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Nutrición Hospitalaria
versión On-line ISSN 1699-5198versión impresa ISSN 0212-1611
Resumen
SANCHEZ-SANCHEZ, Eduardo; LOPEZ-ALIAGA, Inmaculada y MUNOZ ALFEREZ, Mª José. Analysis of three methods of nutritional screening in oncologic patients. Nutr. Hosp. [online]. 2018, vol.35, n.6, pp.1324-1330. Epub 03-Feb-2020. ISSN 1699-5198. https://dx.doi.org/10.20960/nh.1878.
Background:
malnutrition is one of the complications that appears most frequently in oncological patients and causes serious consequences such as loss of lean mass.
Objective:
to know which nutritional screening method is most useful in predicting the loss of lean mass in cancer patients.
Methods:
a descriptive study was carried out evaluating three methods of nutritional screening, Malnutrition Screening Tool (MST), Malnutrition Universal Screening (MUST) and Nutritional Risk Screening (NRS-2002), in oncological patients undergoing radiotherapy treatment. Each method was analyzed by ROC curves with AUC calculation.
Results:
loss of lean mass is present in 48.73% of the patients. Of them, 29.44% present a loss of lean mass between 0-2%; 10.66% of patients, between 2-5%; and 8.13% of patients present a loss of lean mass > 5%. The results show that when taking a loss of lean mass > 5% as a cut-off point, the MST method has a higher AUC than the one presented by the MUST and the NRS-2002 (0.596, CI: 0.444-0.747), with significant statistics (p = 0.041). In addition, it presents high sensitivity and positive and negative predictive value.
Conclusions:
MST is a more valid nutritional screening method than MUST and NRS-2002 to predict the loss of lean mass > 5% in oncological patients undergoing radiotherapy treatment. Its routine use is recommended in patients under radiotherapy treatment.
Palabras clave : Lean mass loss; Nutritional assessment; Oncology; Malnutrition.