Clinical Value of Three Nutritional Screening Tools in Assessing The Risk of Malnutrition in Patients with Bone and Soft Tissue Tumors
[Objective]To investigate the occurrence of malnutrition risk in patients with bone and soft tissue tumors,and explore the clinical value of three nutritional screening tools including nutritional risk screening 2002(NRS 2002),universal screening tool(MUST),and patient subjective overall assessment summary(PG-SGA SF)in the assessment of malnutrition risk in patients with bone and soft tissue tumors.[Method]We conducted a questionnaire survey on all adult patients admitted to the Bone and Soft Tissue Department of Shanxi Cancer Hospital from August 2023 to May 2024 including general information of patients(age,gender,height,weight),changes in patient weight in the past two weeks,one month,two months,three months,and six months,changes in diet,and reasons affecting diet,etc.We organized and completed NRS 2002,MUST,PG-SGA SF scores.Statistical analysis of disease diagnosis and treatment was carried out based on clinical data of patients.The chi-square test was used for comparing rates,the Mann-Whitney test was used for comparing quantitative data between two groups,and the Kruskal-Wallis H test was used for comparing multiple groups.ROC curves were plotted,and Venny diagram and ROC curve were drawed.[Result]There were 633 qualified questionnaires,with 327 males and 306 females,with an average age of(54.41±14.35)years.The risk of malnutrition in patients with bone and soft tissue tumors ranges from 14％to 22％,with a higher incidence of malnutrition in patients with malignant tumors.The venny plot of the three screening results showed that NRS 2002 had higher consistency with MUST.Draw ROC curve based on NRS 2002,area under curve(MUST:0.9287,PG-SGA SF:0.596).[Conclu-sion]The incidence of malnutrition risk in patients with bone and soft tissue tumors is lower than that in patients with other types of tumors,but the higher the malignancy,the greater the risk of malnutrition.NRS 2002 has some missed diagnosis,while MUST is simple and comprehensive,it is recommended to promote it.and PG-SGA SF is more suitable for evaluation.
bone and soft tissue tumorsrisk of malnutritionNutritional Risk Screening 2002(NRS 2002)Malnutrition Universal Screening Tool(MUST)Patient-Generated Subjective Global Assessment Short Form(PG-SGA SF)
万方数据
维普
