Comparison between GLIM Criteria, Cancer Cachexia Consensus and PG-SGA SF for the Nutritional Diagnosis of Patients with Advanced Cancer in Palliative Care
DOI:
https://doi.org/10.32635/2176-9745.RBC.2024v70n4.4771Keywords:
Nutritional Assessment, Malnutrition/diagnosis, Cachexia/ diagnosis, Neoplasia/diet therapy, Palliative CareAbstract
Introduction:The nutritional diagnosis in patients with cancer may vary according to the assessment method. Objective: To evaluate the agreement of the Global Leadership Initiative on Malnutrition (GLIM) criteria and the consensus of cancer cachexia with the patient-generated subjective global assessment short form (PG-SGA SF) for nutritional diagnosis of patients with advanced cancer in palliative care. Method: Observational study with patients with advanced cancer evaluated during their first visit to a palliative care unit. Nutritional status was defined using the GLIM criteria, the consensus of cachexia, and the PG-SGA SF. Agreement values were analyzed using the Kappa coefficient (k) and accuracy measures of the methods were calculated. Results: A total of 254 patients was included, median age of 65 years (interquartile range: 58-71), predominantly males (55.1%). The prevalence of changes in nutritional status was 71.3%, 79.1% and 58.3%, according to GLIM, consensus of cachexia and PG-SGA SF, respectively. The agreement between the GLIM and the consensus of cachexia was moderate (k = 0.79; p < 0.001), while with the PG-SGA SF was very poor (GLIM k = 0.06; p = 0.320 and consensus of cachexia k = 0.06; p = 0.224). The accuracy between the GLIM and the consensus of cachexia was high (92.1%), however, the accuracy was low (<57.9%) in relation to the PG-SGA SF. Conclusion: Compared to the PG-SGA SF, agreement and accuracy between GLIM and consensus of cachexia criteria was unacceptable for nutritional diagnosis, which suggests less practical applicability for nutritional assessment of this population.
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