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Two Distinct Nutritional Assessment Tools Have Dissimilar Outcomes in a Sample of Older Adult Patients With Cancer Cover

Two Distinct Nutritional Assessment Tools Have Dissimilar Outcomes in a Sample of Older Adult Patients With Cancer

Open Access
|Oct 2022

Figures & Tables

Figure 1

Main diagnosis and comorbidity of the investigated study population.Abbreviations: GI tract: gastrointestinal tract; DM: diabetes mellitus; CKD: chronic kidney disease.
Main diagnosis and comorbidity of the investigated study population.Abbreviations: GI tract: gastrointestinal tract; DM: diabetes mellitus; CKD: chronic kidney disease.

Figure 2

Comparison of the nutritional assessment outcomes between the PG-SGA and MNA tools in the population investigated.Abbreviations: PG-SGA, Patient-Generated Subjective Global Assessment; MNA, Mini Nutritional Assessment.*Chi-squared for the difference between the proportions, p = 0.000.
Comparison of the nutritional assessment outcomes between the PG-SGA and MNA tools in the population investigated.Abbreviations: PG-SGA, Patient-Generated Subjective Global Assessment; MNA, Mini Nutritional Assessment.*Chi-squared for the difference between the proportions, p = 0.000.

Figure 3

Receiver operating characteristic curve (ROC) for the MNA total score employing PG-SGA as reference. Sensibility, specificity, positive and negative predictive values of the MNA, in relation to PG-SGA.
Receiver operating characteristic curve (ROC) for the MNA total score employing PG-SGA as reference. Sensibility, specificity, positive and negative predictive values of the MNA, in relation to PG-SGA.

Figure 1:

Main diagnosis and comorbidity of the investigated study population.Abbreviations: GI tract: gastrointestinal tract; DM: diabetes mellitus; CKD: chronic kidney disease.
Main diagnosis and comorbidity of the investigated study population.Abbreviations: GI tract: gastrointestinal tract; DM: diabetes mellitus; CKD: chronic kidney disease.

Figure 2:

Comparison of the nutritional assessment outcomes between the PG-SGA and MNA tools in the population investigated.Abbreviations: PG-SGA, Patient-Generated Subjective Global Assessment; MNA, Mini Nutritional Assessment.*Chi-squared for the difference between the proportions, p = 0.000.
Comparison of the nutritional assessment outcomes between the PG-SGA and MNA tools in the population investigated.Abbreviations: PG-SGA, Patient-Generated Subjective Global Assessment; MNA, Mini Nutritional Assessment.*Chi-squared for the difference between the proportions, p = 0.000.

Figure 3:

Receiver operating characteristic curve (ROC) for the MNA total score employing PG-SGA as reference. Sensibility, specificity, positive and negative predictive values of the MNA, in relation to PG-SGA.
Receiver operating characteristic curve (ROC) for the MNA total score employing PG-SGA as reference. Sensibility, specificity, positive and negative predictive values of the MNA, in relation to PG-SGA.

Concurrence analysis for the categories ‘Well nourished’, ‘At risk or moderately malnourished’, and ‘Severely malnourished’ using the PG-SGA and MNA tools in the population investigated_

MNA

PG-SGAWell nourished N (%)At risk or moderately malnourished N (%)Severely malnourished N (%)TotalKappa(K)*p-value
Well nourished217 (80.4%)51 (18.9%)2 (0.7%)270 (62.5%)0.4530.000
At risk or moderately malnourished43 (33.3%)81 (62.8%)5 (3.9%)129 (29.9%)
Severely malnourished4 (12.1%)16 (48.5%)13 (39.4%)33 (7.6%)
Total264 (61.1%)148 (34.3%)20 (4.6%)432

Poisson regression analysis and multiple predictors of nutritional status, as defined by the PG-SGA, calculated for the population investigated_

Covariable (symptom or manifestation)PRcrude (95% CI)p-valuePRAdjusted* (95% CI)p-value
Dry mouth1.63 (1.08 – 2.47)0.020--
Taste changes2.52 (1.59 – 3.98)0.000--
Dysphagia2.55 (1.68 – 3.88)0.000--
Early satiety1.81 (1.22 – 2.70)0.0031.54 (1.01 – 2.35)0.043
Anorexia3.26 (2.38 – 4.47)0.0002.00 (1.40 – 2.87)0.000
Nausea2.65 (1.67 – 4.19)0.000--
Vomiting2.22 (1.24 – 4.00)0.008--
Constipation1.72 (1.14 – 2.60)0.100--
Diarrhea2.03 (0.90 – 4.60)0.088--
Dysgeusia2.29 (1.43 – 3.65)0.001--
Pain2.21 (1.56 – 3.14)0.000--
Muscle reserve deficit4.98 (3.43 – 7.21)0.0004.00 (2.70 – 5.92)0.000
Fat reserve deficit3.75 (2.67 – 5.24)0.000--
Cancer present in the GI Tract1.73 (1.20 – 2.50)0.003
DOI: https://doi.org/10.2478/fco-2021-0016 | Journal eISSN: 1792-362X | Journal ISSN: 1792-345X
Language: English
Page range: 30 - 37
Submitted on: May 17, 2022
Accepted on: Jun 23, 2022
Published on: Oct 30, 2022
Published by: Helenic Society of Medical Oncology
In partnership with: Paradigm Publishing Services
Publication frequency: 2 times per year

© 2022 Tatiane Correia Rios, Ramona Souza da Silva Baqueiro Boulhosa, Maria Lúcia Varjão da Costa, Betina da Silva Sassaki, Allain Amador Bueno, Rosangela Passo de Jesus, Lucivalda Pereira Magalhães de Oliveira, published by Helenic Society of Medical Oncology
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.