Survey and analysis of the nutritional status in hospitalized patients with malignant gastric tumors and its influence on the quality of life.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
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Guo Zeng Qing, Yu Jia Mi, Li Wei, Fu Zhen Ming, Lin Yuan, Shi Ying Ying, Hu Wen, Ba Yi, Li Su Yi, Li Zeng Ning, Wang Kun Hua, Wu Jing, He Ying, Yang Jia Jun, Xie Cong Hua, Song Xin Xia, Chen Gong Yan, Ma Wen Jun, Luo Su Xia, Chen Zi Hua, Cong Ming Hua, Ma Hu, Zhou Chun Ling, Wang Wei, Luo Qi, Shi Yong Mei, Qi Yu Mei, Jiang Hai Ping, Guan Wen Xian, Chen Jun Qiang, Chen Jia Xin, Fang Yu, Zhou Lan, Feng Yong Dong, Tan Rong Shao, Li Tao, Ou Jun Wen, Zhao Qing Chuan, Wu Jian Xiong, Deng Li, Lin Xin, Yang Liu Qing, Yang Mei, Wang Chang, Song Chun Hua, Xu Hong Xia, Shi Han Ping, Investigation on the Nutrition Status and Clinical Outcome of Common Cancers (INSCOC) Group
Аннотация
METHODS: We reviewed the pathological diagnosis of gastric cancer for 2322 hospitalized patients using PG-SGA to assess their nutritional status and collected data on clinical symptoms, the anthropometric parameters (height, weight, body mass index (BMI), mid-arm circumference (MAC), triceps skin-fold thickness (TSF), and hand-grip strength (HGS). We also collected laboratory data (prealbumin, albumin, hemoglobin) within 48 h after the patient was admitted to the hospital. The 30-item European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire (EORTC QLQ-C30) was used for QOL assessment in all patients.
RESULTS: By using PG-SGA, we found 80.4% of the patients were malnourished (score ≥ 4) and 45.1% of the patients required urgent nutritional support (score ≥ 9). In univariate analysis, old age (> 65 years, p < 0.001), female (p = 0.007), residence in a village (p = 0.004), a lower level of education (p < 0.001), and self-paying (p < 0.001) were indicated as risk factors of patients with gastric cancer to be suffering from severe malnutrition. There was a negative correlation between PG-SGA and various nutritional parameters (p < 0.05). The quality of life was significantly different in gastric cancer patients with different nutritional status (p < 0.01).
CONCLUSION: Malnutrition of hospitalized patients with gastric cancer in China is common and seriously affects the patients' quality of life. The nutritional status should be evaluated in a timely manner and reasonable nutritional intervention should be provided as soon as possible. The PG-SGA was fit for using as a clinical nutrition assessment method, being worthy of clinical application.