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Use of the scored Patient-Generated Subjective Global Assessment (PG-SGA) as a nutrition assessment tool in patients with cancer
Author(s): Bauer J, Capra S, Ferguson M
Source: EUROPEAN JOURNAL OF CLINICAL NUTRITION    Volume: 56    Issue: 8    Pages: 779-785    Published: AUG 2002  
Times Cited: 62     References: 24     
Abstract: Objective: To evaluate the use of the scored Patient-Generated Subjective Global Assessment (PG-SGA) as a nutrition assessment tool in patients with cancer.

Design: An observational study assessing the nutritional status of patients with cancer.

Setting: Oncology ward of a private tertiary Australian hospital. Subjects: Seventy-one cancer patients aged 18-92 y.

Intervention: Scored PG-SGA questionnaire, comparison of scored PG-SGA with subjective global assessment (SGA), sensitivity, specificity.

Results: Some 24% (17) of 71 patients were well nourished, 59% (42) of patients were moderately or suspected of being malnourished and 17% (12) of patients were severely malnourished according to subjective global assessment (SGA). The PG-SGA score had a sensitivity of 98% and a specificity of 82% at predicting SGA classification. There was a significant difference in the median PG-SGA scores for each of the SGA classifications (P < 0.001), with the severely malnourished patients having the highest scores. Re-admission within 30 days of discharge was significantly different between SGA groups (P = 0.037). The mortality rate within 30 days of discharge was not significantly different between SGA groups (P = 0.305). The median length of stay of well nourished patients (SGA A) was significantly lower than that of the malnourished (SGA B+C) patients (P = 0.024).

Conclusion: The scored PG-SGA is an easy to use nutrition assessment tool that allows quick identification and prioritisation of malnutrition in hospitalised patients with cancer.

Sponsors: The Wesley Research Institute.

Document Type: Article
Language: English
Reprint Address: Bauer, J (reprint author), Wesley Res Inst, POB 499, Toowong, Qld 4066 Australia
Addresses:
1. Wesley Res Inst, Brisbane, Qld Australia
2. Queensland Univ Technol, Ctr Publ Hlth Res, Brisbane, Qld Australia
3. Abbott Labs, Ross Prod Div, Columbus, OH USA
Publisher: NATURE PUBLISHING GROUP, MACMILLAN BUILDING, 4 CRINAN ST, LONDON N1 9XW, ENGLAND
Subject Category: Nutrition & Dietetics
IDS Number: 583QL
ISSN: 0954-3007
DOI: 10.1038/sj.ejcn.1601412
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