Validity of the PG-SGA and PG-SGA SF Against GLIM Criteria to Identify Malnutrition in Cancer Outpatients

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

Research output: Contribution to journalMeeting AbstractResearchpeer-review

Abstract

Rationale: In cancer centres, a valid malnutrition assessment tool is important for early identification and nutrition intervention. The aim of this study was to identify malnutrition prevalence in cancer outpatients and test the validity of the Patient-Generated Subjective Global Assessment (PG-SGA) and Short Form (PG-SGA SF) against the criteria by the Global Leadership Initiative on Malnutrition (GLIM). Methods: In a 2-week cross-sectional study in adult cancer outpatients receiving intravenous treatment, we assessed: 1) PG-SGA SF (cut off score >6); and 2) PG-SGA against GLIM criteria (6-month weight loss>5%, BMI<age-specific reference, handgrip strength <25th percentile of age- and gender specific normative values-1). Sensitivity of >80% and specificity of >60% were deemed acceptable. Results: Out of 275 outpatients, 246 consented to participate in the study (74.0% females, age 61.9+13.1). The prevalence of moderate or severe malnutrition was 21.5% via PG-SGA and 20% via GLIM+handgrip strength. Compared to GLIM+handgrip strength, the 1) PG-SGA SF had a sensitivity of 68.8%, specificity of 82.5% and kappa=0.15; and 2) PG-SGA had a sensitivity of 44.9%, specificity of 89.3% and kappa=0.37. Conclusions: Approximately 1 in 5 outpatients with cancer were malnourished. PG-SGA and PG-SGA SF were not sensitive or specific enough to identify malnutrition and had low agreement with GLIM. References: 1 Dodds RM et al. Grip strength across the life course: normative data from twelve British studies. PLoS One. 2014 Dec 4;9(12):e113637. doi: 10.1371/journal.pone.0113637. eCollection 2014. PubMed PMID: 25474696; PubMed Central PMCID: PMC4256164. Disclosure of Interest: None Declared Keywords: Cancer outpatients, Malnutrition diagnosis
Original languageEnglish
Article numberSUN-PO196
Pages (from-to)S132
JournalClinical Nutrition
Volume38
Issue numberSuppl 1
Early online date14 Aug 2019
DOIs
Publication statusPublished - Sep 2019
Event41st ESPEN Congress on Clinical Nutrition and Metabolism: Nutrition - A Highway to Health - Krakow, Poland
Duration: 31 Aug 20193 Sep 2019
https://espencongress.com/

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Malnutrition
Outpatients
Neoplasms
PubMed
Sensitivity and Specificity
Disclosure
Hand Strength
Weight Loss
Cross-Sectional Studies

Cite this

@article{3b535cb0e88f4f4ba40b099ed1e233ad,
title = "Validity of the PG-SGA and PG-SGA SF Against GLIM Criteria to Identify Malnutrition in Cancer Outpatients",
abstract = "Rationale: In cancer centres, a valid malnutrition assessment tool is important for early identification and nutrition intervention. The aim of this study was to identify malnutrition prevalence in cancer outpatients and test the validity of the Patient-Generated Subjective Global Assessment (PG-SGA) and Short Form (PG-SGA SF) against the criteria by the Global Leadership Initiative on Malnutrition (GLIM). Methods: In a 2-week cross-sectional study in adult cancer outpatients receiving intravenous treatment, we assessed: 1) PG-SGA SF (cut off score >6); and 2) PG-SGA against GLIM criteria (6-month weight loss>5{\%}, BMI80{\%} and specificity of >60{\%} were deemed acceptable. Results: Out of 275 outpatients, 246 consented to participate in the study (74.0{\%} females, age 61.9+13.1). The prevalence of moderate or severe malnutrition was 21.5{\%} via PG-SGA and 20{\%} via GLIM+handgrip strength. Compared to GLIM+handgrip strength, the 1) PG-SGA SF had a sensitivity of 68.8{\%}, specificity of 82.5{\%} and kappa=0.15; and 2) PG-SGA had a sensitivity of 44.9{\%}, specificity of 89.3{\%} and kappa=0.37. Conclusions: Approximately 1 in 5 outpatients with cancer were malnourished. PG-SGA and PG-SGA SF were not sensitive or specific enough to identify malnutrition and had low agreement with GLIM. References: 1 Dodds RM et al. Grip strength across the life course: normative data from twelve British studies. PLoS One. 2014 Dec 4;9(12):e113637. doi: 10.1371/journal.pone.0113637. eCollection 2014. PubMed PMID: 25474696; PubMed Central PMCID: PMC4256164. Disclosure of Interest: None Declared Keywords: Cancer outpatients, Malnutrition diagnosis",
author = "{Van der Meij}, {Barbara S} and {de Groot}, Lynette and Antoinette Ackerie",
year = "2019",
month = "9",
doi = "10.1016/S0261-5614(19)32828-6",
language = "English",
volume = "38",
pages = "S132",
journal = "Clinical Nutrition",
issn = "0261-5614",
publisher = "Churchill Livingstone",
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}

Validity of the PG-SGA and PG-SGA SF Against GLIM Criteria to Identify Malnutrition in Cancer Outpatients. / Van der Meij, Barbara S; de Groot, Lynette; Ackerie, Antoinette.

In: Clinical Nutrition, Vol. 38, No. Suppl 1, SUN-PO196, 09.2019, p. S132.

Research output: Contribution to journalMeeting AbstractResearchpeer-review

TY - JOUR

T1 - Validity of the PG-SGA and PG-SGA SF Against GLIM Criteria to Identify Malnutrition in Cancer Outpatients

AU - Van der Meij, Barbara S

AU - de Groot, Lynette

AU - Ackerie, Antoinette

PY - 2019/9

Y1 - 2019/9

N2 - Rationale: In cancer centres, a valid malnutrition assessment tool is important for early identification and nutrition intervention. The aim of this study was to identify malnutrition prevalence in cancer outpatients and test the validity of the Patient-Generated Subjective Global Assessment (PG-SGA) and Short Form (PG-SGA SF) against the criteria by the Global Leadership Initiative on Malnutrition (GLIM). Methods: In a 2-week cross-sectional study in adult cancer outpatients receiving intravenous treatment, we assessed: 1) PG-SGA SF (cut off score >6); and 2) PG-SGA against GLIM criteria (6-month weight loss>5%, BMI80% and specificity of >60% were deemed acceptable. Results: Out of 275 outpatients, 246 consented to participate in the study (74.0% females, age 61.9+13.1). The prevalence of moderate or severe malnutrition was 21.5% via PG-SGA and 20% via GLIM+handgrip strength. Compared to GLIM+handgrip strength, the 1) PG-SGA SF had a sensitivity of 68.8%, specificity of 82.5% and kappa=0.15; and 2) PG-SGA had a sensitivity of 44.9%, specificity of 89.3% and kappa=0.37. Conclusions: Approximately 1 in 5 outpatients with cancer were malnourished. PG-SGA and PG-SGA SF were not sensitive or specific enough to identify malnutrition and had low agreement with GLIM. References: 1 Dodds RM et al. Grip strength across the life course: normative data from twelve British studies. PLoS One. 2014 Dec 4;9(12):e113637. doi: 10.1371/journal.pone.0113637. eCollection 2014. PubMed PMID: 25474696; PubMed Central PMCID: PMC4256164. Disclosure of Interest: None Declared Keywords: Cancer outpatients, Malnutrition diagnosis

AB - Rationale: In cancer centres, a valid malnutrition assessment tool is important for early identification and nutrition intervention. The aim of this study was to identify malnutrition prevalence in cancer outpatients and test the validity of the Patient-Generated Subjective Global Assessment (PG-SGA) and Short Form (PG-SGA SF) against the criteria by the Global Leadership Initiative on Malnutrition (GLIM). Methods: In a 2-week cross-sectional study in adult cancer outpatients receiving intravenous treatment, we assessed: 1) PG-SGA SF (cut off score >6); and 2) PG-SGA against GLIM criteria (6-month weight loss>5%, BMI80% and specificity of >60% were deemed acceptable. Results: Out of 275 outpatients, 246 consented to participate in the study (74.0% females, age 61.9+13.1). The prevalence of moderate or severe malnutrition was 21.5% via PG-SGA and 20% via GLIM+handgrip strength. Compared to GLIM+handgrip strength, the 1) PG-SGA SF had a sensitivity of 68.8%, specificity of 82.5% and kappa=0.15; and 2) PG-SGA had a sensitivity of 44.9%, specificity of 89.3% and kappa=0.37. Conclusions: Approximately 1 in 5 outpatients with cancer were malnourished. PG-SGA and PG-SGA SF were not sensitive or specific enough to identify malnutrition and had low agreement with GLIM. References: 1 Dodds RM et al. Grip strength across the life course: normative data from twelve British studies. PLoS One. 2014 Dec 4;9(12):e113637. doi: 10.1371/journal.pone.0113637. eCollection 2014. PubMed PMID: 25474696; PubMed Central PMCID: PMC4256164. Disclosure of Interest: None Declared Keywords: Cancer outpatients, Malnutrition diagnosis

U2 - 10.1016/S0261-5614(19)32828-6

DO - 10.1016/S0261-5614(19)32828-6

M3 - Meeting Abstract

VL - 38

SP - S132

JO - Clinical Nutrition

JF - Clinical Nutrition

SN - 0261-5614

IS - Suppl 1

M1 - SUN-PO196

ER -