Marta Alexandra Correira Pereira1, Carla Adriana Santos1, José Almeida Brito2, Jorge Fonseca3. 1. GENE. Enteral Feeding Group. Hospital Garcia de Orta. Almada. Portugal.. carla.adriana.santos@hotmail.com. 2. CiiEM. Centro de Investigação Interdisciplinar Egas Moniz. Almada. Portugal.. carla.adriana.santos@hotmail.com. 3. GENE. Enteral Feeding Group. Hospital Garcia de Orta. Almada. Portugal. CiiEM. Centro de Investigação Interdisciplinar Egas Moniz. Almada. Portugal.. carla.adriana.santos@hotmail.com.
Abstract
INTRODUCTION: Gastrostomy fed head or neck cancer patients frequently have impaired speech capacities. Enteral feeding teams frequently depend on laboratorial or anthropometrical parameters for nutritional assessment. AIMS: In these patients, this study aimed to evaluate: (1) the practicability of Scored - Patient-Generated Subjective Global Assessment (PG-SGA); (2) their nutritional status using the Scored-PG-SGA; (3) association of serum albumin and transferrin values to the nutritional status rating using PG-SGA. METHODS: On adult outpatients with head or neck cancer under prolonged (> 1 month) gastrostomy feeding, Scored-PGSGA, albumin and transferrin were evaluated during the same appointment. RESULTS: Scored-PG-SGA was easily feasible in 42 patients, even in patients with speech difficulties. Twenty-five patients were moderately/severely undernourished (PG-SGA/B+C). Scored-PG-SGA rated 41 patients as ≥ 2, thus needing nutritional/ pharmacologic intervention. Albumin was low in 13 patients. Transferrin was low in 19 patients. Average albumin and transferrin in moderately/severely undernourished patients (PG-SGA/B+C) was significantly lower than in well-nourished (PG-SGA/A). There was association between Scored- PG-SGA rating, albumin and transferrin. CONCLUSIONS: In PEG fed head or neck cancer patients, PGSGA was practicable and useful, even in patients with impaired speaking skills. Most patients displayed moderate/severe malnutrition (PG-SGA/B+C). Scored-PG-SGA rated 41 patients as needing for nutritional/pharmacological intervention. Scored-PG-SGA should be systematically included in the evaluation of these patients. In these patients, albumin and transferrin levels showed relation with Scored-PG-SGA and should be considered as nutritional biomarkers. Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.
INTRODUCTION: Gastrostomy fed head or neck cancerpatients frequently have impaired speech capacities. Enteral feeding teams frequently depend on laboratorial or anthropometrical parameters for nutritional assessment. AIMS: In these patients, this study aimed to evaluate: (1) the practicability of Scored - Patient-Generated Subjective Global Assessment (PG-SGA); (2) their nutritional status using the Scored-PG-SGA; (3) association of serum albumin and transferrin values to the nutritional status rating using PG-SGA. METHODS: On adult outpatients with head or neck cancer under prolonged (> 1 month) gastrostomy feeding, Scored-PGSGA, albumin and transferrin were evaluated during the same appointment. RESULTS: Scored-PG-SGA was easily feasible in 42 patients, even in patients with speech difficulties. Twenty-five patients were moderately/severely undernourished (PG-SGA/B+C). Scored-PG-SGA rated 41 patients as ≥ 2, thus needing nutritional/ pharmacologic intervention. Albumin was low in 13 patients. Transferrin was low in 19 patients. Average albumin and transferrin in moderately/severely undernourished patients (PG-SGA/B+C) was significantly lower than in well-nourished (PG-SGA/A). There was association between Scored- PG-SGA rating, albumin and transferrin. CONCLUSIONS: In PEG fed head or neck cancerpatients, PGSGA was practicable and useful, even in patients with impaired speaking skills. Most patients displayed moderate/severe malnutrition (PG-SGA/B+C). Scored-PG-SGA rated 41 patients as needing for nutritional/pharmacological intervention. Scored-PG-SGA should be systematically included in the evaluation of these patients. In these patients, albumin and transferrin levels showed relation with Scored-PG-SGA and should be considered as nutritional biomarkers. Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.
Authors: Zeng Qing Guo; Jia Mi Yu; Wei Li; Zhen Ming Fu; Yuan Lin; Ying Ying Shi; Wen Hu; Yi Ba; Su Yi Li; Zeng Ning Li; Kun Hua Wang; Jing Wu; Ying He; Jia Jun Yang; Cong Hua Xie; Xin Xia Song; Gong Yan Chen; Wen Jun Ma; Su Xia Luo; Zi Hua Chen; Ming Hua Cong; Hu Ma; Chun Ling Zhou; Wei Wang; Qi Luo; Yong Mei Shi; Yu Mei Qi; Hai Ping Jiang; Wen Xian Guan; Jun Qiang Chen; Jia Xin Chen; Yu Fang; Lan Zhou; Yong Dong Feng; Rong Shao Tan; Tao Li; Jun Wen Ou; Qing Chuan Zhao; Jian Xiong Wu; Li Deng; Xin Lin; Liu Qing Yang; Mei Yang; Chang Wang; Chun Hua Song; Hong Xia Xu; Han Ping Shi Journal: Support Care Cancer Date: 2019-05-03 Impact factor: 3.603