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The patient generated-subjective global assessment (PG-SGA) and ECOG performance status are associated with mortality in patients hospitalized with breast cancer.
da Silva, Sandra Helena Kaznowski; de Oliveira, Livia Costa; E Silva Lopes, Márcia Soares da Mota; Wiegert, Emanuelly Varea Maria; Motta, Rachel Souza Thompson; Ferreira Peres, Wilza Arantes.
Afiliación
  • da Silva SHK; National Cancer Institute (INCA), Rio de Janeiro, RJ, Brazil.
  • de Oliveira LC; National Cancer Institute (INCA), Rio de Janeiro, RJ, Brazil.
  • E Silva Lopes MSDM; Department of Nutrition and Dietetics, Institute of Nutrition, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
  • Wiegert EVM; National Cancer Institute (INCA), Rio de Janeiro, RJ, Brazil.
  • Motta RST; National Cancer Institute (INCA), Rio de Janeiro, RJ, Brazil.
  • Ferreira Peres WA; Department of Nutrition and Dietetics, Institute of Nutrition, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil. Electronic address: wilza@nutricao.ufrj.br.
Clin Nutr ESPEN ; 53: 87-92, 2023 02.
Article en En | MEDLINE | ID: mdl-36657935
AIM: This study evaluated the association between risk of malnutrition and performance status, and mortality in hospitalized breast cancer patients. METHODS: Prospective cohort study with hospitalized breast cancer patients evaluated at a referral Cancer Center. The Risk of malnutrition was assessed by the Patient-Generated Subjective Global Assessment (PG-SGA) and performance status was determined using the Eastern Cooperative Oncology Group Performance Status Scale (ECOG PS). Logistic regression was used to analyze the factors associated with death, using the odds ratio (OR) with a 95% confidence interval (CI) as an effect measure. RESULTS: A total of 195 woman were included, with a mean age of 56.3 (±12.6) years. Patients with an overall PG-SGA score ≥18 (OR: 2.11; 95% CI: 1.03-4.62) and ECOG PS ≥ 3 (OR: 3.34; 95% CI: 1.48-7.52) had a higher occurrence of death during hospitalization, regardless of age or disease stage. The concomitant presence of these two factors improved the accuracy of the association (OR: 5.32; 95% CI: 3.11-9.76) and showed good predictive accuracy (C-statistics: 0.77). CONCLUSION: Nutritional risk and poor performance status were associated with a higher occurrence of death in women with breast cancer. The use of these two indicators improves their predictive accuracy for mortality.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias de la Mama / Desnutrición Tipo de estudio: Diagnostic_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Límite: Female / Humans / Middle aged Idioma: En Revista: Clin Nutr ESPEN Año: 2023 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias de la Mama / Desnutrición Tipo de estudio: Diagnostic_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Límite: Female / Humans / Middle aged Idioma: En Revista: Clin Nutr ESPEN Año: 2023 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Reino Unido