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癌症患者的营养评估工具:一项叙述性综述。

Nutritional Assessment Tools for Patients with Cancer: A Narrative Review.

作者信息

Wang Peng-Peng, Soh Kim Lam, Binti Khazaai Huzwah, Ning Chuan-Yi, Huang Xue-Ling, Yu Jia-Xiang, Liao Jin-Lian

机构信息

Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, 43400, Malaysia.

Nursing College of Guangxi Medical University, Nanning, 530021, China.

出版信息

Curr Med Sci. 2024 Feb;44(1):71-80. doi: 10.1007/s11596-023-2808-4. Epub 2024 Jan 30.

DOI:10.1007/s11596-023-2808-4
PMID:38289530
Abstract

Cancer patients are at high risk of malnutrition, which can lead to adverse health outcomes such as prolonged hospitalization, increased complications, and increased mortality. Accurate and timely nutritional assessment plays a critical role in effectively managing malnutrition in these patients. However, while many tools exist to assess malnutrition, there is no universally accepted standard. Although different tools have their own strengths and limitations, there is a lack of narrative reviews on nutritional assessment tools for cancer patients. To address this knowledge gap, we conducted a non-systematic literature search using PubMed, Embase, Web of Science, and the Cochrane Library from their inception until May 2023. A total of 90 studies met our selection criteria and were included in our narrative review. We evaluated the applications, strengths, and limitations of 4 commonly used nutritional assessment tools for cancer patients: the Subjective Global Assessment (SGA), Patient-Generated Subjective Global Assessment (PG-SGA), Mini Nutritional Assessment (MNA), and Global Leadership Initiative on Malnutrition (GLIM). Our findings revealed that malnutrition was associated with adverse health outcomes. Each of these 4 tools has its applications, strengths, and limitations. Our findings provide medical staff with a foundation for choosing the optimal tool to rapidly and accurately assess malnutrition in cancer patients. It is essential for medical staff to be familiar with these common tools to ensure effective nutritional management of cancer patients.

摘要

癌症患者存在营养不良的高风险,这可能导致不良健康后果,如住院时间延长、并发症增加和死亡率上升。准确及时的营养评估在有效管理这些患者的营养不良方面起着关键作用。然而,尽管存在许多评估营养不良的工具,但尚无普遍接受的标准。虽然不同工具各有优缺点,但缺乏针对癌症患者营养评估工具的叙述性综述。为填补这一知识空白,我们从创刊至2023年5月,使用PubMed、Embase、Web of Science和Cochrane图书馆进行了非系统性文献检索。共有90项研究符合我们的选择标准,并纳入了我们的叙述性综述。我们评估了4种常用的癌症患者营养评估工具的应用、优点和局限性:主观全面评定法(SGA)、患者主观全面评定法(PG-SGA)、微型营养评定法(MNA)和营养不良全球领导倡议(GLIM)。我们的研究结果表明,营养不良与不良健康后果相关。这4种工具各有其应用、优点和局限性。我们的研究结果为医务人员选择最佳工具以快速准确评估癌症患者的营养不良提供了依据。医务人员熟悉这些常用工具对于确保癌症患者的有效营养管理至关重要。

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本文引用的文献

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Front Nutr. 2023 Apr 17;10:1143213. doi: 10.3389/fnut.2023.1143213. eCollection 2023.
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Effect of the hospital-community-family (HCF) nutritional management on patients with esophageal and head and neck cancers undergoing radiotherapy: a randomized control trial.医院-社区-家庭(HCF)营养管理对接受放疗的食管癌和头颈癌患者的影响:一项随机对照试验。
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GLIM不同炎症定义方法在急性胰腺炎患者营养不良诊断中的比较研究
Int J Gen Med. 2024 Oct 24;17:4883-4894. doi: 10.2147/IJGM.S485400. eCollection 2024.
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Validation of the Global Leadership Initiative on Malnutrition Criteria for Predicting Adverse Outcomes in Acute Pancreatitis.全球营养不良领导倡议标准对急性胰腺炎不良结局预测的验证
Ther Clin Risk Manag. 2024 Aug 27;20:543-556. doi: 10.2147/TCRM.S471127. eCollection 2024.
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Association between nutritional status assessed by a digital self-administered tool (R+ dietitian) and clinicopathologic factors in cancer patients: A comprehensive analysis.通过数字自我管理工具(R+营养师)评估的营养状况与癌症患者临床病理因素之间的关联:一项综合分析。
Digit Health. 2024 May 27;10:20552076241255475. doi: 10.1177/20552076241255475. eCollection 2024 Jan-Dec.
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