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/Territory	Australia
City	Gold Coast
Period	12/08/19 → 14/08/19
Internet address	https://daa2019.com.au https://daa2019.com.au/

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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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

Ageing Nutrition: Research Across the Care Continuum
Marshall, S. (Project Lead), Isenring, E. (Professor), Hugo, C. (HDR Student), Agarwal, E. (Assistant Professor), Teleni, L. (HDR Student), Reidlinger, D. (Associate Professor), Campbell, K. (Associate Professor), Van der Meij, B. (Senior Research Fellow) & Tang, X. (Admin)
1/01/14 → …
Project: Research
Research by Master of Nutrition and Dietetic Practice Students
Isenring, E. (Supervisor), Marshall, S. (Supervisor), Reidlinger, D. (Project Lead), Kelly, J. (Supervisor), Cox, G. (Supervisor), Van der Meij, B. (Supervisor), MacKenzie-Shalders, K. (Supervisor), Mayr, H. (Supervisor), Utter, J. (Associate Professor), Dahl, C. (Masters by Coursework Student), Crichton, M. (Masters by Coursework Student), O'Bryan, K. R. (Masters by Coursework Student), Norris, R. (Masters by Coursework Student), Fahey, M. (Masters by Coursework Student), Davidson, A. (Masters by Coursework Student), Naranjo, A. (Masters by Coursework Student), Mahoney, S. (Masters by Coursework Student), Eberhardt, F. (Masters by Coursework Student), Dalwood, P. (Masters by Coursework Student), Lopez, E. (Masters by Coursework Student), Hofto, S. (Masters by Coursework Student), Innerarity, C. (Masters by Coursework Student), So, D. (Masters by Coursework Student), McIntosh, A. (Masters by Coursework Student), Gadd, N. (Masters by Coursework Student), Chan, H. C. (Masters by Coursework Student), Lan, X. (Masters by Coursework Student), Fei, X. (Masters by Coursework Student), Kostjasyn, S. (Masters by Coursework Student), Adhyaru, P. (Masters by Coursework Student), Giang, J. (Masters by Coursework Student), Leung, E. L. Y. (Masters by Coursework Student), Strike, K. (Project Roles), Pearcy, J. (Masters by Coursework Student), Somani, A. (Masters by Coursework Student), Wright, C. (Masters by Coursework Student), Matthews, C. (Masters by Coursework Student), Lee, G. (Masters by Coursework Student), Tang, X. (Associate Investigator) & Eso, A. (Associate Investigator)
1/01/14 → 31/12/27
Project: Research
Oncology Nutrition Research
Isenring, E. (Project Lead), Marshall, S. (Senior Research Fellow), Van der Meij, B. (Senior Research Fellow), Rigby, R. (Associate Investigator), Teleni, L. (HDR Student), Crichton, M. (HDR Student) & Tang, X. (Admin)
1/01/14 → …
Project: Research

Gahee Lee - Masters of Nutrition and Dietetic Practice research project
Lee, G. (Student ), de Groot, L. (Supervisor), Ackerie, A. (Supervisor) & Van der Meij, B. (Supervisor)
1 Sept 2018 → 30 Apr 2019
Activity: Professional Development, Mentorship, Supervision and Other Activities › Non-HDR Student Supervision

Cite this

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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 {\textquoteleft}Fair{\textquoteright}(k=0.3). PG-SGA SF had a relatively low sensitivity and specificity as compared to the GLIM, 42% and 53% respectively, and a {\textquoteleft}Poor{\textquoteright} 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 = aug,

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/",

}

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

N1 - Conference code: 36th

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

T2 - Dietitians Association of Australia 36th National Conference

Y2 - 12 August 2019 through 14 August 2019

ER -

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

Abstract

Conference

UN SDGs

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Related Projects

Ageing Nutrition: Research Across the Care Continuum

Research by Master of Nutrition and Dietetic Practice Students

Oncology Nutrition Research

Related Activities

Gahee Lee - Masters of Nutrition and Dietetic Practice research project

Cite this