Malnutrition among gynaecological cancer patients

Laky, B., Janda, M., Bauer, J., Vavra, C., Cleghorn, G. and Obermair, A. (2006) Malnutrition among gynaecological cancer patients. European Journal of Clinical Nutrition, 61 5: 642-646. doi:10.1038/sj.ejcn.1602540


Author Laky, B.
Janda, M.
Bauer, J.
Vavra, C.
Cleghorn, G.
Obermair, A.
Title Malnutrition among gynaecological cancer patients
Journal name European Journal of Clinical Nutrition   Check publisher's open access policy
ISSN 0954-3007
1476-5640
Publication date 2006-10-04
Sub-type Article (original research)
DOI 10.1038/sj.ejcn.1602540
Volume 61
Issue 5
Start page 642
End page 646
Total pages 5
Place of publication London, United Kingdom
Publisher Nature Publishing Group
Language eng
Subject 321208 Primary Health Care
730115 Urogenital system and disorders
Formatted abstract
Objective:
To assess the nutritional status of patients with gynaecological cancer.

Design:
 
A prospective study assessing the nutritional status of gynaecological patients with suspected or proven gynaecological cancer.

Setting:
Queensland Centre for Gynaecological Cancer, Brisbane, Australia; a tertiary referral centre for gynaecological cancer.

Subjects: 
One hundred forty-five patients with suspected or proven gynaecological cancer aged 20–91 years.

Intervention: 
Scored patient-generated subjective global assessment (PG-SGA) and serum albumin before treatment.

Results:
 
One hundred and sixteen (80%) patients were categorized as PG-SGA class A, 29 (20%) patients were PG-SGA B and none of the patients were PG-SGA C. Ovarian cancer patients had significantly lower serum albumin levels (P=0.003) and higher PG-SGA scores (P<0.001) than patients with other types of cancer and benign conditions. Sixty-seven per cent of patients with ovarian cancer were classified as PG-SGA B. After adjusting for patient's age, body mass index and albumin level, ovarian cancer patients were 19 times more likely to be categorized as PG-SGA class B compared to patients with benign conditions (95% confidence interval: 3.03–129.8; P=0.002).

Conclusion:
Malnutrition in gynaecological cancer patients is a significant problem, especially among those patients diagnosed with ovarian cancer.
Keyword Scored patient-generated subjective global assessment
Malnutrition
Gynaecological cancer
Albumin
Nutritional assessment
Nutritional status
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status Non-UQ

 
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Created: Wed, 11 Jun 2008, 00:34:56 EST