Scored patient-generated subjective global assessment, albumin and transferrin for nutritional assessment of gastrostomy fed head or neck cancer patients
Introduction: Gastrostomy fed head or neck cancer patients frequently have impaired speech capacities. Enteral feeding teams frequently depend on laboratorial or anthropometrical parameters for nutritional assessment. Aims: In these patients, this study aimed to evaluate: (1) the practicability of S...
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| Format: | Article |
| Language: | English |
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Arán Ediciones, S. L.
2014-02-01
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| Series: | Nutrición Hospitalaria |
| Subjects: | |
| Online Access: | http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0212-16112014000200026&lng=en&tlng=en |
| _version_ | 1818370539842961408 |
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| author | Marta Alexandra Correira Pereira Carla Adriana Santos José Almeida Brito Jorge Fonseca |
| author_facet | Marta Alexandra Correira Pereira Carla Adriana Santos José Almeida Brito Jorge Fonseca |
| author_sort | Marta Alexandra Correira Pereira |
| collection | DOAJ |
| description | Introduction: Gastrostomy fed head or neck cancer patients frequently have impaired speech capacities. Enteral feeding teams frequently depend on laboratorial or anthropometrical parameters for nutritional assessment. Aims: In these patients, this study aimed to evaluate: (1) the practicability of Scored - Patient-Generated Subjective Global Assessment (PG-SGA); (2) their nutritional status using the Scored-PG-SGA; (3) association of serum albumin and transferrin values to the nutritional status rating using PG-SGA. Methods: On adult outpatients with head or neck cancer under prolonged (> 1 month) gastrostomy feeding, Scored-PG-SGA, albumin and transferrin were evaluated during the same appointment. Results: Scored-PG-SGA was easily feasible in 42 patients, even in patients with speech difficulties. Twenty-five patients were moderately/severely undernourished (PG-SGA/B+C). Scored-PG-SGA rated 41 patients as ≥ 2, thus needing nutritional/pharmacologic intervention. Albumin was low in 13 patients. Transferrin was low in 19 patients. Average albumin and transferrin in moderately/severely undernourished patients (PG-SGA/B+C) was significantly lower than in well-nourished (PG-SGA/A). There was association between Scored-PG-SGA rating, albumin and transferrin. Conclusions: In PEG fed head or neck cancer patients, PG-SGA was practicable and useful, even in patients with impaired speaking skills. Most patients displayed moderate/severe malnutrition (PG-SGA/B+C). Scored-PG-SGA rated 41 patients as needing for nutritional/pharmacological intervention. Scored-PG-SGA should be systematically included in the evaluation of these patients. In these patients, albumin and transferrin levels showed relation with Scored-PG-SGA and should be considered as nutritional biomarkers. |
| first_indexed | 2024-12-13T23:41:21Z |
| format | Article |
| id | doaj.art-e86c6fdca05b41c587611aa8c958da78 |
| institution | Directory Open Access Journal |
| issn | 0212-1611 |
| language | English |
| last_indexed | 2024-12-13T23:41:21Z |
| publishDate | 2014-02-01 |
| publisher | Arán Ediciones, S. L. |
| record_format | Article |
| series | Nutrición Hospitalaria |
| spelling | doaj.art-e86c6fdca05b41c587611aa8c958da782022-12-21T23:27:09ZengArán Ediciones, S. L.Nutrición Hospitalaria0212-16112014-02-0129242042610.3305/nh.2014.29.2.7066S0212-16112014000200026Scored patient-generated subjective global assessment, albumin and transferrin for nutritional assessment of gastrostomy fed head or neck cancer patientsMarta Alexandra Correira Pereira0Carla Adriana Santos1José Almeida Brito2Jorge Fonseca3Hospital García de OrtaHospital García de OrtaCentro de Investigação Interdisciplinar Egas Moniz (CiiEM)Hospital García de OrtaIntroduction: Gastrostomy fed head or neck cancer patients frequently have impaired speech capacities. Enteral feeding teams frequently depend on laboratorial or anthropometrical parameters for nutritional assessment. Aims: In these patients, this study aimed to evaluate: (1) the practicability of Scored - Patient-Generated Subjective Global Assessment (PG-SGA); (2) their nutritional status using the Scored-PG-SGA; (3) association of serum albumin and transferrin values to the nutritional status rating using PG-SGA. Methods: On adult outpatients with head or neck cancer under prolonged (> 1 month) gastrostomy feeding, Scored-PG-SGA, albumin and transferrin were evaluated during the same appointment. Results: Scored-PG-SGA was easily feasible in 42 patients, even in patients with speech difficulties. Twenty-five patients were moderately/severely undernourished (PG-SGA/B+C). Scored-PG-SGA rated 41 patients as ≥ 2, thus needing nutritional/pharmacologic intervention. Albumin was low in 13 patients. Transferrin was low in 19 patients. Average albumin and transferrin in moderately/severely undernourished patients (PG-SGA/B+C) was significantly lower than in well-nourished (PG-SGA/A). There was association between Scored-PG-SGA rating, albumin and transferrin. Conclusions: In PEG fed head or neck cancer patients, PG-SGA was practicable and useful, even in patients with impaired speaking skills. Most patients displayed moderate/severe malnutrition (PG-SGA/B+C). Scored-PG-SGA rated 41 patients as needing for nutritional/pharmacological intervention. Scored-PG-SGA should be systematically included in the evaluation of these patients. In these patients, albumin and transferrin levels showed relation with Scored-PG-SGA and should be considered as nutritional biomarkers.http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0212-16112014000200026&lng=en&tlng=enEvaluación nutricionalEGS-GPCáncer de cabeza o cuelloGastrostomía |
| spellingShingle | Marta Alexandra Correira Pereira Carla Adriana Santos José Almeida Brito Jorge Fonseca Scored patient-generated subjective global assessment, albumin and transferrin for nutritional assessment of gastrostomy fed head or neck cancer patients Nutrición Hospitalaria Evaluación nutricional EGS-GP Cáncer de cabeza o cuello Gastrostomía |
| title | Scored patient-generated subjective global assessment, albumin and transferrin for nutritional assessment of gastrostomy fed head or neck cancer patients |
| title_full | Scored patient-generated subjective global assessment, albumin and transferrin for nutritional assessment of gastrostomy fed head or neck cancer patients |
| title_fullStr | Scored patient-generated subjective global assessment, albumin and transferrin for nutritional assessment of gastrostomy fed head or neck cancer patients |
| title_full_unstemmed | Scored patient-generated subjective global assessment, albumin and transferrin for nutritional assessment of gastrostomy fed head or neck cancer patients |
| title_short | Scored patient-generated subjective global assessment, albumin and transferrin for nutritional assessment of gastrostomy fed head or neck cancer patients |
| title_sort | scored patient generated subjective global assessment albumin and transferrin for nutritional assessment of gastrostomy fed head or neck cancer patients |
| topic | Evaluación nutricional EGS-GP Cáncer de cabeza o cuello Gastrostomía |
| url | http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0212-16112014000200026&lng=en&tlng=en |
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