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

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 conference › Poster › Research › peer-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 language	English
Publication status	Published - 12 Aug 2019
Event	Dietitians Association of Australia 36th National Conference: More than meets the eye - The Gold Coast Convention and Exhibition Centre, Gold Coast, Australia Duration: 12 Aug 2019 → 14 Aug 2019 Conference number: 36th https://daa2019.com.au https://daa2019.com.au/

Conference

Conference	Dietitians Association of Australia 36th National Conference
Abbreviated title	DAA2019
Country	Australia
City	Gold Coast
Period	12/08/19 → 14/08/19
Internet address	https://daa2019.com.au https://daa2019.com.au/

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Poster - PG-SGA SF is a suitable screening tool for identifying the risk of malnutrition in outpatients with cancerAccepted author manuscript, 1.29 MBLicence: CC BY-NC-ND
Abstract - PG-SGA SF is a suitable screening tool for identifying the risk of malnutrition in outpatients with cancer Accepted author manuscript, 101 KBLicence: CC BY-NC-ND

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Projects

4 Active

Ageing Nutrition: Research Across the Care Continuum

Marshall, S., Isenring, E., Hugo, C., Agarwal, E., Teleni, L., Reidlinger, D., Campbell, K. & Van der Meij, B.

1/01/14 → …

Project: Research

Oncology Nutrition Research

Isenring, E., Marshall, S., Van der Meij, B., Teleni, L. & Crichton, M.

1/01/14 → …

Project: Research

Research by Master of Nutrition and Dietetic Practice Students

Isenring, E., Marshall, S., Reidlinger, D., Kelly, J., Cox, G., Van der Meij, B., MacKenzie-Shalders, K., Mayr, H., Dahl, C., Crichton, M., O'Bryan, K. R., Norris, R., Warner, M., Davidson, A., Naranjo, A., Mahoney, S., Eberhardt, F., Dalwood, P., Lopez, E., Hofto, S., Innerarity, C. & So, D.

1/01/14 → 31/12/27

Project: Research

Activities

1 Non-HDR Student Supervision

Gahee Lee - Masters of Nutrition and Dietetic Practice research project

Gahee Lee (Student ), Lynette de Groot (Supervisor), Antoinette Ackerie (Supervisor), Barbara Van der Meij (Supervisor)

1 Sep 2018 → 30 Apr 2019

Activity: Professional Development, Mentorship, Supervision and Other Activities › Non-HDR Student Supervision

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.

@conference{3cc97e4030bc48d986e74b166a361e92,

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

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.",

author = "Gahee Lee and {de Groot}, Lynette and Antoinette Ackerie and {Van der Meij}, {Barbara S}",

year = "2019",

month = "8",

day = "12",

language = "English",

note = "Dietitians Association of Australia 36th National Conference : More than meets the eye, DAA2019 ; Conference date: 12-08-2019 Through 14-08-2019",

url = "https://daa2019.com.au, https://daa2019.com.au/",

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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 conference › Poster › Research › peer-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 -