This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Thoresen, L. Articles by Falkmer, U. G. Search for Related Content PubMed PubMed Citation Articles by Thoresen, L. Articles by Falkmer, U. G. Social Bookmarking                         What's this?

Nutritional status of patients with advanced cancer: the value of using the subjective global assessment of nutritional status as a screening tool

Irene Fjeldstad

Knut Krogstad

Palliative Medicine Unit, Oncology Clinic, University Hospital, Trondheim

Stein Kaasa

Palliative Medicine Unit, Oncology Clinic, University Hospital, Trondheim, Unit of Applied Clinical Research, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim

Ursula G. Falkmer

Cancer Clinic, University Hospital, Trondheim and Faculty of Medicine, Norwegian University of Science and Technology, Trondheim

In patients suffering from advanced neoplastic disease, malnutrition is a common complication affecting both the survival and quality of life. In order to monitor early dietary interventions, an assessment of patients' nutritional status is essential. We assessed the nutritional status of 46 patients using two different methods: 1) an objective method of nutritional assessment and 2) the subjective global assessment (SGA) technique. It was found that 28 patients were characterized as malnourished by means of the objective method and 30 patients according to the SGA. The correlation of the results of the assessments between the two methods was high and a validation test of the SGA gave a sensitivity of 96% and specificity of 83%. The most frequent symptoms affecting food intake were anorexia, early satiety, dry mouth, pain and nausea. The results show that the SGA represents an easy method for assessment of the nutritional status in such cancer patients and that it can therefore be used as a screening tool. The high incidence of malnutrition in this group of patients, and their rare use of nutrient supplements, both indicate the importance of early nutritional assessment, and nutritional intervention when appropriate.

Key Words: advanced neoplastic disease • anorexia • food intake • malnutrition • nutritional status • subjective global assessment

Palliative Medicine, Vol. 16, No. 1, 33-42 (2002)
DOI: 10.1191/0269216302pm486oa


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?