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Performance of Patient‐Generated Subjective Global Assessment (PG‐SGA) in Patients With Advanced Cancer in Palliative Care
Author(s) -
Wiegert Emanuelly Varea Maria,
Padilha Patricia de Carvalho,
Peres Wilza Arantes Ferreira
Publication year - 2017
Publication title -
nutrition in clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.725
H-Index - 71
eISSN - 1941-2452
pISSN - 0884-5336
DOI - 10.1177/0884533617725071
Subject(s) - medicine , hazard ratio , confidence interval , palliative care , odds ratio , cancer , performance status , oncology , nursing
Background: The purpose of this study was to evaluate the prognostic significance of the Patient‐Generated Subjective Global Assessment (PG‐SGA) in patients receiving palliative care for advanced cancer. Methods: The PG‐SGA was used to assess nutrition status of 120 patients admitted to the Palliative Care Unit at the National Cancer Institute in Brazil. Results: According to the PG‐SGA, 94.2% (n = 113) of the patients were evaluated as malnourished. The PG‐SGA evaluated that xerostomia was the only symptom associated with a short survival (odds ratio [OR], 2.54; 95% confidence interval [CI], 1.2–5.38; P = .014). Survival was found to be significantly higher in well‐nourished (PG‐SGA A) than malnourished (PG‐SGA B [ P = .021] or C [ P = .013]) patients. Total PG‐SGA score (hazard ratio [HR], 1.06; 95% CI, 1.001–1.09; P = .045) and Karnofsky Performance Status of 20%–30% (HR, 15.4; 95% CI, 1.63–92.9; P = .001) and 40%–50% (HR, 10.0; 95% CI, 1.22–64.9; P = .031) were found to be independent prognostic survival factors. Conclusion: The scored PG‐SGA is an independent prognostic factor of survival and thus can be a useful tool for nutrition evaluation in palliative care.