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

doi:10.1016/S0261-5614(19)32828-6

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 language	English
Article number	SUN-PO196
Pages (from-to)	S132
Journal	Clinical Nutrition
Volume	38
Issue number	Suppl 1
Early online date	14 Aug 2019
DOIs	https://doi.org/10.1016/S0261-5614(19)32828-6
Publication status	Published - Sept 2019
Event	41st ESPEN Congress on Clinical Nutrition and Metabolism: Nutrition - A Highway to Health - Krakow, Poland Duration: 31 Aug 2019 → 3 Sept 2019 https://espencongress.com/

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10.1016/S0261-5614(19)32828-6

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
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

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

@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 = sep,

doi = "10.1016/S0261-5614(19)32828-6",

language = "English",

volume = "38",

pages = "S132",

journal = "Clinical Nutrition",

issn = "0261-5614",

publisher = "Churchill Livingstone",

number = "Suppl 1",

note = "41st ESPEN Congress on Clinical Nutrition and Metabolism : Nutrition - A Highway to Health, ESPEN2019 ; Conference date: 31-08-2019 Through 03-09-2019",

url = "https://espencongress.com/",

}

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

SN - 0261-5614

VL - 38

SP - S132

JO - Clinical Nutrition

JF - Clinical Nutrition

IS - Suppl 1

M1 - SUN-PO196

T2 - 41st ESPEN Congress on Clinical Nutrition and Metabolism

Y2 - 31 August 2019 through 3 September 2019

ER -

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

Abstract

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Related Projects

Oncology Nutrition Research

Ageing Nutrition: Research Across the Care Continuum

Related Activities

Gahee Lee - Masters of Nutrition and Dietetic Practice research project

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