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2007 | 79 | 3 | 190-195

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National Program of Malnutrition Assessment in Patients with Cancer of the Gastrointestinal and Respiratory Tract in Poland


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The aim of the study was assessment of the prevalence of malnutrition in hospitalized patients with cancer of the gastrointestinal and respiratory tract.Material and methods. The study was conducted between February and April of 2005 in 37 centers. Assessment of nutritional status was made according to a Subjective Global Assessment (SGA) and a Patient-Generated Subjective Global Assessment (PG-SGA) questionnaire.Results. Nutritional status was evaluated in 2553 patients with cancer of the gastrointestinal tract (64.9%), respiratory tract (29.8%) and other cancer (5.2%). Hypoalbuminemia was found in 37.3% of patients. In 22% of patients, the body mass index (BMI) was below normal. According to the SGA scale, nutritional status was A in 51.1% of patients, B in 39.3%, and C in 9.7%. Nutritional status in patients with cancer of the gastrointestinal tract was A in 48.0%, B in 40.8%, and C in 11.2%. Nutritional status in patients with cancer of the respiratory tract was A in 55.4%, B in 37.4%, and C in 7.2%. Malnutrition was not found in 64.2% of patients with large bowel cancer but, in contrast, was found in 70.7% of patients with cancer of the upper part of the gastrointestinal tract. There were differences depending on kind of hospitalization: planned (A - 53.1%, B - 38.3%, C - 8.6%) or emergency (A - 27.4%, B - 46.3%, C - 26.2%). In 31.7% of cases, divergence between the SGA and PG-SGA scale was noted. Mostly, the divergence consisted in underestimation of malnutrition. According to the PG-SGA scale, nutritional treatment is indicated in 75.5% of patients; according to SGA scale, only in 49.0%.Conclusions. 1. According to SGA scale, malnutrition was diagnosed in 49.0% of patients hospitalized because of cancer, in 52% of patients with cancer of the gastrointestinal tract and 44.6% with cancer of the respiratory tract. 2. According to the PG-SGA scale, there is a need for nutritional treatment in 75.5% of patients hospitalized because of cancer of the gastrointestinal or respiratory tract. 3. Use of the scored PG-SGA allows for identification of malnourished patients in whom, according to SGA, malnutrition is not diagnosed.








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1 - 3 - 2007
24 - 9 - 2007


  • Department of Upper Digestive Tract Cancer, M. Skłodowska-Curie Memorial Cancer Center-Institute, Warsaw
  • Department of Upper Digestive Tract Cancer, M. Skłodowska-Curie Memorial Cancer Center-Institute, Warsaw


  • Szczygieł B, Pertkiewicz M, Majewska K.: Niedożywienie i jego następstwa. W: Szczygieł B, Socha J (red.) Żywienie pozajelitowe i dojelitowe w chirurgii. Wyd. 1. PZWL, Warszawa 1994, s. 19-27.
  • Szczygieł B: Leczenie żywieniowe. Med Prakt Chirurgia 2005; 59: 175-80
  • Pertkiewicz M et al.: Prevalence and consequences of malnutrition on admission to hospital in Poland - the multicenter study 2001. Clin Nutr 2002; 21 (1): 91.
  • McWhirter JP, Pennington CR: Incidence and recognition of malnutrition in hospital. BMJ 1994; 308: 945-48.[PubMed][Crossref]
  • Correila TD, Waitzberg DL: The impact of malnutrition on morbidity, mortality, length of hospital stay and costs evaluated through a multivariate model analysis. Clin Nutr 2003; 22: 235-39.
  • McAleese P, Odling-Smee W: The effect of complications on length of stay. Ann Surg 1994; 220: 740-44.[PubMed][Crossref]
  • Ginger M, Laviano A, Meguid MM et al.: In 1995 a correlation between malnutrition and poor outcome in critically ill patients still exists. Nutrition 1996; 12 (1): 23-29.
  • Pirlich M, Schutz T, Kemps M et al.: Prevalence of malnutrition in hospitalized medical patients: impact of underlying disease. Dig Dis 2003; 21(3): 245-51.[Crossref]
  • Covinsky KE, Martin GE, Beyth RJ et al.: The relationship between clinical assessment of nutritional status and adverse outcomes in older hospitalized medical patients. JAGS 1999; 47: 532-38.
  • Gariballa SE, Parker SG, Taub N et al.: Influence of nutritional status on clinical outcome after acute stroke. Am J Clin Nutr 1998; 68: 275-81.
  • Jeejeebhoy KN: Hospital malnutrition: is a disease or lack of food? Editorial Clin Nutr 2003; 22: 219-20.[Crossref]
  • Allison SP: Malnutrition, disease and outcome. Nutrition 2000; 16: 590-91.[Crossref][PubMed]
  • Allison SP: Hospital food as treatment. Clin Nutr 2003; 22: 113-14.[Crossref][PubMed]
  • Szawłowski AW: Zaburzenia odżywiania i zasady sztucznego żywienia chorych na nowotwory. W: Krzakowski M (red.) Onkologia kliniczna. Wyd. 2. Borgis, Warszawa 2006; s. 515-32.
  • Isenring E, Bauer J, Capra S.: The scored Patient-generated Subjective Global Assessment (PG-SGA) and its association with quality of life in ambulatory patients receiving radiotherapy. Eur J Clin Nutr 2003; 57: 305-09.[Crossref][PubMed]
  • Kondrup J, Allison SP, Elia M et al.: ESPEN guidelines for nutrition screening 2002. Clin Nutr 2003; 22: 415-21.
  • Kondrup J, Rasmussen HH, Hamberg O et al.: Nutritional risk screening (NRS 2002): a new method based on analysis of controlled trials. Clin Nutr 2003; 22: 321-36.
  • Kyle UG, Kossovsky MP, Karsegard VL et al.: Comparison of tools for nutritional assessment and screening at hospital admission: a population study. Clin Nutr 2006; 25: 409-17.[Crossref]
  • Detsky AS, McLaughlin JR, Baker JP et al.: What is subjective global assessement of nutriational status? JPEN 1987; 11(1): 8-13.[Crossref]
  • Ottery FD: Definition of Standardized Nutritional Assessment and Interventional Pathways in Oncology. Nutrition 1996; 12(1): S15-S19.[PubMed]
  • Bauer J, Capra S, Ferguson M: Use of the scored Patient-Generated Subjective Global Assessment (PG-SGA) as a nutrition assessment tool in patients with cancer. Eur J Clin Nutr 2002; 56(8): 779-85.[PubMed][Crossref]
  • Beck AM, Balkanas UN, Furst P et al.: Food and nutritional care in hospitals how to prevent under-nutrition - report and guidelines from the Council of Europe. Clin Nutr 2001; 20, 455-60.[Crossref]
  • Dzieniszewski J, Jarosz M, Szczygieł B et al.: Nutritional status of patients hospitalized in Poland. Europ J Clin Nutr 2005; 59: 552-60.[Crossref]
  • Szczygieł B: Hospital malnutrition in patients hospitalized in Europe and in Poland. Polish J Food Nutr Sci 2006; 15: 43-46.
  • Pham NV, Cox-Reijven PLM, Greve JW et al.: Application of subjective global assessment as a screening tool for malnutrition in surgical patients in Vietnam. Clin Nutr 2006; 25: 102-08.[Crossref]
  • Waitzberg D, Waleska TC, Correia LTD: Hospital malnutrition: The Brazilian National Survey (IBRANUTRA); A study of 4000 patients. Nutrition 2001; 17: 573-80.[PubMed][Crossref]
  • Council of Europe. Committee of Ministers Resolution ResAP (2003) on food and nutritional care in hospitals. 844 meeting of the Minister's Depuites (19 June 2003), Strasburg 2003.
  • Rhoads JE, Alexander CE: Nutritional problems in surgical patients. Ann NY Acad Sci 1955; 63: 268-73.[Crossref]
  • Bauer J, Capra S, Ferguson M: Use of the scored patient - generated global assessment (PG - SGA) as a nutrition assessment tool in patients with cancer. Eur J Clin Nutr 2002; 56(8): 779-85.[PubMed][Crossref]
  • WHO. Report of a WHO consultation on obesity. Obesity preventing and menaging the global epidemic. WHO.894. Genf: Ref. Type: Report, 2000.

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