The Prevalence of Malnutrition in Oncology Patients in a Greek General Hospital. Evaluation Using Anthropometric and Laboratory Measurements
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Background and Purpose
The incidence of malnutrition in oncology patients is high, and it depends on the type, location and stage of the tumor and on the treatment. In this empirical study, we aimed to evaluate the prevalence of malnutrition in adults with cancer in a Greek general hospital and to investigate the relationship between objective and subjective nutritional assessment of the patients.
We assessed the nutritional status of 88 oncology patients within 48 hours of admission, using the three nutrition screening tools Subjective Global Assessment (SGA), Nutritional Risk Screening 2002 (NRS 2002) and Malnutrition Screening Tool (MST). The degree of malnutrition was determined using anthropometric measurements and laboratory nutrition-related parameters.
In this Greek hospital, the rate of malnutrition risk in patients with cancer varied, ranging from 35.3% to 45.5%, depending on the nutrition screening tool used. Men, elderly patients and patients with gastric cancer were demonstrated to be at higher risk of malnutrition. Malnourished patients showed significant weight loss, with anorexia being the main gastrointestinal symptom. The objective laboratory nutrition parameters did not always indicate nutritional deficiency, but the anthropometric measurements showed a decrease in these patients.
The problem of malnutrition among Greek oncology patients appears to be significant and there is a need for further efforts in its detection and management.
Key wordsNutritional screening tools oncology patients malnutrition epidemiological study
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