BACKGROUND: The aim of this study was to assess the value of nutritional risk screening-2002 (NRS-2002) as a nutritional risk screening and status assessment method and to compare it with nutritional status assessed by subjective and objective methods in the screening of head and neck cancer patients. METHODS: Sixty-five consecutive patients (50 male), with a median age of 61 years (range, 33-77), with head and neck squamous cell carcinoma (HNSCC) were enrolled prior to cancer therapy. Nutritional status was assessed by NRS-2002, patient-generated subjective global assessment (PG-SGA), handgrip strength (HGS) and mid-arm muscle area (MAMA). RESULTS: Twenty-eight percent of patients were at nutritional risk based on NRS-2002, and 34 % were malnourished according to PG-SGA, while 43 % had low HGS. NRS-2002 cut-off score of ≥3 compared with the nutritional status according to PG-SGA showed 77 % specificity and 98 % sensitivity (K = 0.78). NRS-2002 was able to predict malnutrition (PG-SGA BC) both in men (p < 0.001) and in women (p < 0.05). NRS-2002 identified correctly patients with malnutrition with a score of ≥3 (p < 0.001) and risk patients with a score of ≥2 (p < 0.001). CONCLUSIONS: These results suggest that NRS-2002 seems to be a reliable indicator of malnutrition, while NRS-2002 with the cut-off score of ≥2 seems to be more reliable for nutrition screening in head and neck cancer patients prior to oncological treatment.
BACKGROUND: The aim of this study was to assess the value of nutritional risk screening-2002 (NRS-2002) as a nutritional risk screening and status assessment method and to compare it with nutritional status assessed by subjective and objective methods in the screening of head and neck cancerpatients. METHODS: Sixty-five consecutive patients (50 male), with a median age of 61 years (range, 33-77), with head and neck squamous cell carcinoma (HNSCC) were enrolled prior to cancer therapy. Nutritional status was assessed by NRS-2002, patient-generated subjective global assessment (PG-SGA), handgrip strength (HGS) and mid-arm muscle area (MAMA). RESULTS: Twenty-eight percent of patients were at nutritional risk based on NRS-2002, and 34 % were malnourished according to PG-SGA, while 43 % had low HGS. NRS-2002 cut-off score of ≥3 compared with the nutritional status according to PG-SGA showed 77 % specificity and 98 % sensitivity (K = 0.78). NRS-2002 was able to predict malnutrition (PG-SGA BC) both in men (p < 0.001) and in women (p < 0.05). NRS-2002 identified correctly patients with malnutrition with a score of ≥3 (p < 0.001) and risk patients with a score of ≥2 (p < 0.001). CONCLUSIONS: These results suggest that NRS-2002 seems to be a reliable indicator of malnutrition, while NRS-2002 with the cut-off score of ≥2 seems to be more reliable for nutrition screening in head and neck cancerpatients prior to oncological treatment.
Authors: M A van Bokhorst-De van der Schuer; B M von Blomberg-van der Flier; R K Riezebos; P E Scholten; J J Quak; G B Snow; P A van Leeuwen Journal: Clin Nutr Date: 1998-06 Impact factor: 7.324
Authors: C-A Righini; N Timi; P Junet; A Bertolo; E Reyt; I Atallah Journal: Eur Ann Otorhinolaryngol Head Neck Dis Date: 2012-12-20 Impact factor: 2.080
Authors: Federico Bozzetti; Luigi Mariani; Salvatore Lo Vullo; Maria Luisa Amerio; Roberto Biffi; Giovanni Caccialanza; Giorgio Capuano; Giovanni Capuano; Isabel Correja; Luca Cozzaglio; Angelo Di Leo; Leonardo Di Cosmo; Concetta Finocchiaro; Cecilia Gavazzi; Antonello Giannoni; Patrizia Magnanini; Giovanni Mantovani; Manuela Pellegrini; Lidia Rovera; Giancarlo Sandri; Marco Tinivella; Enrico Vigevani Journal: Support Care Cancer Date: 2012-08 Impact factor: 3.603
Authors: Till Orlemann; Dejan Reljic; Björn Zenker; Julia Meyer; Bjoern Eskofier; Jana Thiemt; Hans Joachim Herrmann; Markus Friedrich Neurath; Yurdagül Zopf Journal: JMIR Cancer Date: 2018-11-20