预测胃癌患者术后事件：五种营养评估工具的比较
Predicting Postoperative Events in Patients With Gastric Cancer: A Comparison of Five Nutrition Assessment Tools.
作者信息
Hsueh Shun-Wen, Liu Keng-Hao, Hung Chia-Yen, Tsai Chun-Yi, Hsu Jun-Te, Tsang Ngan-Ming, Hsueh William Harrison, Yang Chieh, Chou Wen-Chi
机构信息
Department of Oncology, Chang Gung Memorial Hospital at Keelung, Keelung, Taiwan, R.O.C.
Department of Surgery, Chang Gung Memorial Hospital at Linkou and College of Medicine, Chang Gung University, Taoyuan, Taiwan, R.O.C.
出版信息
In Vivo. 2020 Sep-Oct;34(5):2803-2809. doi: 10.21873/invivo.12106.
BACKGROUND/AIM: We compared the adequacy of five nutrition assessment tools with respect to their predictive value in patients with locally advanced gastric cancer (GC) receiving radical surgery.
PATIENTS AND METHODS
Five nutrition assessment tools-Glasgow prognostic score (GPS), malnutritional universal screening tool (MUST), nutritional risk screening, patient generated subjective global assessment (PG-SGA), and prognostic nutritional index (PNI)-were assessed preoperatively for stage III GC patients. The correlation between postoperative events and nutritional status was further analyzed.
RESULTS
Most of the nutritional tools accurately predicted length of hospital stay and grade 3 or higher surgical complications, while only the GPS correlated with 30-day readmission and surgical complications. The PG-SGA performed the poorest among the five tools and failed to predict any postoperative event.
CONCLUSION
The application of GPS is recommended as a prognostic index for patients with locally advanced GC prior to radical surgery.
背景/目的：我们比较了五种营养评估工具对接受根治性手术的局部晚期胃癌（GC）患者的预测价值。
患者与方法
对Ⅲ期GC患者术前评估了五种营养评估工具——格拉斯哥预后评分（GPS）、营养不良通用筛查工具（MUST）、营养风险筛查、患者主观整体评定法（PG-SGA）和预后营养指数（PNI）。进一步分析术后事件与营养状况之间的相关性。
结果
大多数营养工具能准确预测住院时间和3级或更高等级的手术并发症，而只有GPS与30天再入院率和手术并发症相关。PG-SGA在这五种工具中表现最差，未能预测任何术后事件。
结论
建议将GPS作为局部晚期GC患者根治性手术前的预后指标应用。
Zotero 插件