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Survey and analysis of the nutritional status in hospitalized patients with malignant gastric tumors and its influence on the quality of life.
- Source :
- Supportive Care in Cancer; Jan2020, Vol. 28 Issue 1, p373-380, 8p
- Publication Year :
- 2020
-
Abstract
- <bold>Background/objectives: </bold>The assessment of nutritional status and the quality of life in patients with gastric cancer has become one of the important goals of current clinical treatment. The purpose of this study was to assess the nutritional status in hospitalized gastric cancer patients by using patient-generated subjective global assessment (PG-SGA) and to analyze the influence of nutritional status on the patients' quality of life (QOL).<bold>Methods: </bold>We reviewed the pathological diagnosis of gastric cancer for 2322 hospitalized patients using PG-SGA to assess their nutritional status and collected data on clinical symptoms, the anthropometric parameters (height, weight, body mass index (BMI), mid-arm circumference (MAC), triceps skin-fold thickness (TSF), and hand-grip strength (HGS). We also collected laboratory data (prealbumin, albumin, hemoglobin) within 48 h after the patient was admitted to the hospital. The 30-item European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire (EORTC QLQ-C30) was used for QOL assessment in all patients.<bold>Results: </bold>By using PG-SGA, we found 80.4% of the patients were malnourished (score ≥ 4) and 45.1% of the patients required urgent nutritional support (score ≥ 9). In univariate analysis, old age (> 65 years, p < 0.001), female (p = 0.007), residence in a village (p = 0.004), a lower level of education (p < 0.001), and self-paying (p < 0.001) were indicated as risk factors of patients with gastric cancer to be suffering from severe malnutrition. There was a negative correlation between PG-SGA and various nutritional parameters (p < 0.05). The quality of life was significantly different in gastric cancer patients with different nutritional status (p < 0.01).<bold>Conclusion: </bold>Malnutrition of hospitalized patients with gastric cancer in China is common and seriously affects the patients' quality of life. The nutritional status should be evaluated in a timely manner and reasonable nutritional intervention should be provided as soon as possible. The PG-SGA was fit for using as a clinical nutrition assessment method, being worthy of clinical application. [ABSTRACT FROM AUTHOR]
- Subjects :
- NUTRITIONAL status
HOSPITAL patients
QUALITY of life
CANCER
STOMACH cancer
ATROPHIC gastritis
MALNUTRITION treatment
STOMACH tumors
GRIP strength
RESEARCH
BODY weight
NUTRITIONAL assessment
CROSS-sectional method
RESEARCH methodology
RETROSPECTIVE studies
EVALUATION research
MEDICAL cooperation
COMPARATIVE studies
HOSPITAL care
MALNUTRITION
RESEARCH funding
BODY mass index
DISEASE complications
Subjects
Details
- Language :
- English
- ISSN :
- 09414355
- Volume :
- 28
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Supportive Care in Cancer
- Publication Type :
- Academic Journal
- Accession number :
- 139902867
- Full Text :
- https://doi.org/10.1007/s00520-019-04803-3