Department of Oncology, Changzhi People's Hospital Affiliated to Changzhi Medical College, Changzhi, Shanxi, China.
Department of Respiratory, Pengzhou People's Hospital, Chengdu, Sichuan, China.
Medicine (Baltimore). 2024 May 31;103(22):e38402. doi: 10.1097/MD.0000000000038402.
Nutritional risk screening 2002 (NRS2002) is a commonly used tool for screening the risk of malnutrition in hospitalized patients, while patient-generated subjective global assessment (PG-SGA) is a nutritional assessment tool for malignant tumor patients. However, there are still gaps in the rapid nutritional risk screening methods for cancer patients. We aimed to evaluate the value of abridged scored patient-generated subjective global assessment (abPG-SGA) for nutritional risk screening and prognosis in cancer patients. The NRS 2002 and abPG-SGA scores of 100 malignant tumor patients hospitalized in our department in December 2020 were collected. Take NRS2002 ≥ 3 as the positive standard (risk of malnutrition). Data were analyzed using Kappa test, ROC curves, cut-off values and Kaplan-Meier. In the screening of 100 patients, 25.0% of patients were at risk of malnutrition (NRS2002), abPG-SGA yielded a sensitivity and specificity of 92.0% and 72.0%, respectively (area under curve [AUC] = 0.884, cut-off value ≥ 4.5); In the screening of patients with digestive system malignancies, 22.6% of patients were at risk of malnutrition (NRS2002), and the sensitivity and specificity of abPG-SGA were 91.67% and 87.80%, respectively (AUC = 0.945, cut-off value ≥ 5.5). The results of survival analysis showed that the overall survival (OS) of patients with abPG-SGA ≥ 5 and < 5, NRS2002 ≥ 3 and abPG-SGA < 5, NRS2002 < 3 and abPG-SGA ≥ 5 were significantly different (P < .0001), the OS of patients with NRS2002 ≥ 3 and abPG-SGA ≥ 5, NRS2002 < 3 and abPG-SGA < 5 were not significantly different (P > .05). Like NRS2002, abPG-SGA can also be used for malnutrition screening and prognosis judgment in cancer patients. It can quickly screen out cancer patients who may be at risk of malnutrition and facilitate the development of nutritional assessments.
营养风险筛查 2002（NRS2002）是一种常用于筛选住院患者营养不良风险的工具，而患者主观整体评估（PG-SGA）是一种用于恶性肿瘤患者的营养评估工具。然而，癌症患者的快速营养风险筛查方法仍存在差距。我们旨在评估简化后的患者主观整体评估（abPG-SGA）在癌症患者营养风险筛查和预后中的价值。收集了我科 2020 年 12 月收治的 100 例恶性肿瘤患者的 NRS2002 和 abPG-SGA 评分。以 NRS2002≥3 为阳性标准（存在营养不良风险）。采用 Kappa 检验、ROC 曲线、截断值和 Kaplan-Meier 进行数据分析。在对 100 例患者的筛查中，25.0%的患者存在营养不良风险（NRS2002），abPG-SGA 的灵敏度和特异度分别为 92.0%和 72.0%（曲线下面积[AUC]为 0.884，截断值≥4.5）；在消化系统恶性肿瘤患者的筛查中，22.6%的患者存在营养不良风险（NRS2002），abPG-SGA 的灵敏度和特异度分别为 91.67%和 87.80%（AUC 为 0.945，截断值≥5.5）。生存分析结果显示，abPG-SGA≥5 和<5、NRS2002≥3 和 abPG-SGA<5、NRS2002<3 和 abPG-SGA≥5 的患者总生存期（OS）差异有统计学意义（P<0.0001），NRS2002≥3 和 abPG-SGA≥5、NRS2002<3 和 abPG-SGA<5 的患者 OS 差异无统计学意义（P>0.05）。与 NRS2002 一样，abPG-SGA 也可用于癌症患者的营养不良筛查和预后判断。它可以快速筛选出可能存在营养不良风险的癌症患者，有利于营养评估的开展。
