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23904 例常见恶性肿瘤患者的 Scored 患者主观整体评估与人口统计学特征相关的营养风险评估。

Nutritional Risk Assessment by Scored Patient-Generated Subjective Global Assessment Associated with Demographic Characteristics in 23,904 Common Malignant Tumors Patients.

机构信息

a Department of Epidemiology and Statistics, College of Public Health , Zhengzhou University , Zhengzhou , PR China.

b Department of Preventive Medicine , Heze Medical College , Heze , PR China.

出版信息

Nutr Cancer. 2019;71(1):50-60. doi: 10.1080/01635581.2019.1566478. Epub 2019 Feb 9.

Abstract

Malnutrition is a problem affecting tumor patients greatly. This study aims to investigate whether demographic characteristics are related to the malnutrition of cancer patients. Twenty-three thousand nine hundred and four (23,904) patients with 16 common malignant tumors were enrolled in the study. Patient Generated Subjective Global Assessment (PG-SGA) was used as a screening tool to assess the nutritional risk of patients and analysis of variance was used to compare PG-SGA scores of patients. Correlations between PG-SGA scores and demographic characteristics were evaluated by correlation analysis. We observed that 57.88% tumor patients had some degree of malnutrition (score ≥4) and only 20.61% were well-nourished (score 0-1). Screening scores were higher among older patients for most of the tumors. PG-SGA scores showed the significant difference between females and males in some tumors. In addition, the PG-SGA scores of some tumors were significantly different in various types of medical insurances, education levels, occupations, regions, and nationalities. Correlation analysis indicated the existence of associations between PG-SGA scores and demographic characteristics. Understanding the distribution of nutritional risk of tumor patients and the correlations between the PG-SGA scores and demographic characteristics could help identify subgroups who may benefit from targeted interventions to improve the effect of clinical treatment and the quality of life for oncology patients.

摘要

营养不良是严重影响肿瘤患者的问题。本研究旨在探讨人口统计学特征是否与癌症患者的营养不良有关。共纳入 23904 例 16 种常见恶性肿瘤患者。采用患者主观整体评估(PG-SGA)作为筛查工具评估患者的营养风险,并采用方差分析比较患者的 PG-SGA 评分。采用相关分析评估 PG-SGA 评分与人口统计学特征之间的相关性。我们观察到 57.88%的肿瘤患者存在一定程度的营养不良(评分≥4),仅有 20.61%的患者营养状况良好(评分 0-1)。对于大多数肿瘤,老年患者的筛查评分较高。PG-SGA 评分在某些肿瘤中存在男女之间的显著差异。此外,某些肿瘤的 PG-SGA 评分在不同类型的医疗保险、教育水平、职业、地区和国籍之间存在显著差异。相关性分析表明 PG-SGA 评分与人口统计学特征之间存在关联。了解肿瘤患者营养风险的分布以及 PG-SGA 评分与人口统计学特征之间的相关性,可以帮助确定可能受益于针对性干预措施的亚组,从而提高临床治疗效果和肿瘤患者的生活质量。

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