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Validity of the patient-generated subjective global assessment(PG SGA)in Colorectal Cancer patients in China

Journal of Nutritional Oncology 2021年第3期6卷 109-116页

作者： Rui Kang Yin Ling Li Fu Ping Chen Zhen Ming Fu Hong Xia Xu Chun Hua Song Ming Hua Cong Han Ping Shi Cancer Center Renmin Hospital of Wuhan UniversityWuhan 430060HubeiChina Department of Clinical Nutrition Daping HospitalArmy Medical UniversityChongqing400042China Department of Epidemiology College of Public HealthZhengzhou UniversityZhengzhou 450001HenanChina Department of Comprehensive Oncology National Cancer Center/National Clinical Research Center for Cancer/Cancer HospitalChinese Academy of Medical Sciences and Peking Union Medical CollegeBeijing 100021China Department of Gastrointestinal Surgery/Department of Clinical Nutrition Beijing Shijitan HospitalCapital Medical UniversityBeijing 100038China

Objective The patient-generated subjective global assessment(PG-SGA)is a nutritional assessment tool specially designed for cancer *** study tested the validity of the PG-SGA for the nutritional assessment of colorectal cancer(CRC)patients in *** A total of 8,093 Chinese patients with any stage CRC were enrolled in this cross-sectional,observational *** the first 48 hours of admission,patients were evaluated using the PG-SGA,nutritional risk screening 2002(NRS 2002),Karnofsky Performance Status(KPS),and some anthropometric parameters,including the triceps skinfold thickness(TSF),mid-arm circumference(MAC),mid-arm muscle circumference(MAMC),hand grip strength(HGS),maximum left calf circumference(MLCC),and maximum right calf circumference(MRCC),among ***’s correlation test was performed to analyze item-total score correlations and correlations between the total PG-SGA score and other parameters or performance scores,further testing convergent *** discriminative ability of the PG-SGA was measured by comparing different characteristics between several nutritional groups.A principal component analysis was performed with selected parameters to evaluate the construct *** The average total PG-SGA score of all patients was 5.69±4.46,and they had a median age of 59 years(interquartile range(IQR),51-67 years)and an average body mass index(BMI)of 22.57±3.29 kg/m^(2).The item-total correlations of the total PG-SGA score between the global PG-SGA rating(Spearman,r=0.94)and PG-SGA score(patient-generated)(Spearman,r=0.97)were *** correlations were also found between the total PG-SGA score and other nutritional screening tools,including the BMI(Spearman,r=-0.26),KPS(Spearman,r=-0.36),and NRS 2002(Spearman,r=-0.47).Well-nourished(41.2%),mildly or moderately malnourished(35.3%)and severely malnourished(23.5%)groups defined according to the PG-SGA had significantly different *** with a w

关键词： Validation Nutritional status patient-generated subjective global assessment Colorectal cancer

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Validation of nutritional risk index method against patientgenerated subjective global assessment in screening malnutrition in colorectal cancer patients

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Chinese Journal of Cancer Research 2013年第5期25卷 544-548页

作者： Elnaz Faramarzi Reza Mahdavi Mohammad Mohammad-Zadeh Behnam Nasirimotlagh Student research committee Tabriz University of Medical Sciences Nutrition Research Center Tabriz University of Medical Sciences Department of Radiotherapy Imam Khomeini HospitalTabriz University of Medical Sciences

Objective：To validate malnutrition screening tool of nutrition risk index （NRI） against patent-generated subjective global assessment （PG-SGA） as a gold standard tool in colorectal cancer patients before ***：Nutritional status of 52 volunteer colorectal cancer patients with a mean age of 54.1±16.8 years who referred to radiotherapy center were assessed by PG-SGA （gold standard method） and *** albumin levels of patients were determined by colorimetric method.A contingency table was used to determine the sensitivity,specificity,and predictive value of the NRI in screening patients at risk of malnutrition,in comparison with the PG-SGA in patients before ***：The findings of PG-SGA and NRI showed that 52％ and 45％ of patients in our study were moderately or severely malnourished *** NRI had a sensitivity of 66％ and a specificity of 60％ against *** positive predictive value was 64％ and the negative predicative value was 62％.The agreement between NRI and PG-SGA was statistically insignificant （kappa =0.267; P＞0.05）.Conclusions：The findings of present study showed that the prevalence of malnutrition was high in patients with colorectal ***,NRI method had low sensitivity and specificity in assessing nutritional status of patients with *** seems that the combination of anthropometric,laboratory parameters and a subjective scoring system may be helpful tools in screening of malnutrition in cancer patients.

关键词： Colorectal cancer patients malnutrition patient-generated subjective global assessment nutrition risk index (NRI)

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The Role of the PNI and NLR in Nutritional Risk Screening and assessment of Gastric Cancer patients

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Journal of Nutritional Oncology 2022年第4期7卷 192-198页

作者： Hui Chao Ruan Xiang Hua Wu Dao Lai Huang Xiao Bin Fu Chao Zhang Kun Zhou Guan Yu Zhu Dang Liu Jin Tao Cai Ming Hao Tan Guangxi Medical University NanningGuangxi 530021China Guangxi Key Laboratory Of Enhanced Recovery After Surgery For Gastrointestinal Cancer NanningGuangxi 530021China Department of Gastrointestinal Gland Surgery The First Affiliated Hospital of Guangxi Medical UniversityNanningGuangxi 530021China

Background The use of nutritional risk screening and assessment is becoming increasingly common in cancer *** Nutritional Risk Screening 2002(NRS 2002)is a nutritional risk screening programe with good *** patient generated-subjective global assessment(PG-SGA)is a method used to assess the nutritional status of cancer *** prognostic nutritional index(PNI)and neutrophil to lymphocyte ratio(NLR)are considered to be predictors of the prognosis following treatment for patients with a variety of ***,the relationship between the PNI and NLR in the nutritional screening and assessment in patients with gastric cancer is *** A retrospective analysis was performed on 378 patients with gastric cancer who underwent surgery at the First Affiliated Hospital of Guangxi Medical University from August 2019 to December *** 2002 and PG-SGA were performed within 24 hours of admission,and indicators such as the serum albumin level,body mass index(BMI),PNI and NLR were *** In the grouping based on the NRS2002,patients in the positive group(NRS 2002≥3)had a higher platelet value,a higher median NLR,and a lower PNI than those in the negative group(NRS 2002patients are closely related to the results of the nutritional risk screening and a

关键词： Nutritional risk screening 2002 patient-generated subjective global assessment Gastric cancer Prognostic nutritional index Neutrophil-to-lymphocyte ratio

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Extension Protocol for the Investigation on Nutrition Status and Clinical Outcome of patients with Common Cancers in China(INSCOC)Study:2021 update

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Journal of Nutritional Oncology 2022年第2期7卷 64-74页

作者： Hong Xia Xu Chun Hua Song Liang Yu Yin Chang Wang Zhen Ming Fu Zeng Qing Guo Yuan Lin Ying Ying Shi Wen Hu Yi Ba Su Yi Li Zeng Ning Li Kun Hua Wang Jing Wu Ying He Jia Jun Yang Cong Hua Xie Fu Xiang Zhou Xin Xia Song Gong Yan Chen Wen Jun Ma Su Xia Luo Zi Hua Chen Zhi Kang Chen Ming Hua Cong Hu Ma Chun Ling Zhou Wei Wang Qi Luo Yong Mei Shi Yu Mei Qi Hai Ping Jiang Wen Xian Guan Jun Qiang Chen Xiang Hua Wu Jia Xin Chen Yu Fang Lan Zhou Yong Dong Feng Rong Shao Tan Tao Li Jun Wen Ou Qing Chuan Zhao Jian Xiong Wu Min Weng Qing Hua Yao Ya Yin Yu Quan Jun Lyu Hong Qiu Ming Liu Wei Li Han Ping Shi The Investigation on Nutrition Status and Clinical Outcome of Common Cancers(INSCOC)Group Department of Nutrition Daping HospitalArmy Medical University(Third Military Medical University)Chongqing 400042China Department of Epidemiology College of Public HealthZhengzhou UniversityZhengzhou 450001HenanChina Cancer Center of the First Hospital of Jilin University Changchun 130021Jilin China Cancer Center Renmin Hospital of Wuhan UniversityWuhan 430060HubeiChina Department of Medical Oncology Fujian Cancer HospitalFujian Medical University Cancer HospitalFuzhou 350014FujianChina Department of Gastrointestinal Surgery Affiliated Tumor Hospital of Guangxi Medical UniversityNanning 530021GuangxiChina Department of Surgery The First Affiliated Hospital of SunYat-Sen UniversityGuangzhou 510080GuangdongChina Department of Clinical Nutrition West China Hospital of Sichuan UniversityChengdu 610041SichuanChina Department of Gastrointestinal Oncology Tianjin Medical University Cancer Institute and HospitalNational Clinical Research Center for CancerTianjin Key Laboratory of Cancer Prevention and TherapyTianjin 300060China Department of Nutrition and Metabolism of Oncology The First Affiliated Hospital of University of Science and Technology of ChinaAnhui Provincial Cancer HospitalHefei 230031AnhuiChina Department of Clinical Nutrition The First Hospital of Hebei Medical UniversityShijiazhuang 050031HebeiChina Department of Gastrointestinal Surgery Institute of GastroenterologyThe First Affiliated Hospital of Kunming Medical UniversityKunming 650032YunnanChina Department of Clinical Nutrition The First Affiliated Hospital of Zhejiang Chinese Medical UniversityZhejiang Provincial Hospital of Traditional Chinese MedicineHangzhou 310006ZhejiangChina Department of Clinical Nutrition Chongqing General HospitalChongqing 400014China Department of Colorectal and Anal Surgery Huizhou Municipal Central HospitalHuizhou 516001GuangdongChina Department of Radiation and Medical Oncology Zhongnan Hospital of Wuhan UniversityWuhan 430071HubeiChina Department of Oncology Xingtai Peo

Background Malnutrition is common in patients with cancer,and this adversely affects the survival and quality of life of *** Society for Nutritional Oncology issued a multi-center,large-scale,long-term follow-up prospective study,the Investigation on Nutrition Status and Clinical Outcome of patients with Common Cancers in China(INSCOC study)since *** is an extension to the previous 2013-2020 study *** study still sought to:①address the prognostic impact of nutritional factors and quality of life on cancer patient survival;②describe the overall and cancer-specific incidence and/or distribution of malnutrition and different measurements of patient quality of *** and study design This is an observational,multi-centered,hospital-based prospective cohort *** collection will be performed at baseline(within 48 hours after patient admission),during the hospital stay and 30 days after hospital ***-up will be conducted for 1-20 years after *** primary outcome will be the all-cause mortality/overall survival,and secondary outcomes will be the length of hospital stay and costs of *** factors will include demographic characteristics,tumor characteristics,information about chronic diseases,hematological measurements(e.g.,red blood cell count,total lymphocyte counts,hemoglobin,albumin,prealbumin,creatinine,C-reactive protein,IL-6),anthropometric measurements(e.g.,height,weight,arm circumference,arm muscle circumference,triceps skinfold thickness,and waist circumference),body composition parameters,PG-SGA scores,quality of life(as indicated by the QLQ-C30 questionnaire),muscle mass(as indicated by the calf circumference),muscle strength(as indicated by the handgrip strength),muscle function(as indicated by the six-meter walking speed test)and physical status assessments(as indicated by the Karnofsky Performance Status scores).This clinical study protocol was approved by local Ethics Committees of

关键词： Cancer Malnutrition Nutritional status Nutritional assessment Survival patient-generated subjective global assessment

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Preliminary validation of global Leadership Initiative on Malnutrition criteria in cancer patients:A cross-sectional study

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Journal of Nutritional Oncology 2023年第3期8卷 143-150页

作者： Zhe-Yu Huang Rui Zhang Rui-Kang Yin Shi-Jie Wang Jiang-Long Han Qi-Lan Wang Zhen-Ming Fu Cancer Center Renmin Hospital of Wuhan UniversityWuhan 430060HubeiChina Department of Anatomy Medical college of Zhengzhou UniversityZhengzhou 450001HenanChina

Background:The global Leadership Initiative on Malnutrition(GLIM)has been used in China since *** study aimed to test the use of the GLIM criteria in Chinese cancer patients and to compare the diagnostic performance of the GLIM criteria with the patient-generated subjective global assessment(PG-SGA)and modified PG-SGA(mPG-SGA). Methods:A total of 2,000 cancer patients were consecutively screened using the Nutritional Risk Screening 2002 instrument on *** at nutritional risk(Nutritional Risk Screening 2002 score≥3)were enrolled to obtain the complete GLIM,PG-SGA,and mPG-SGA *** evaluate the convergent validity,Spearman correlation analysis was used to compare the test-retest reliability of the GLIM criteria and its results with the scores of various nutritional tools and objective ***-Wallis tests and χ2 tests were used to test the discriminant validity among groups with different nutritional *** calculated the sensitivity,specificity,positive predictive value,and negative predictive value for the various tools. Results:There were 562 patients found to be at nutritional risk,accounting for 28.1%of all *** hundred seventy-four patients(8.7%)were diagnosed as moderately malnourished,and 333 patients(16.6%)were severely malnourished based on the *** assessed using the GLIM criteria,185 patients(9.3%)were diagnosed as moderately malnourished and 311 patients(15.5%)were severely *** content validity of the GLIM criteria was 95%,evaluated by 60 medical staff *** test-retest reliability was *** the diagnosis of malnutrition versus the PG-SGA,the sensitivity of the GLIM was"good"(90.5%;95%confidence interval[95%CI]=88.0%-93.1%),with a positive predictive value of 92.5%(95%CI=90.2%-94.9%),but the spec-ificity and negative predictive value were"poor."Similar results were obtained when the mPG-SGA was used as the criterion. Conclusions:Overall,this cross-sectional study suggests that t

关键词： global Leadership Initiative on Malnutrition patient-generated subjective global assessment Nutrition diagnosis Malnutrition Cancer

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Relationship of the preoperative NRS 2002 score,PG-SGA score,and serum indices with postoperative complications in patients with gastric cancer

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Journal of Nutritional Oncology 2021年第2期6卷 74-80页

作者： Dao Lai Huang Xiang Hua Wu Chang Li Wang Jun Qiang Chen Kui Jia Jing Zhou Li Sheng Lu Yong Sheng Zhang Jing Jin Ke Ke Huang Division of Gastrointestinal Gland Surgery The First Affiliated Hospital of Guangxi Medical UniversityNanning 530021GuangxiChina Division of Nutrition The First Affiliated Hospital of Guangxi Medical UniversityNanning 530021GuangxiChina

Objective To examine the utility of the Nutrition Risk Screening 2002(NRS 2002),patient-generated subjective global assessment(PG-SGA)and serum factors for the preoperative evaluation of gastric cancer *** We examined 181 gastric cancer patients treated at the First Affiliated Hospital of Guangxi Medical University from January 2015 to January *** assessments were administered within 48 h of *** body mass index(BMI)and serum factors were measured,and information on preoperative nutritional support and postoperative complications was *** Both the NRS 2002 and PG-SGA had positive correlations with age(Ppatients received nutritional support,mainly enteral *** nutritional risk group(NRS 2002≥3)received more support than the group without nutritional risk(NRS 2002patients with nutritional risk or malnutrition who received preoperative nutritional support had fewer postoperative complications than unsupported *** overall rate of complications was 12.2%,and the rate of severe complications(gradeⅢor above)was 5.5%.The malnutrition and nutritional risk groups had higher rates of severe *** The combined application of the NRS 2002,PG-SGA,BMI,and serum nutritional indices was useful for the nutritional screening and assessment of preoperative gastric cancer *** NRS 2002 and PG-SGA provided guidance on the need for nutritional support during the preoperative period.

关键词： Nutritional risk screening 2002 patient-generated subjective global assessment Gastric cancer Serum biochemical indices Clavien-Dindo classification

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Malnutrition as a predictor of prolonged length of hospital stay in patients with gynecologic malignancy: A comparative analysis

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Oncology and Translational Medicine 2021年第6期7卷 279-285页

作者： Yongning Chen Runrong Li Li Zheng Wenlian Liu Yadi Zhang Shipeng Gong Department of Gynecology The First Affiliated Hospital of Jinan UniversityGuangzhou 510630China Department of Obstetrics and Gynecology Nanfang HospitalSouthern Medical UniversityGuangzhou 510515China

Objective To explore the consistency of the patient-generated subjective global assessment(PG-SGA)and Nutritional Risk Screening-2002(NRS-2002)for nutritional evaluation of patients with gynecologic malignancy and their predictive effect on the length of hospital stay(LOS).Methods We recruited 147 hospitalized patients with gynecologic malignancy from Nanfang Hospital in *** nutritional status was assessed using the PG-SGA and *** consistency between the two assessments was compared via the Kappa *** relationship between malnutrition and LOS was analyzed using crosstabs and Spearman’s *** The PG-SGA demonstrated that 66.7%and 54.4%of patients scoring≥2 and≥4 were malnourished,***,the NRS-2002 indicated that 55.8%of patients were at nutritional *** with ovarian cancer had a relatively high incidence of ***,this was only significant for patients who scored≥4 in the PG-SGA(P=0.001 and P=0.019 for endometrial carcinoma and cervical cancer,respectively).The PG-SGA and NRS-2002 showed good consistency in evaluating the nutritional status of patients with gynecologic malignancy(0.689,0.643 for PG-SGA score≥2,score≥4 and NRS-2002,respectively).Both the scores of PG-SGA and NRS-2002 were positively correlated with ***,prolonged LOS was higher in patients with malnutrition than in those with adequate *** The PG-SGA and NRS-2002 shared a good consistency in evaluating the nutritional status of patients with gynecologic *** assessments could be used as predictors of LOS.

关键词： malnutrition patient-generated subjective global assessment nutritional risk screening-2002 length of hospital stay gynecologic malignancy

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