PG-SGA SF is a suitable screening tool for identifying the risk of malnutrition in outpatients with cancer

Gahee Lee, Lynette de Groot, Antoinette Ackerie, Barbara S Van der Meij

Research output: Contribution to conferencePosterResearchpeer-review

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Abstract

In cancer centres, a valid malnutrition screening tool is necessary to identify patients at risk of malnutrition and ensure early nutrition intervention. The aim of this study was to explore the prevalence of malnutrition in outpatients with cancer and to investigate the validity of the Patient-Generated Subjective Global Assessment Short Form (PG-SGA SF) as compared to 2 reference standards: the Patient-Generated Subjective Global Assessment (PG-SGA) and the newly developed criteria for malnutrition by the Global Leadership Initiative on Malnutrition (GLIM). A sensitivity of 80% and specificity of 60% were deemed acceptable for the PG-SGA SF. In 141 adult outpatients with cancer receiving IV day treatment, we assessed the PG-SGA SF and compared to PG-SGA and GLIM. According to the PG-SGA, 117 (83%) of 141 patients were identified as well-nourished (PG-SGA A),and 23 (16.3%) and 1 (0.7%) as moderately (PG-SGA B) and severely (PG-SGA C) malnourished. The PG-SGA SF had a sensitivity of 86% and specificity of 67% as compared to PG-SGA, and the agreement between these tools was ‘Fair’(k=0.3). PG-SGA SF had a relatively low sensitivity and specificity as compared to the GLIM, 42% and 53% respectively, and a ‘Poor’ agreement (k<0). In conclusion, approximately 1 out of 5 outpatients with cancer are malnourished. PG-SGA SF meets the professional standard and could be a suitable nutrition screening tool in outpatients with cancer. The GLIM criteria are different to PG-SGA ratings and further research is required to determine their value in oncology outpatients.
Original languageEnglish
Publication statusPublished - 12 Aug 2019
EventDietitians Association of Australia 36th National Conference: More than meets the eye - The Gold Coast Convention and Exhibition Centre, Gold Coast, Australia
Duration: 12 Aug 201914 Aug 2019
Conference number: 36th
https://daa2019.com.au
https://daa2019.com.au/

Conference

ConferenceDietitians Association of Australia 36th National Conference
Abbreviated titleDAA2019
CountryAustralia
CityGold Coast
Period12/08/1914/08/19
Internet address

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Malnutrition
Outpatients
Neoplasms
Sensitivity and Specificity

Cite this

Lee, G., de Groot, L., Ackerie, A., & Van der Meij, B. S. (2019). PG-SGA SF is a suitable screening tool for identifying the risk of malnutrition in outpatients with cancer. Poster session presented at Dietitians Association of Australia 36th National Conference, Gold Coast, Australia.
Lee, Gahee ; de Groot, Lynette ; Ackerie, Antoinette ; Van der Meij, Barbara S. / PG-SGA SF is a suitable screening tool for identifying the risk of malnutrition in outpatients with cancer. Poster session presented at Dietitians Association of Australia 36th National Conference, Gold Coast, Australia.
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abstract = "In cancer centres, a valid malnutrition screening tool is necessary to identify patients at risk of malnutrition and ensure early nutrition intervention. The aim of this study was to explore the prevalence of malnutrition in outpatients with cancer and to investigate the validity of the Patient-Generated Subjective Global Assessment Short Form (PG-SGA SF) as compared to 2 reference standards: the Patient-Generated Subjective Global Assessment (PG-SGA) and the newly developed criteria for malnutrition by the Global Leadership Initiative on Malnutrition (GLIM). A sensitivity of 80{\%} and specificity of 60{\%} were deemed acceptable for the PG-SGA SF. In 141 adult outpatients with cancer receiving IV day treatment, we assessed the PG-SGA SF and compared to PG-SGA and GLIM. According to the PG-SGA, 117 (83{\%}) of 141 patients were identified as well-nourished (PG-SGA A),and 23 (16.3{\%}) and 1 (0.7{\%}) as moderately (PG-SGA B) and severely (PG-SGA C) malnourished. The PG-SGA SF had a sensitivity of 86{\%} and specificity of 67{\%} as compared to PG-SGA, and the agreement between these tools was ‘Fair’(k=0.3). PG-SGA SF had a relatively low sensitivity and specificity as compared to the GLIM, 42{\%} and 53{\%} respectively, and a ‘Poor’ agreement (k<0). In conclusion, approximately 1 out of 5 outpatients with cancer are malnourished. PG-SGA SF meets the professional standard and could be a suitable nutrition screening tool in outpatients with cancer. The GLIM criteria are different to PG-SGA ratings and further research is required to determine their value in oncology outpatients.",
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Lee, G, de Groot, L, Ackerie, A & Van der Meij, BS 2019, 'PG-SGA SF is a suitable screening tool for identifying the risk of malnutrition in outpatients with cancer' Dietitians Association of Australia 36th National Conference, Gold Coast, Australia, 12/08/19 - 14/08/19, .

PG-SGA SF is a suitable screening tool for identifying the risk of malnutrition in outpatients with cancer. / Lee, Gahee; de Groot, Lynette; Ackerie, Antoinette; Van der Meij, Barbara S.

2019. Poster session presented at Dietitians Association of Australia 36th National Conference, Gold Coast, Australia.

Research output: Contribution to conferencePosterResearchpeer-review

TY - CONF

T1 - PG-SGA SF is a suitable screening tool for identifying the risk of malnutrition in outpatients with cancer

AU - Lee, Gahee

AU - de Groot, Lynette

AU - Ackerie, Antoinette

AU - Van der Meij, Barbara S

PY - 2019/8/12

Y1 - 2019/8/12

N2 - In cancer centres, a valid malnutrition screening tool is necessary to identify patients at risk of malnutrition and ensure early nutrition intervention. The aim of this study was to explore the prevalence of malnutrition in outpatients with cancer and to investigate the validity of the Patient-Generated Subjective Global Assessment Short Form (PG-SGA SF) as compared to 2 reference standards: the Patient-Generated Subjective Global Assessment (PG-SGA) and the newly developed criteria for malnutrition by the Global Leadership Initiative on Malnutrition (GLIM). A sensitivity of 80% and specificity of 60% were deemed acceptable for the PG-SGA SF. In 141 adult outpatients with cancer receiving IV day treatment, we assessed the PG-SGA SF and compared to PG-SGA and GLIM. According to the PG-SGA, 117 (83%) of 141 patients were identified as well-nourished (PG-SGA A),and 23 (16.3%) and 1 (0.7%) as moderately (PG-SGA B) and severely (PG-SGA C) malnourished. The PG-SGA SF had a sensitivity of 86% and specificity of 67% as compared to PG-SGA, and the agreement between these tools was ‘Fair’(k=0.3). PG-SGA SF had a relatively low sensitivity and specificity as compared to the GLIM, 42% and 53% respectively, and a ‘Poor’ agreement (k<0). In conclusion, approximately 1 out of 5 outpatients with cancer are malnourished. PG-SGA SF meets the professional standard and could be a suitable nutrition screening tool in outpatients with cancer. The GLIM criteria are different to PG-SGA ratings and further research is required to determine their value in oncology outpatients.

AB - In cancer centres, a valid malnutrition screening tool is necessary to identify patients at risk of malnutrition and ensure early nutrition intervention. The aim of this study was to explore the prevalence of malnutrition in outpatients with cancer and to investigate the validity of the Patient-Generated Subjective Global Assessment Short Form (PG-SGA SF) as compared to 2 reference standards: the Patient-Generated Subjective Global Assessment (PG-SGA) and the newly developed criteria for malnutrition by the Global Leadership Initiative on Malnutrition (GLIM). A sensitivity of 80% and specificity of 60% were deemed acceptable for the PG-SGA SF. In 141 adult outpatients with cancer receiving IV day treatment, we assessed the PG-SGA SF and compared to PG-SGA and GLIM. According to the PG-SGA, 117 (83%) of 141 patients were identified as well-nourished (PG-SGA A),and 23 (16.3%) and 1 (0.7%) as moderately (PG-SGA B) and severely (PG-SGA C) malnourished. The PG-SGA SF had a sensitivity of 86% and specificity of 67% as compared to PG-SGA, and the agreement between these tools was ‘Fair’(k=0.3). PG-SGA SF had a relatively low sensitivity and specificity as compared to the GLIM, 42% and 53% respectively, and a ‘Poor’ agreement (k<0). In conclusion, approximately 1 out of 5 outpatients with cancer are malnourished. PG-SGA SF meets the professional standard and could be a suitable nutrition screening tool in outpatients with cancer. The GLIM criteria are different to PG-SGA ratings and further research is required to determine their value in oncology outpatients.

M3 - Poster

ER -

Lee G, de Groot L, Ackerie A, Van der Meij BS. PG-SGA SF is a suitable screening tool for identifying the risk of malnutrition in outpatients with cancer. 2019. Poster session presented at Dietitians Association of Australia 36th National Conference, Gold Coast, Australia.