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subjective global assessment in oncology patient

Jéssica Härter, Silvana Paiva Orlandi, Maria Cristina Gonzalez
PURPOSE: We evaluated phase angle, sarcopenia, and handgrip strength as prognostic factors of postoperative morbimortality in patients with cancer. METHODOLOGY: We conducted a prospective study with 60 oncology patients admitted for elective surgery between November 2015 and May 2016. We calculated the standardized phase angle (SPA) and the skeletal mass index of the subjects based on their bioelectrical impedance tests. Handgrip strength (HGS) was measured using a hydraulic dynamometer...
March 16, 2017: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
Federico Tacconi, Paola Rogliani, Benedetto Cristino, Francesco Gilardi, Leonardo Palombi, Eugenio Pompeo
BACKGROUND: Mediastinal tumors often require surgical biopsy to achieve a precise and rapid diagnosis. However, subjects with mediastinal tumors may be unfit for general anesthesia, particularly when compression of major vessels or airways does occur. We tested the applicability in this setting of a minimalist (M) uniportal, video-assisted thoracic surgery (VATS) strategy carried out under locoregional anesthesia in awake patients (MVATS). METHODS: We analyzed in a comparative fashion including propensity score matching, data from a prospectively collected database of patients who were offered surgical biopsy for mediastinal tumors through either MVATS or standard VATS...
December 2016: Journal of Thoracic Disease
Tran Chau Quyen, Jongjit Angkatavanich, Tran Van Thuan, Vo Van Xuan, Le Danh Tuyen, Do Anh Tu
BACKGROUND AND OBJECTIVES: To determine the nutritional status of patients with esophageal cancer, and to investigate its relationship with performance status and prognosis. METHODS AND STUDY DESIGN: This clinical, cross-sectional study was conducted from August 2014 to February 2015 at National Cancer Hospital, Hanoi, Vietnam. Stage III/IV esophageal cancer patients were assessed for their nutritional status (patient-generated subjective global assessment (PG-SGA) and SGA scores, BMI, mid-arm circumference (MAC), energy and protein intakes, weight changes, Karnofsky and Eastern cooperative oncology group performance scores (KPS/ECOG), and Glasgow prognostic score (GPS)...
January 2017: Asia Pacific Journal of Clinical Nutrition
Lorena Arribas, Laura Hurtós, Maria José Sendrós, Inmaculada Peiró, Neus Salleras, Eduard Fort, Jose Manuel Sánchez-Migallón
OBJECTIVES: The aim of this study was to design a new nutritional screening tool (NUTRISCORE) to detect nutritional risk in outpatients with cancer. METHODS: A multicenter, cross-sectional study was conducted. We randomly selected outpatients receiving onco-specific, palliative, or symptomatic treatment for malignant neoplasms (including solid tumors and hematologic malignancies). These patients were assessed using the NUTRISCORE tool, the Malnutrition Screening Tool (MST), and the Patient-Generated Subjective Global Assessment (PG-SGA) to detect risk for malnutrition...
January 2017: Nutrition
F Baccaro, A Sanchez
OBJECTIVE: Comparison between Subjective Global Assessment and Body Mass Index to determine the nutritional status in patients admitted in an Internal Medicine Service. METHODS: Prospective, longitudinal, observational study of a population of 152 patients, using the Subjective Global Assessment and Body Mass Index. Plasma levels of albumin, functional capacity weight and income conditions were determined. Statistics: methods of chi-square test for univariate analysis, non-parametric tests and logistic regression were used...
October 2015: Nigerian Journal of Medicine: Journal of the National Association of Resident Doctors of Nigeria
Kelsey A Klute, Julianna Brouwer, Minaxi Jhawer, Hayley Sachs, Anatasia Gangadin, Allyson Ocean, Elizabeta Popa, Tong Dai, Guojiao Wu, Paul Christos, Manish A Shah
BACKGROUND: Malnutrition is prevalent in cancer patients and is associated with inferior outcomes. We examined the association between malnutrition, as measured by the Subjective Global Assessment (SGA), and chemotherapy dose reduction in patients with gastrointestinal malignancies. We hypothesised that malnutrition, defined by a patient's baseline SGA, would be associated with a greater degree of chemotherapy dose-reduction, with the implication of greater chemotherapy related toxicity...
August 2016: European Journal of Cancer
Reinhard R Beichel, Markus Van Tol, Ethan J Ulrich, Christian Bauer, Tangel Chang, Kristin A Plichta, Brian J Smith, John J Sunderland, Michael M Graham, Milan Sonka, John M Buatti
PURPOSE: The purpose of this work was to develop, validate, and compare a highly computer-aided method for the segmentation of hot lesions in head and neck 18F-FDG PET scans. METHODS: A semiautomated segmentation method was developed, which transforms the segmentation problem into a graph-based optimization problem. For this purpose, a graph structure around a user-provided approximate lesion centerpoint is constructed and a suitable cost function is derived based on local image statistics...
June 2016: Medical Physics
Sandrine Censabella, Stefan Claes, Jolien Robijns, Paul Bulens, Jeroen Mebis
PURPOSE: The aim of this study was to assess the effectiveness and acceptability of photobiomodulation using MLS(®) laser therapy (LT) in the management of acute radiation dermatitis (RD). METHODS: We compared two successive groups of breast cancer patients undergoing identical radiotherapy regimens post-lumpectomy. Both groups received our standard skin care but the second group received six additional LT sessions (beam area 19.635 cm(2), 0.168 W/cm(2), 4 J/cm(2)), starting at fraction 20 of radiotherapy (control and LT group, N = 41 and 38, respectively)...
September 2016: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
Jessica Abbott, L Teleni, D McKavanagh, J Watson, A L McCarthy, E Isenring
PURPOSE: In the oncology population where malnutrition prevalence is high, more descriptive screening tools can provide further information to assist triaging and capture acute change. The Patient-Generated Subjective Global Assessment Short Form (PG-SGA SF) is a component of a nutritional assessment tool which could be used for descriptive nutrition screening. The purpose of this study was to conduct a secondary analysis of nutrition screening and assessment data to identify the most relevant information contributing to the PG-SGA SF to identify malnutrition risk with high sensitivity and specificity...
September 2016: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
L Spotten, C Corish, C Lorton, P Ui Dhuibhir, N O'Donoghue, B O'Connor, M Cunningham, N El Beltagi, C Gillham, D Walsh
PURPOSE: Taste and smell changes (TSCs) are common in head and neck (H&N) cancer and during and after chemotherapy (CT) and radiotherapy (RT). It is an area that has been under-investigated, particularly in the treatment-naive, but can negatively impact nutritional status. This study examined the prevalence, severity and characteristics of TSCs in people with non-H&N solid tumours, before CT and RT, and their relationship with co-occurring symptoms. METHODS: A prospective, observational study was conducted...
July 2016: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
Dibyendu Sharma, Ravi Kannan, Ritesh Tapkire, Soumitra Nath
Cancer patients frequently experience malnutrition. Cancer and cancer therapy effects nutritional status through alterations in the metabolic system and reduction in food intake. In the present study, fifty seven cancer patients were selected as subjects from the oncology ward of Cachar Cancer Hospital and Research Centre, Silchar, India. Evaluation of nutritional status of cancer patients during treatment was carried out by scored Patient-Generated Subjective Global Assessment (PG-SGA). The findings of PG-SGA showed that 15...
2015: Asian Pacific Journal of Cancer Prevention: APJCP
Diogo Antonio Valente Ferreira, Renata Nunes Aranha, Maria Helena Faria Ornellas de Souza
BACKGROUND: Performance of qualified professionals committed to cancer care on a global scale is critical. Nevertheless there is a deficit in Cancer Education in Brazilian medical schools (MS). Projects called Academic Leagues (AL) have been gaining attention. However, there are few studies on this subject. AL arise from student initiative, arranged into different areas, on focus in general knowledge, universal to any medical field. They are not obligatory and students are responsible for the organizing and planning processes of AL, so participation highlights the motivation to active pursuit of knowledge...
2015: BMC Medical Education
Jeroen S de Bruin, Christian Schuh, Walter Seeling, Eva Luger, Michaela Gall, Elisabeth Hütterer, Gabriela Kornek, Bernhard Ludvik, Friedrich Hoppichler, Karin Schindler
BACKGROUND: Nutritional screening procedures followed by regular nutrition monitoring for oncological outpatients are no standard practice in many European hospital wards and outpatient settings. As a result, early signs of malnutrition are missed and nutritional treatment is initiated when patients have already experienced severe weight loss. OBJECTIVE: We report on a novel clinical decision support system (CDSS) for the global assessment and nutritional triage of the nutritional condition of oncology outpatients...
October 22, 2015: Artificial Intelligence in Medicine
Heshan Liu, Angelina D Tan, Rui Qin, Daniel J Sargent, Axel Grothey, Jan C Buckner, Paul L Schaefer, Jeff A Sloan
INTRODUCTION: Current standard evaluation of Peripheral Neuropathy (PN) is based on an investigator-reported classification system that is commonly unable to correctly reflect the subjective symptoms for patients. Thus more reliable methods to assess PN are needed. This study assessed alternative methods of assessing patient-reported PN in 5 North Central Cancer Treatment Group (NCCTG) clinical trials. METHOD: Two single-item assessments relating to numbness and tingling were used to measure PN...
2015: SOJ Anesthesiology & Pain Management
Camila Santos Rodrigues, Marina Seraphim Lacerda, Gabriela Villaça Chaves
OBJECTIVES: The aim of this study was to assess the nutritional status (NS) of women hospitalized for gynecologic tumors and relate it to such outcomes as hospital length of stay and 1-y mortality. METHODS: We assessed 146 women diagnosed with gynecologic tumors who were admitted to a referral oncologic hospital in November 2012. Data collected included medical history, duration and reason for admission, and cases of death within 1 y. RESULTS: NS was assessed using Patient-Generated Subjective Global Assessment (PG-SGA)...
November 2015: Nutrition
Isabel Higuera-Pulgar, Almudena Ribed, M Luisa Carrascal-Fabian, Irene Bretón-Lesmes, Rosa M Romero-Jiménez, Cristina Cuerda-Compes, Cristina Velasco-Gimeno, Miguel Camblor-Álvarez, Pilar García-Peris
BACKGROUND: in recent years, researching about new oral antineoplastics has progressed while its impact on dietary intake and nutritional status (NS) hasn't developed enough yet. OBJECTIVES: dietary intake and NS assessment in patients who start treatment with tyrosine kinase inhibitors (TKI) and evaluate its impact on them. METHODS: an observational, prospective-six-months study, in which were included patients starting treatment with TKI...
September 1, 2015: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
Ana Valéria Gonçalves Fruchtenicht, Aline Kirjner Poziomyck, Geórgia Brum Kabke, Sérgio Henrique Loss, Jorge Luiz Antoniazzi, Thais Steemburgo, Luis Fernando Moreira
OBJECTIVE: To systematically review the main methods for nutritional risk assessment used in critically ill cancer patients and present the methods that better assess risks and predict relevant clinical outcomes in this group of patients, as well as to discuss the pros and cons of these methods according to the current literature. METHODS: The study consisted of a systematic review based on analysis of manuscripts retrieved from the PubMed, LILACS and SciELO databases by searching for the key words "nutritional risk assessment", "critically ill" and "cancer"...
July 2015: Revista Brasileira de Terapia Intensiva
Corina Dias do Prado, Juliana Alvares Duarte Bonini Campos
OBJECTIVE: to estimate the effectiveness of methods for identifying the risk and/or presence of malnutrition in individuals with gastrointestinal neoplasia. METHODS: participated 143 patients with gastrointestinal cancer, cared for in the Oncology Clinic Infirmary of "Hospital Amaral Carvalho" (Jaú-SP). Excluded from the study were patients hospitalized in the intensive care unit, in a terminal state or those who had members amputated; those who had received blood transfusions during the last month; significant clinical bleeding; received endovenous albumin and uncontrolled infection...
July 1, 2015: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
Leopoldo Pérez PéREZ DE Isla, Fernando Moreno, Jose Angel Garcia Garcia Saez, Matias Clavero, Nuno Moreno, Carlos Aguado Aguado DE LA Rosa, Jose Alberto DE Agustin, Jose Juan Gomez Gomez DE Diego, Miguel Angel Cobos, Adriana Saltijeral, Carlos Macaya, Miguel Angel Garcia-Fernandez
Certain chemotherapy drugs for breast cancer may induce cardiotoxicity and these patients should be echocardiographically monitored. The performance of a focused echocardiographic evaluation (echoscopy) at the patient's location by a non-cardiologist appears to be feasible. The aim of the present study was to assess the accuracy of echoscopy performed by medical oncologists in an outpatient clinic using hand-held echocardiography devices. The study cohort comprised consecutive unselected patients who attended an oncology outpatient clinic...
July 2015: Molecular and Clinical Oncology
Michael Frass, Helmut Friehs, Christiane Thallinger, Narinderjit Kaur Sohal, Christine Marosi, Ilse Muchitsch, Katharina Gaertner, Andreas Gleiss, Ernst Schuster, Menachem Oberbaum
OBJECTIVES: The use of complementary and alternative medicine has increased over the past decade. The aim of this study was to evaluate whether homeopathy influenced global health status and subjective wellbeing when used as an adjunct to conventional cancer therapy. DESIGN: In this pragmatic randomized controlled trial, 410 patients, who were treated by standard anti-neoplastic therapy, were randomized to receive or not receive classical homeopathic adjunctive therapy in addition to standard therapy...
June 2015: Complementary Therapies in Medicine
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