Nutritional Screening Tools Used and Validated for Cancer Patients: A Systematic Review

2019 ◽  
Vol 71 (6) ◽  
pp. 898-907 ◽  
Author(s):  
Nélia Pinheiro Mendes ◽  
Thalita Alves de Barros ◽  
Carla de Oliveira Barbosa Rosa ◽  
Sylvia do Carmo Castro Franceschini
Keyword(s):  
Systematic Review ◽  
Cancer Patients ◽  
Screening Tools ◽  
Nutritional Screening

scholarly journals Clinical nutrition as part of the treatment pathway of pancreatic cancer patients: an expert consensus

2021 ◽  
Author(s):  
A. Carrato ◽  
L. Cerezo ◽  
J. Feliu ◽  
T. Macarulla ◽  
E. Martín-Pérez ◽  
...  
Keyword(s):  
Pancreatic Cancer ◽  
Cancer Patients ◽  
Clinical Outcomes ◽  
Health Care Professionals ◽  
Unmet Need ◽  
Screening Tools ◽  
Therapeutic Management ◽  
Care Process ◽  
Nutritional Screening

Abstract Purpose Malnutrition is a common problem among pancreatic cancer (PC) patients that negatively impacts on their quality of life (QoL) and clinical outcomes. The main objective of this consensus is to address the role of Medical Nutrition Therapy (MNT) into the comprehensive therapeutic management of PC patients. Methods A Spanish multidisciplinary group of specialists from the areas of Medical Oncology; Radiation Oncology; Endocrinology and Nutrition; and General Surgery agreed to assess the role of MNT as part of the best therapeutic management of PC patients. Results The panel established different recommendations focused on nutritional screening and nutritional screening tools, MNT strategies according to PC status, and MNT in palliative treatment. Conclusions There is an unmet need to integrate nutritional therapy as a crucial part of the multimodal care process in PC patients. Health authorities, health care professionals, cancer patients, and their families should be aware of the relevance of nutritional status and MNT on clinical outcomes and QoL of PC patients.

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

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.

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

2019 ◽  
Vol 20 (10) ◽  
pp. 1351.e13-1351.e25 ◽  
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

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

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.

scholarly journals Nutritional Risk Screening in Cancer Patients: The First Step Toward Better Clinical Outcome

2021 ◽  
Vol 8 ◽  
Author(s):  
Emilie Reber ◽  
Katja A. Schönenberger ◽  
Maria F. Vasiloglou ◽  
Zeno Stanga
Keyword(s):  
Cancer Patients ◽  
Muscle Protein ◽  
Nutritional Therapy ◽  
Screening Tools ◽  
Nutritional Risk ◽  
Negative Consequences ◽  
Negative Outcomes ◽  
Nutritional Screening ◽  
Treatment Interruptions ◽  
Anti Cancer

Disease-related malnutrition is highly prevalent among cancer patients, with 40–80% suffering from it during the course of their disease. Malnutrition is associated with numerous negative outcomes such as: longer hospital stays, increased morbidity and mortality rates, delayed wound healing, as well as decreased muscle function, autonomy and quality of life. In cancer patients, malnutrition negatively affects treatment tolerance (including anti-cancer drugs, surgery, chemo- and radiotherapy), increases side effects, causes adverse reactions, treatment interruptions, postoperative complications and higher readmission rates. Conversely, anti-cancer treatments are also known to affect body composition and impair nutritional status. Tailoring early nutritional therapy to patients' needs has been shown to prevent, treat and limit the negative consequences of malnutrition and is likely to improve overall prognosis. As the optimisation of treatment outcomes is top priority and evidence for nutritional therapy is growing, it is increasingly recognized as a significant intervention and an autonomous component of multimodal cancer care. The proactive implementation of nutritional screening and assessment is essential for patients suffering from cancer - given the interaction of clinical, metabolic, pharmacological factors with systemic inflammation; and suppressed appetite with accelerated muscle protein catabolism. At the same time, a nutritional care plan must be established, and adequate individualized nutritional intervention started rapidly. Screening tools for nutritional risk should be validated, standardized, non-invasive, quick and easy-to-use in daily clinical practice. Such tools must be able to identify patients who are already malnourished, as well as those at risk for malnutrition, in order to prevent or treat malnutrition and reduce negative outcomes. This review investigates the predictive value of commonly used screening tools, as well as the sensitivity and specificity of their individual components for improving clinical outcomes in oncologic populations. Healthcare professionals' awareness of malnutrition in cancer patients and the pertinence of early nutritional screening must be raised in order to plan the best possible intervention and follow-up during the patients' ordeal with the disease.

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