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Value of the modified Patient-Generated Subjective Global Assessment in indicating the need for nutrition intervention and predicting overall survival in patients with malignant tumors in at least two organs

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收录情况： ◇ SCIE

作者：
Chong Feifei[1] ; Huo Zhenyu[1] ; Yin Liangyu[2] ; Liu Jie[1] ; Li Na[1] ; Guo Jing[1] ; Fan Yang[1] ; Zhang Mengyuan[1] ; Zhang Ling[1] ; Lin Xin[1] ; Chen Junqiang[3] ; Zhou Chunling[4] ; Li Suyi[5] ; Zhou Fuxiang[6] ; Yao Qinghua[7] ; Guo Zengqing[8] ; Weng Min[9] ; Liu Ming[10] ; Li Tao[11] ; Li Zengning[12] ; Cui Jiuwei[13] ; Li Wei[13] ; Shi Hanping[14,15] ; Guo Wei[16,*2] ; Xu Hongxia[1,*1] ;
机构： [1]Department of Clinical Nutrition, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, China. [2]Institute of Hepatopancreatobiliary Surgery, Army Medical University (Third Military Medical University), Chongqing, China. [3]Department of Gastrointestinal Surgery, First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China. [4]Department of Clinical Nutrition, The Fourth Affiliated Hospital of Harbin Medical University, Harbin, China. [5]Department of Nutrition and Metabolism of Oncology, The First Affiliated Hospital of University of Science and Technology of China, Anhui Provincial Cancer Hospital, Hefei, Anhui, China. [6]Department of Radiation and Medical Oncology, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China. [7]Department of Integrated Chinese and Western Medicine, Cancer Hospital of the University of Chinese Academy of Sciences (Zhejiang Cancer Hospital), Hangzhou, China. [8]Department of Medical Oncology, Fujian Cancer Hospital, Fujian Medical University Cancer Hospital, Fuzhou, China. [9]Department of Clinical Nutrition, The First Affiliated Hospital of Kunming Medical University, Kunming, China. [10]Department of Colorectal Surgery, the Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China. [11]Department of Radiotherapy, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science and Technology of China, Chengdu, Sichuan, China. [12]Department of Clinical Nutrition, The First Hospital of Hebei Medical University, Shijiazhuang, Hebei, China. [13]Cancer Center, The First Hospital of Jilin University, Changchun, China. [14]Department of Gastrointestinal Surgery and Department of Clinical Nutrition, Beijing Shijitan Hospital, Capital Medical University, Beijing, China. [15]Key Laboratory of Cancer FSMP for State Market Regulation, Beijing, China. [16]Department of Thoracic Surgery, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, China.
出处：
DOI： 10.1002/ncp.11140
ISSN：

关键词： cancer malnutrition nutrition assessment nutrition status survival

摘要：
Although the Patient-Generated Subjective Global Assessment (PG-SGA) is a reference standard used to assess a patient's nutrition status, it is cumbersome to administer. The aim of the present study was to estimate the value of a simpler and easier-to-use modified PG-SGA (mPG-SGA) to evaluate the nutrition status and need for intervention in patients with malignant tumors present in at least two organs.A total of 591 patients (343 male and 248 female) were included from the INSCOC study. A Pearson correlation analysis was conducted to assess the correlation between the mPG-SGA and nutrition-related factors, with the optimal cut-off defined by a receiver operating characteristic curve (ROC). The consistency between the mPG-SGA and PG-SGA was compared in a concordance analysis. A survival analysis was used to determine the effects of nutritional intervention among different nutrition status groups. Univariable and multivariable Cox analyses were applied to evaluate the association of the mPG-SGA with the all-cause mortality.The mPG-SGA showed a negative association with nutrition-related factors. Individuals with an mPG-SGA ≥ 5 (rounded from 4.5) were considered to need nutritional intervention. Among the malnourished patients (mPG-SGA ≥ 5), the overall survival (OS) of those who received nutrition intervention was significantly higher than that of patients who did not. However, the OS was not significantly different in the better-nourished patients (mPG-SGA < 5).Our findings support that the mPG-SGA is a feasible tool that can be used to guide nutritional interventions and predict the survival of patients with malignant tumors affecting at least two organs.© 2024 American Society for Parenteral and Enteral Nutrition.

基金：
This work was financially supported by the Chongqing Natural Science Foundation, Grant/Award Number: CSTB2022NSCQ‐MSX1069; Talent Innovation Capacity Development Program of Army Medical Center of PLA, Grant/Award Number: 2019CXJSC003
语种：
外文
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出版当年[2025]版：
无
最新[2023]版：
大类 | 4 区 医学
小类 | 4 区 营养学
JCR分区：
出版当年[2024]版：
无
最新[2023]版：
Q3 NUTRITION & DIETETICS

影响因子： 最新[2023版] 最新五年平均 出版当年[2024版] 出版当年五年平均 出版前一年[2023版]

第一作者：
第一作者机构： [1]Department of Clinical Nutrition, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, China.
共同第一作者：
通讯作者：
通讯机构： [1]Department of Clinical Nutrition, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, China. [16]Department of Thoracic Surgery, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, China. [*1]Department of Clinical Nutrition, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing 400042, China [*2]Department of Thoracic Surgery, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, China
推荐引用方式(GB/T 7714)：
Chong Feifei,Huo Zhenyu,Yin Liangyu,et al.Value of the modified Patient-Generated Subjective Global Assessment in indicating the need for nutrition intervention and predicting overall survival in patients with malignant tumors in at least two organs[J].NUTRITION IN CLINICAL PRACTICE.2024,39(4):920-933.doi:10.1002/ncp.11140.
APA：
Chong Feifei,Huo Zhenyu,Yin Liangyu,Liu Jie,Li Na...&Xu Hongxia.(2024).Value of the modified Patient-Generated Subjective Global Assessment in indicating the need for nutrition intervention and predicting overall survival in patients with malignant tumors in at least two organs.NUTRITION IN CLINICAL PRACTICE,39,(4)
MLA：
Chong Feifei,et al."Value of the modified Patient-Generated Subjective Global Assessment in indicating the need for nutrition intervention and predicting overall survival in patients with malignant tumors in at least two organs".NUTRITION IN CLINICAL PRACTICE 39..4(2024):920-933

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