Nutritional assessment in cancer: comparing the mini-nutritional assessment (MNA) with the scored patient-generated subjective global assessment (PGSGA)

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dc.contributor.author Read, JA
dc.contributor.author Crockett, N
dc.contributor.author Volker, D
dc.contributor.author MacLennan, P
dc.contributor.author Choy, S
dc.contributor.author Beale, PJ
dc.contributor.author Clarke, SJ
dc.date.accessioned 2009-12-21T02:34:08Z
dc.date.issued 2005-01
dc.identifier.citation Nutrition and Cancer, 2005, 53 (1), pp. 51 - 56
dc.identifier.issn 0163-5581
dc.identifier.other C1 en_US
dc.identifier.uri http://hdl.handle.net/10453/4613
dc.description.abstract The evaluation of nutritional status in cancer patients is often neglected in spite of the fact that poor nutritional status may adversely affect prognosis and treatment tolerance. In day-to-day oncology practice, a sensitive but simply applied nutritional assessment tool is needed to identify at-rick patients. Several tools exit; however, none has been universally accepted. The aim of this study was to compare two potential tools, the Mini-Nutritional Assessment (MNA) and the scored Patient Generated Subjective Global Assessment (PGSGA). The MNA is more simply applied and does not require a trained dietitian. The PGSGA has been previously validated in cancer patients. One hundred fifty-seven newly diagnosed cancer patients were assessed using noth tools. Of these, 126 were reassessed at 4-6 kr, and 104 were reassessed at Weeks 8-12 after initial assessment. A significant negative correlation was found between the tools at all three time periods (at baseline r=-0.76; P< 0.001). Taking the PGSGA as the most accepted nutritional assessment tool, at baseline the MNA demonstrated a sensitivity of 97% and specificity of 54%. At 4-6 wk MNA sensitivity was 93% and specificity was 82%. When comparing the tools in elderly patients alone (>65yr), similar results were obtained. Both tools were able to correctly classify patients as malnourished, althouh MNA lacks specificity. Therefore, the PGSGA should be the tool of choice for nutritional assessment in cancer patients.
dc.publisher Lawrence Erlbaum Association
dc.relation.isbasedon 10.1207/s15327914nc5301_6
dc.title Nutritional assessment in cancer: comparing the mini-nutritional assessment (MNA) with the scored patient-generated subjective global assessment (PGSGA)
dc.type Journal Article
dc.parent Nutrition and Cancer
dc.journal.volume 1
dc.journal.volume 53
dc.journal.number 1 en_US
dc.publocation New Jersey, USA en_US
dc.identifier.startpage 51 en_US
dc.identifier.endpage 56 en_US
dc.cauo.name SCI.Mathematical Sciences en_US
dc.conference Verified OK en_US
dc.for 1111 Nutrition and Dietetics
dc.for 1112 Oncology and Carcinogenesis
dc.personcode 030715
dc.percentage 60 en_US
dc.classification.name Nutrition and Dietetics en_US
dc.classification.type FOR-08 en_US
dc.custom 2.149 en_US
pubs.embargo.period Not known
pubs.organisational-group /University of Technology Sydney
pubs.organisational-group /University of Technology Sydney/Faculty of Science
utslib.copyright.status Closed Access
utslib.copyright.date 2015-04-15 12:17:09.805752+10


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