Quick-and-easy nutritional screening tools to detect disease-related undernutrition in hospital in- and outpatient settings: A systematic review of sensitivity and specificity

Abstract Objective To systematically review the accuracy and characteristics of different questionnaire-based PsA screening tools. Methods A systematic review of MEDLINE, Excerpta Medical Database, Cochrane Central Register of Controlled Trials and Web of Science was conducted to identify studies that evaluated the accuracy of self-administered PsA screening tools for patients with psoriasis. A bivariate meta-analysis was used to pool screening tool-specific accuracy estimates (sensitivity and specificity). Heterogeneity of the diagnostic odds ratio was evaluated through meta-regression. All full-text records were assessed for risk of bias with the QUADAS 2 tool. Results A total of 2280 references were identified and 130 records were assessed for full-text review, of which 42 were included for synthesis. Of these, 27 were included in quantitative syntheses. Of the records, 37% had an overall low risk of bias. Fourteen different screening tools and 104 separate accuracy estimates were identified. Pooled sensitivity and specificity estimates were calculated for the Psoriatic Arthritis Screening and Evaluation (cut-off = 44), Psoriatic Arthritis Screening and Evaluation (47), Toronto Psoriatic Arthritis Screening (8), Psoriasis Epidemiology Screening Tool (3) and Early Psoriatic Arthritis Screening Questionnaire (3). The Early Psoriatic Arthritis Screening Questionnaire reported the highest sensitivity and specificity (0.85 each). The I2 for the diagnostic odds ratios varied between 76 and 90.1%. Meta-regressions were conducted, in which the age, risk of bias for patient selection and the screening tool accounted for some of the observed heterogeneity. Conclusions Questionnaire-based tools have moderate accuracy to identify PsA among psoriasis patients. The Early Psoriatic Arthritis Screening Questionnaire appears to have slightly better accuracy compared with the Toronto Psoriatic Arthritis Screening, Psoriasis Epidemiology Screening Tool and Psoriatic Arthritis Screening and Evaluation. An economic evaluation could model the uncertainty and estimate the cost-effectiveness of PsA screening programs that use different tools.

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Nutritional Risk Screening Tools for Elderly Patients with COVID-19: A Systematic Review

10.20944/preprints202008.0382.v1 ◽

2020 ◽

Author(s):

David Franciole de Oliveira Silva ◽

Severina Carla Vieira Cunha Lima ◽

Karine Cavalcanti Mauricio Sena-Evangelista ◽

Dirce Marchioni ◽

Ricardo Ney Cobucci ◽

...

Keyword(s):

Systematic Review ◽

Predictive Validity ◽

High Sensitivity ◽

Screening Tools ◽

Nutritional Risk ◽

Measurement Properties ◽

Nutritional Screening ◽

Risk Screening ◽

Nrs 2002 ◽

Nutritional Risk Screening

Coronavirus disease 2019 (COVID-19) is associated with high risk of malnutrition, primarily in elderly people; assessing nutritional risk using appropriate screening tools is critical. This systematic review identified applicable tools and assessed their measurement properties. Literature was searched in the MEDLINE, Embase, and LILACS databases. Four studies conducted in China met the eligibility criteria. Sample sizes ranged from six to 182, and participants’ ages from 65 to 87 years. Seven nutritional screening and assessment tools were used: the Nutritional Risk Screening 2002 (NRS-2002), Mini Nutritional Assessment (MNA), MNA-short form (MNA-sf), Malnutrition Universal Screening Tool (MUST), Nutritional Risk Index (NRI), Geriatric NRI (GNRI), and modified Nutrition Risk in the Critically ill (mNUTRIC) score. Nutritional risk was identified in 27.5% to 100% of participants. The NRS-2002, MNA, MNA-sf, NRI, and MUST demonstrated high sensitivity; the MUST had better specificity. The MNA and MUST demonstrated better criterion validity. The MNA-sf demonstrated better predictive validity for poor appetite and weight loss; the NRS-2002 demonstrated better predictive validity for prolonged hospitalization. mNUTRIC score demonstrated good predictive validity for hospital mortality. Most instruments demonstrate high sensitivity for identifying nutritional risk, but none are acknowledged as the best for nutritional screening in elderly COVID-19 patients.

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Detection of Raised Intracranial Pressure in Craniosynostosis using Optical Coherence Tomography: A Systematic Review Protocol

10.21203/rs.2.22649/v1 ◽

2020 ◽

Author(s):

Sohaib R Rufai ◽

Noor ul Owase Jeelani ◽

Rebecca J McLean

Keyword(s):

Systematic Review ◽

Optical Coherence Tomography ◽

Intracranial Pressure ◽

Sensitivity And Specificity ◽

Screening Tools ◽

Optical Coherence ◽

Raised Intracranial Pressure ◽

Systematic Review Protocol ◽

Review Protocol

Abstract Introduction Craniosynostosis is characterised by the premature fusion of cranial sutures. This can be associated with raised intracranial pressure (ICP), which can lead to developmental delay, visual impairment and death. Treatment involves surgical expansion of the skull vault. There is no consensus over who to treat and when. Intracranial pressure is difficult to estimate in a child and existing methods possess sub-optimal diagnostic accuracy to be employed as screening tools. Here, we propose a systematic review protocol to examine the role of optical coherence tomography (OCT) in early detection of raised ICP in craniosynostosis. Methods Electronic searches in the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE and Embase will identify studies featuring OCT in detecting raised ICP in children with craniosynostosis. Two independent researchers will identify studies for inclusion using a screening questionnaire. Quality will be assessed using the National Institutes of Health (NIH) Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies. The primary outcome measure is the sensitivity and specificity of OCT in detecting raised ICP in children with craniosynostosis. Secondary outcomes measures include the sensitivity and specificity of other surrogate measures for raised ICP, OCT parameters used and normal ranges for ICP reported. A formal narrative synthesis with descriptive statistics will be presented. Discussion The proposed study will be the first to examine the role of optical coherence tomography in the early recognition of raised intracranial pressure in craniosynostosis, thereby addressing an important clinical problem in paediatric ophthalmology and craniofacial surgery. This systematic review protocol provides transparency to the proposed methods and reduces the possibility of duplication. The proposed methods reflect those prescribed by the Cochrane Collaboration. Systematic review registration International Prospective Register for Systematic Reviews (PROSPERO) number CRD42019147693

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Validity of Nutritional Screening Tools for Community-Dwelling Older Adults: A Systematic Review and Meta-Analysis

Journal of the American Medical Directors Association ◽

10.1016/j.jamda.2019.06.024 ◽

2019 ◽

Vol 20 (10) ◽

pp. 1351.e13-1351.e25 ◽

Cited By ~ 5

Author(s):

Jennifer M.J. Isautier ◽

Marija Bosnić ◽

Suey S.Y. Yeung ◽

Marijke C. Trappenburg ◽

Carel G.M. Meskers ◽

...

Keyword(s):

Systematic Review ◽

Older Adults ◽

Meta Analysis ◽

Community Dwelling ◽

Screening Tools ◽

Nutritional Screening ◽

Community Dwelling Older Adults

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Sensitivity and specificity test of alarm malnutrition for hospital-acquired malnutrition among pediatric patients

La Pediatria Medica e Chirurgica ◽

10.4081/pmc.2021.267 ◽

2021 ◽

Vol 43 (s1) ◽

Author(s):

Yuni Maria Olviani Ndede ◽

Dessie Wanda ◽

Efa Apriyanti

Keyword(s):

Sensitivity And Specificity ◽

Screening Tool ◽

Statistical Tests ◽

Screening Tools ◽

Nutritional Screening ◽

Cross Sectional ◽

Specificity Test ◽

Cross Sectional Design ◽

Hospital Acquired ◽

Better Than

Detecting the risks for hospital-acquired malnutrition in children can be performed by using nutritional screening tools. One of the screening tools that has been created is Alarm Malnutrition. This study aimed to test the sensitivity and specificity of Alarm Malnutrition in detecting the risks for hospitalacquired malnutrition in comparison to Screening Tool for the Risk on Nutritional status and Growth (STRONGkids). This study employed cross sectional design and involved 168 hospitalized children (1 month to 18 years) at pediatric ward. The data were analyzed using diagnostic approach which resulted in sensitivity and specificity values. The statistical tests showed that the sensitivity and specificity values of Alarm Malnutrition and STRONGKids were 32,2% and 81,6% respectively. These results indicated that this screening tool was not better than STRONGkids which has been previously used in Indonesia. Alarm Malnutrition needs to be developed and improved in order to achieve better performance in detecting the risks for hospital-acquired malnutrition.

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Nutritional Screening Tools as Predictors of Mortality, Functional Decline, and Move to Higher Level Care in Older People: A Systematic Review

Journal of Nutrition in Gerontology and Geriatrics ◽

10.1080/21551197.2012.678214 ◽

2012 ◽

Vol 31 (2) ◽

pp. 97-145 ◽

Cited By ~ 52

Author(s):

Elsa Dent ◽

Renuka Visvanathan ◽

Cynthia Piantadosi ◽

Ian Chapman

Keyword(s):

Systematic Review ◽

Older People ◽

Functional Decline ◽

Screening Tools ◽

Nutritional Screening ◽

Predictors Of Mortality

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Nutritional risk in critically ill patients: how it is assessed, its prevalence and prognostic value: a systematic review

Nutrition Reviews ◽

10.1093/nutrit/nuaa031 ◽

2020 ◽

Vol 78 (12) ◽

pp. 1052-1068

Author(s):

Aline Cattani ◽

Igor C Eckert ◽

Júlia E Brito ◽

Rafaela F Tartari ◽

Flávia M Silva

Keyword(s):

Systematic Review ◽

Critically Ill ◽

Predictive Validity ◽

Critically Ill Patients ◽

Outcome Prediction ◽

Screening Tools ◽

Nutritional Risk ◽

Nutritional Screening ◽

Protein Balance ◽

Nrs 2002

Abstract Context Nutritional risk (NR) screening is the first step of nutrition care process. Few data are available in literature about its prevalence, nor, to our knowledge, is a universally accepted reference method for the intensive care unit (ICU). Objective The aim for this systematic review was to summarize evidence regarding the prevalence of NR and the predictive validity of different tools applied for NR screening of critically ill patients. Data Sources The PubMed, Embase, and Scopus databases were searched up to December 2019 using the subject headings related to critically ill patients and NR screening. The current systematic review is registered with PROSPERO (identifier: CRD42019129668). Data Extraction Data on NR prevalence, predictive validity of nutritional screening tools, and interaction between caloric-protein balance and NR in outcome prediction were collected. Data Analysis Results were summarized qualitatively in text and tables, considering the outcomes of interest. Results From 15 669 articles initially identified, 36 fulfilled the inclusion criteria, providing data from 8 nutritional screening tools: modified Nutrition Risk in the Critically Ill (mNUTRIC; n = 26 studies) and Nutritional Risk Screening–2002 (NRS-2002; n = 7 studies) were the most frequent; the NR prevalence was 55.9% (range, 16.0% to 99.5%). Nutritional risk was a predictor of 28-day and ICU mortality in 8 studies. Interactions between caloric-protein balance and NR on outcome prediction presented were scarcely tested and presented heterogeneous results (n = 8). Conclusions Prevalence of NR in patients in the ICU varies widely; a satisfactory predictive validity was observed, especially when mNUTRIC or NRS-2002 were applied.

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SYSTEMATIC REVIEW ON THE PSYCHOMETRIC, RELIABILITY AND VALIDITY PROPERTIES OF TRANSLATED NEUROPATHIC PAIN SCREENING TOOLS (DN4, LANSS AND PDQ) 1 JANUARY 2005 – 19 JULY 2019

International Journal of Medicine and Medical Research ◽

10.11603/ijmmr.2413-6077.2021.1.12120 ◽

2021 ◽

Vol 7 (1) ◽

pp. 51-67

Author(s):

T. R. Fagbohun

Keyword(s):

Systematic Review ◽

Neuropathic Pain ◽

Sensitivity And Specificity ◽

English Language ◽

Reliability And Validity ◽

High Sensitivity ◽

Screening Tools ◽

Internal Reliability ◽

Good Internal Consistency ◽

Local Languages

Background. Different neuropathic pain screening tools (DN4, LANSS and PDQ) have been developed, translated into several local languages, and validated. To determine the reliability of these tools and their ability to differentiate between diagnosing neuropathic pain quality from nociceptive pain, a systematic review was conducted to synchronize properties and suggest the reliability of the translated version of these neuropathic pain-screening tools. Objective. To conduct an evidence-based systematic review to assess the psychometric, reliability and validity of the translated version of DN4, LANSS and PDQ between January 2005 and 2019. Methods. Two independent reviewers adopted the use of online (Internet) search machine (Pubmed, Scopus and Web of science) to search for the relevant articles based on JBI (Joanna Briggs Institute) inclusion criteria. Data extracted from the articles were synthesis in tabular form. Results. Twenty-six articles were included from DN4 (n=11), LANSS (n=8) and PDQ (n=4) translated from English language to eight local languages. The sensitivity and specificity of the DN4 studies ranged from 75% to 98% and 37.3% to 96%, respectively. The internal reliability (α) of the translated version of the DN4 ranged from 0.55-0.862. The sensitivity and specificity of the LANSS studies ranged from 75% to 98% and 37.3% to 96%, respectively. The internal reliability (α) of the translated version of the LANSS ranged 0.67-0.96. The sensitivity and specificity of the PDQ studies ranged from 75% to 98% and 37.3% to 96%, respectively. The internal reliability (α) of the translated version of the PDQ ranged 0.81-0.86. Conclusions. All the translated instruments reviewed showed good internal consistency of the items, high sensitivity and Positive predictive value (PPV) but not to a suitable level compared with the original version. Therefore, these screening tools are suggested to be used in conjunction with the clinical testing for appropriate diagnosis of patients with neuropathic pain quality.

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Nutritional Risk Screening Tools for Older Adults with COVID-19: A Systematic Review

Nutrients ◽

10.3390/nu12102956 ◽

2020 ◽

Vol 12 (10) ◽

pp. 2956 ◽

Cited By ~ 1

Author(s):

David Franciole Oliveira Silva ◽

Severina Carla Vieira Cunha Lima ◽

Karine Cavalcanti Mauricio Sena-Evangelista ◽

Dirce Maria Marchioni ◽

Ricardo Ney Cobucci ◽

...

Keyword(s):

Systematic Review ◽

Older Adults ◽

Predictive Validity ◽

High Sensitivity ◽

Screening Tools ◽

Nutritional Risk ◽

Nutritional Screening ◽

Risk Screening ◽

Nrs 2002 ◽

Nutritional Risk Screening

Coronavirus disease 2019 (COVID-19) is associated with high risk of malnutrition, primarily in older people; assessing nutritional risk using appropriate screening tools is critical. This systematic review identified applicable tools and assessed their measurement properties. Literature was searched in the MEDLINE, Embase, and LILACS databases. Four studies conducted in China met the eligibility criteria. Sample sizes ranged from six to 182, and participants’ ages from 65 to 87 years. Seven nutritional screening and assessment tools were used: the Nutritional Risk Screening 2002 (NRS-2002), the Mini Nutritional Assessment (MNA), the MNA-short form (MNA-sf), the Malnutrition Universal Screening Tool (MUST), the Nutritional Risk Index (NRI), the Geriatric NRI (GNRI), and modified Nutrition Risk in the Critically ill (mNUTRIC) score. Nutritional risk was identified in 27.5% to 100% of participants. The NRS-2002, MNA, MNA-sf, NRI, and MUST demonstrated high sensitivity; the MUST had better specificity. The MNA and MUST demonstrated better criterion validity. The MNA-sf demonstrated better predictive validity for poor appetite and weight loss; the NRS-2002 demonstrated better predictive validity for prolonged hospitalization. mNUTRIC score demonstrated good predictive validity for hospital mortality. Most instruments demonstrate high sensitivity for identifying nutritional risk, but none are acknowledged as the best for nutritional screening in older adults with COVID-19.

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