Original Article
European Journal of Clinical Nutrition (2007) 61, 642–646. doi:10.1038/sj.ejcn.1602540; published online 4 October 2006
Malnutrition among gynaecological cancer patients
Guarantor: A Obermair.
Contributors: The authors have contributed to the paper by initiating the study (AO), collecting data (BL), analysing data (AO, MJ, BL), supervising the project (AO, GC), writing the paper (AO, MJ, BL) and revision of the paper (all contributors).
B Laky1, M Janda2, J Bauer3, C Vavra4, G Cleghorn5 and A Obermair1
- 1Queensland Centre for Gynaecological Cancer, The Royal Brisbane and Women's Hospital, Brisbane, Australia
- 2Queensland Cancer Fund, Spring Hill, QLD, Australia
- 3The Wesley Research Institute, Brisbane, Australia
- 4University Hospital, School of Medicine, Vienna, Austria
- 5The Children's Nutrition Research Centre, Royal Children's Hospital, Brisbane, Australia
Correspondence: Dr A Obermair, Queensland Centre for Gynaecological Cancer, The Royal Brisbane and Women's Hospital, 6th Floor Ned Hanlon Building, HERSTON QLD 4029, Brisbane, Australia. E-mail: Andreas_Obermair@health.qld.gov.au
Received 2 February 2006; Revised 11 July 2006; Accepted 12 July 2006; Published online 4 October 2006.
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.
Keywords:
nutritional assessment, nutritional status, scored patient-generated subjective global assessment, malnutrition, gynaecological cancer, albumin
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