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Performance of Patient-Generated Subjective Global Assessment (PG-SGA) in Patients With Advanced Cancer in Palliative Care
- Source :
- Nutrition in Clinical Practice. 32:675-681
- Publication Year :
- 2017
- Publisher :
- Wiley, 2017.
-
Abstract
- Background The purpose of this study was to evaluate the prognostic significance of the Patient-Generated Subjective Global Assessment (PG-SGA) in patients receiving palliative care for advanced cancer. Methods The PG-SGA was used to assess nutrition status of 120 patients admitted to the Palliative Care Unit at the National Cancer Institute in Brazil. Results According to the PG-SGA, 94.2% (n = 113) of the patients were evaluated as malnourished. The PG-SGA evaluated that xerostomia was the only symptom associated with a short survival (odds ratio [OR], 2.54; 95% confidence interval [CI], 1.2-5.38; P = .014). Survival was found to be significantly higher in well-nourished (PG-SGA A) than malnourished (PG-SGA B [ P = .021] or C [ P = .013]) patients. Total PG-SGA score (hazard ratio [HR], 1.06; 95% CI, 1.001-1.09; P = .045) and Karnofsky Performance Status of 20%-30% (HR, 15.4; 95% CI, 1.63-92.9; P = .001) and 40%-50% (HR, 10.0; 95% CI, 1.22-64.9; P = .031) were found to be independent prognostic survival factors. Conclusion The scored PG-SGA is an independent prognostic factor of survival and thus can be a useful tool for nutrition evaluation in palliative care.
- Subjects :
- Adult
Male
0301 basic medicine
medicine.medical_specialty
Palliative care
Nutritional Status
Medicine (miscellaneous)
Body Mass Index
Cohort Studies
03 medical and health sciences
0302 clinical medicine
Cost of Illness
Thinness
Neoplasms
Internal medicine
Prevalence
medicine
Humans
In patient
reproductive and urinary physiology
Aged
Aged, 80 and over
030109 nutrition & dietetics
Nutrition and Dietetics
Karnofsky Performance Status
business.industry
Palliative Care
Hazard ratio
Cancer
Odds ratio
Middle Aged
Overweight
Prognosis
medicine.disease
Combined Modality Therapy
Survival Analysis
Advanced cancer
Confidence interval
Nutrition Assessment
030220 oncology & carcinogenesis
Family medicine
Female
business
Brazil
Follow-Up Studies
Subjects
Details
- ISSN :
- 19412452 and 08845336
- Volume :
- 32
- Database :
- OpenAIRE
- Journal :
- Nutrition in Clinical Practice
- Accession number :
- edsair.doi.dedup.....7a46bdea0294788449a7374d422e4425
- Full Text :
- https://doi.org/10.1177/0884533617725071