[Screening of malnutrition risk versus indicators of nutritional status and systemic inflammatory response in newly diagnosed lung cancer patients]. / Screening rizika malnutrice versus ukazatelé nutricního stavu a systémové zánetlivé odpovedi u pacientu s nove diagnostikovaným karcinomem plic.
Klin Onkol
; 27(4): 261-8, 2014.
Article
em Cs
| MEDLINE
| ID: mdl-25115715
ABSTRACT
BACKGROUND:
Most lung cancers are already advanced at the time of dia-gnosis. In these patients, a frequent symptom is protein energy malnutrition, often diagnosed prior to oncological treatment. Malnutrition results in poor tolerance of treatment and increased morbidity and mortality.METHODS:
Nutritional Risk Screening (NRS) 2002 adapted for oncological patients was used to assess the risk of undernutrition in a group of 188 lung cancer patients. The risk was evaluated on a 6-âpoint scale according to common signs of nutritional status and tumor and its treatment risk factors. A score of 3 and more (called "nutritional risk") means a significant risk of malnutrition. Furthermore, pretreatment nutritional characteristics were evaluated in patients (including the value of BMI) and laboratory values indicating malnutrition/âacute phase response (albumin/âCâreactive protein - CRP).RESULTS:
Acceptable NRS score was found in 50.6%, while in 45.3% was suggested into risk of malnutrition ("nutritional risk"). Only 6.6% of our patients had a BMI less than 20 kg/âm2. Significant differences in albumin and CRP values in various categories of NRS were confirmed.CONCLUSION:
Initial signs of cancer malnutrition may be overlooked in patients who fall within or above the range of BMI for adequate weight, although these patients may be at significant risk of malnutrition. The indicators of nutritional status and systemic inflammatory responses were significantly associated with resulting values NRS score.
Buscar no Google
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Estado Nutricional
/
Síndrome de Resposta Inflamatória Sistêmica
/
Desnutrição
/
Neoplasias Pulmonares
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Risk_factors_studies
/
Screening_studies
Limite:
Humans
Idioma:
Cs
Revista:
Klin Onkol
Assunto da revista:
NEOPLASIAS
Ano de publicação:
2014
Tipo de documento:
Article