دورية أكاديمية
أعرض في EDS

Predictive validity of GLIM malnutrition diagnosis in patients with colorectal cancer.

التفاصيل البيبلوغرافية
العنوان: Predictive validity of GLIM malnutrition diagnosis in patients with colorectal cancer.
المؤلفون: da Silva Couto A; Nutrition and Dietetic Service, Cancer Hospital Unit I, National Cancer Institute José Alencar Gomes da Silva, Rio de Janeiro, Brazil., Gonzalez MC; Postgraduate Program in Health and Behavior, Catholic University of Pelotas, Pelotas, Brazil., Martucci RB; Nutrition and Dietetic Service, Cancer Hospital Unit I, National Cancer Institute José Alencar Gomes da Silva, Rio de Janeiro, Brazil.; Department of Applied Nutrition, Nutrition Institute, Rio de Janeiro State University, Rio de Janeiro, Brazil., Feijó PM; Nutrition and Dietetic Service, Cancer Hospital Unit I, National Cancer Institute José Alencar Gomes da Silva, Rio de Janeiro, Brazil.; Postgraduate Program in Food, Nutrition, and Health, Rio de Janeiro State University, Rio de Janeiro, Brazil., Rodrigues VD; Nutrition and Dietetic Service, Cancer Hospital Unit I, National Cancer Institute José Alencar Gomes da Silva, Rio de Janeiro, Brazil.; Postgraduate Program in Medical Science, Rio de Janeiro State University, Rio de Janeiro, Brazil., de Pinho NB; Brazilian Society of Oncology Nutrition, Rio de Janeiro, Brazil., Souza NC; Nutrition and Dietetic Service, Cancer Hospital Unit I, National Cancer Institute José Alencar Gomes da Silva, Rio de Janeiro, Brazil.
المصدر: JPEN. Journal of parenteral and enteral nutrition [JPEN J Parenter Enteral Nutr] 2023 Mar; Vol. 47 (3), pp. 420-428. Date of Electronic Publication: 2023 Feb 07.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wiley Country of Publication: United States NLM ID: 7804134 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1941-2444 (Electronic) Linking ISSN: 01486071 NLM ISO Abbreviation: JPEN J Parenter Enteral Nutr Subsets: MEDLINE
أسماء مطبوعة: Publication: 2018- : [Hoboken, NJ] : Wiley
Original Publication: Thorofare, N. J., Slack.
مواضيع طبية MeSH: Malnutrition* , Colorectal Neoplasms*, Male ; Humans ; Middle Aged ; Aged ; Female ; Leadership ; Body Mass Index ; Cost of Illness ; Nutrition Assessment ; Nutritional Status
مستخلص: Background: Considering that the validation of the Global Leadership Initiative on Malnutrition (GLIM) remains unclear in patients with colorectal cancer, the present study aimed to assess the agreement, accuracy, sensitivity, specificity, and prognostic effect of the GLIM on survival when compared with the Patient-Generated Subjective Global Assessment (PG-SGA).
Methods: Patients with colorectal cancer who were scheduled to undergo a routine abdominal computed tomography (CT) scan were recruited. Using the GLIM two-step approach, the patients were first screened for malnutrition by using the PG-SGA Short Form (score ≥3). The malnutrition diagnosis was based on the etiologic (disease burden [cancer] or reduced food intake) and phenotypic GLIM criteria, including weight loss, body mass index, and skeletal muscle index at the third lumbar vertebra when using the CT scans. The food intake was assessed by the PG-SGA.
Results: This study included 191 patients (age, 60.5 ± 11.3 years; 57% men), and 23% and 32% were malnourished according to the GLIM and the PG-SGA, respectively. The GLIM revealed fair sensitivity (64%), good agreement (kappa = 0.65), specificity (96%), and diagnostic accuracy for detecting malnutrition (area under the receiver operating characteristic curve = 0.80; 95% CI, 0.72-0.88) when compared with the PG-SGA. The malnutrition value according to the GLIM and the PG-SGA was associated with short-term survival. However, only the PG-SGA was associated with long-term survival.
Conclusions: Although showing fair sensitivity, the GLIM had good agreement, specificity, and diagnostic accuracy for malnutrition detection and was an independent predictor of short-term survival in patients with colorectal cancer.
(© 2023 American Society for Parenteral and Enteral Nutrition.)
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فهرسة مساهمة: Keywords: GLIM; PG-SGA; colorectal cancer; malnutrition; nutrition assessment; nutrition status; prognosis; survival
تواريخ الأحداث: Date Created: 20230116 Date Completed: 20230303 Latest Revision: 20230331
رمز التحديث: 20240628
DOI: 10.1002/jpen.2475
PMID: 36645343
قاعدة البيانات: MEDLINE
الوصف
تدمد:1941-2444
DOI:10.1002/jpen.2475