a public university. Subjects were divided into Oncologic Group (n = 576) or Non-Oncologic Group (n = 2432) according to the presence of neoplasms or other diseases respectively. These data were compared by the t-student test and classic chi-square test, with statistical significance set at p nutritional disturbances in the Oncologic Group, with 49.5% of the subjects moderately (or suspected to be malnourished) and 12.7% severely mal-nourished. Severe malnourishment was mainly observed in patients with head and neck (25%), upper digestive tract (21.9%) and soft tissue and bones (17.9%) tumors. Conclusion: When compared to other hospitalized patients, patients with neoplastic disease were in higher nutritional risk.

关键词： nutritional screening Malnutrition Subjective Global Assessment Hospital Setting Neoplasia

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Validity of a digital self-administered tool for nutritional screening and dietary assessment in cancer patients: A diagnostic test accuracy study

Validity of a digital self-administered tool for nutritional...

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中国营养学会第十五届全国营养科学大会

作者： Zhiwen Long Shan Huang Jie Zhang Jun Yin Deng Zhang Huilin Xu Jialiang Wang Qinqiu Zhang Chengyuan He Ke Xie Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital

Malnutrition is one of the common and severe problems for cancer patients, which directly increase the incidence of complications and even cause a significant deterioration in the quality of life. nutritional Risk screening Tool(NRS-2002) and Abridged Scored Patient-Generated Subjective Global Assessment(abPGSGA) were widely applied in cancer patients, to identify nutritional risk, as well as the Nutrients-Targeted 24-hour recall(NT 24-hr) to guide nutrition therapy dosage. However, high rate of malnourished cancer patients remained undetected and untreated due to the limited time for clinicians to conduct face-to-face malnutrition screening and time-consuming dietary recalls. Therefore, this study was designed to validate the performance of a digital self-administered tool in evaluating the risk of malnutrition and dietary nutrients intakes in hospitalized cancer patients. Methods Consecutive patients were identified for eligibility and recruited in the Oncology Department of Sichuan People’s Hospital from Mar 2021 to Apr 2021. Demographic and medical record information were derived from hospital database and checked by two researchers respectively. By using the R+ dietitian, a WeChat-based mini program, all participants were required to complete the NRS-2002, abPG-SGA and NT 24-hr independently, within 24 hours after admission to hospital. The malnutrition screening and predicted daily energy/protein intake values were automatically output afterwards. As the reference standard to conduct nutritional risk screening and dietary information collection, face-to-face NRS2002 and abPG-SGA scales were conducted by two trained dietitians on the same day, as well as the 3-day 24-hour recalls(3 d 24-hrs), to achieve nutrition screening results and detailed dietary intake information about all foods and beverages. Daily nutrients values, including energy and protein intake, would be calculated through food composition table. All statistical analyses were performed using SAS

关键词： Digital health Diagnostic test accuracy study nutritional screening Dietary assessment Cancer

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nutritional assessment with different tools in leukemia patients after hematopoietic stem cell transplantation

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Chinese Journal of Cancer Research 2013年第6期25卷 762-769页

作者： Boshi Wang Xia Yan Jingjing Cai Yu Wang Peng Liu Department of Clinical Nutrition Peking University People's Hospital Department of Hematology Peking University People's Hospital

Objective： Correct nutritional assessment is essential for leukemia patients after hematopoietic stem cell transplantation （HSCT）. This study aimed to investigate the best nutritional assessment method for leukemia patients after HSCT, and find the possible nutritional risk of the patients during the transplantation process in order to intervene in the patients with nutritional risks and undernourished patients timely, so that the entire transplantation process could be successfully completed. Methods： A prospective study was performed in 108 leukemia patients after HSCT, and different nutritional assessment methods, including nutritional risk screening 2002 （NRS2002）, mini nutritional assessment （MNA）, subjective globe assessment （SGA） and malnutritional universal screening tools （MUST）, were used. The associations between nutritional status of these patients and nutritional assessment methods were analyzed. Results： A total of 108 patients completed SGA, and 99 patients completed NRS2002, MNA and MUST. During the treatment process, 85.2% of the patients lost weight, wherein, 50% lost weight greater than 5%, and 42.6% had significantly reduced food intake. For nutritional risk assessment, the positive rates of NRS2002, MNA and MUST were 100%, 74.7% and 63.6%, respectively. There was a significant difference （P〈0.05） among the positive rates of NRS2002, MNA and MUST. In undernutrition assessment, the positive rate of SGA （83.3%） was significantly higher than that of MNA （17.2%）（P〈0.05）, and the incidence rate of nutritional risk among leukemia patients _〈30 years old was greater than that of patients 〉30 years old （P〈0.05）. Conclusions： Patients with leukemia were in poor nutritional status during and after HSCT. The leukemia patients 〈30 years old had a greater incidence rate of nutritional risk. As nutritional risk screening tool, the specificity of NRS2002 is not high, but it can be used for evaluating nutritional deficiencies. MNA is a good nutritional risk scr

关键词： nutritional screening hematopoietic stern cell transplantation (HSCT) leukemia nutritional riskscreening 2002 (NRS2002) mini nutritional assessment (MNA) subjective globe assessment (SGA) malnutritionaluniversal screening tools (MUST)

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