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  • Original Article
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Malnutrition among gynaecological cancer patients

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.

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References

  • Baker JP, Detsky AS, Wesson DE, Wolman SL, Stewart S, Whitewell J et al. (1982). Nutritional assessment: a comparison of clinical judgement and objective measurements. N Engl J Med 306, 969–972.

    Article  CAS  Google Scholar 

  • Bauer J, Capra S, Ferguson M (2002). Use of the scored patient-generated subjective global assessment (PG-SGA) as a nutrition assessment tool in patients with cancer. Eur J Clin Nutr 56, 779–785.

    Article  CAS  Google Scholar 

  • Bauer JD, Capra S (2005). Nutrition intervention improves outcomes in patients with cancer cachexia receiving chemotherapy-a pilot study. Support Care Cancer 13, 270–274.

    Article  Google Scholar 

  • Burnett AF, Potkul RK, Barter JF, Barnes WA, Delgado G (1993). Colonic surgery in gynecologic oncology. Risk factor analysis. J Reprod Med 38, 137–141.

    CAS  PubMed  Google Scholar 

  • Desbrow B, Bauer J, Blum C, Kandasamy A, McDonald A, Montgomery K (2005). Assessment of nutritional status in hemodialysis patients using patient-generated subjective global assessment. J Ren Nutr 15, 211–216.

    Article  Google Scholar 

  • Detsky AS, McLaughlin JR, Baker JP, Johnston N, Whittaker S, Mendelson RA et al. (1987). What is subjective global assessment of nutritional status? J Parenter Enteral Nutr 11, 8–13.

    Article  CAS  Google Scholar 

  • Dickerson RN, White KG, Curcillo 2nd PG, King SA, Mullen JL (1995). Resting energy expenditure of patients with gynecologic malignancies. J Am Coll Nutr 14, 448–454.

    Article  CAS  Google Scholar 

  • Donato D, Angelides A, Irani H, Penalver M, Averette H (1992). Infectious complications after gastrointestinal surgery in patients with ovarian carcinoma and malignant ascites. Gynecol Oncol 44, 40–47.

    Article  CAS  Google Scholar 

  • Gadducci A, Cosio S, Fanucchi A, Genazzani AR (2001). Malnutrition and cachexia in ovarian cancer patients: pathophysiology and management. Anticancer Res 21, 2941–2947.

    CAS  PubMed  Google Scholar 

  • Hirsch S, de Obaldia N, Petermann M, Rojo P, Barrientos C, Iturriaga H et al. (1991). Subjective global assessment of nutritional status: further validation. Nutrition 7, 35–37; discussion 37–38.

    CAS  Google Scholar 

  • Horsley P, Bauer J, Gallagher B (2005). Poor nutritional status prior to peripheral blood stem cell transplantation is associated with increased length of hospital stay. Bone Marrow Transplant 35, 1113–1116.

    Article  CAS  Google Scholar 

  • Isenring E, Bauer J, Capra S (2003). The scored patient-generated subjective global assessment (PG-SGA) and its association with quality of life in ambulatory patients receiving radiotherapy. Eur J Clin Nutr 57, 305–309.

    Article  CAS  Google Scholar 

  • Lochs H, Dervenis C (2003). Malnutrition – the ignored risk factor. Dig Dis 21, 196–197.

    Article  Google Scholar 

  • Massad LS, Vogler G, Herzog TJ, Mutch DG (1993). Correlates of length of stay in gynecologic oncology patients undergoing inpatient surgery. Gynecol Oncol 51, 214–218.

    Article  CAS  Google Scholar 

  • McCallum PD, Polisena CG (2000). The Clinical Guide to Oncology Nutrition. The American Dietetic Association: Chicago Ill.

    Google Scholar 

  • Obermair A, Hagenauer S, Tamandl D, Clayton RD, Nicklin JL, Perrin LC et al. (2001). Safety and efficacy of low anterior en bloc resection as part of cytoreductive surgery for patients with ovarian cancer. Gynecol Oncol 83, 115–120.

    Article  CAS  Google Scholar 

  • Orr Jr JW, Wilson K, Bodiford C, Cornwell A, Soong SJ, Honea KL et al. (1985a). Nutritional status of patients with untreated cervical cancer. I. Biochemical and immunologic assessment. Am J Obstet Gynecol 151, 625–631.

    Article  Google Scholar 

  • Orr Jr JW, Wilson K, Bodiford C, Cornwell A, Soong SJ, Honea KL et al. (1985b). Nutritional status of patients with untreated cervical cancer. II. Vitamin assessment. Am J Obstet Gynecol 151, 632–635.

    Article  Google Scholar 

  • Ottery FD (1996). Definition of standardized nutritional assessment and interventional pathways in oncology. Nutrition 12 (Suppl), S15–19.

    Article  CAS  Google Scholar 

  • Persson MD, Brismar KE, Katzarski KS, Nordenstrom J, Cederholm TE (2002). Nutritional status using mini nutritional assessment and subjective global assessment predict mortality in geriatric patients. J Am Geriatr Soc 50, 1996–2002.

    Article  Google Scholar 

  • Ravasco P, Monteiro-Grillo I, Camilo ME (2003). Does nutrition influence quality of life in cancer patients undergoing radiotherapy? Radiother Oncol 67, 213–220.

    Article  Google Scholar 

  • Ravasco P, Monteiro-Grillo I, Vidal PM, Camilo ME (2005). Dietary counseling improves patient outcomes: a prospective, randomized, controlled trial in colorectal cancer patients undergoing radiotherapy. J Clin Oncol 23, 1431–1438.

    Article  Google Scholar 

  • Santoso JT, Canada T, Latson B, Aaaadi K, Lucci 3rd JA, Coleman RL (2000). Prognostic nutritional index in relation to hospital stay in women with gynecologic cancer. Obstet Gynecol 95 (Part 1), 844–846.

    CAS  PubMed  Google Scholar 

  • Santoso JT, Cannada T, O'Farrel B, Alladi K, Coleman RL (2004). Subjective versus objective nutritional assessment study in women with gynecological cancer: a prospective cohort trial. Int J Gynecol Cancer 14, 220–223.

    Article  CAS  Google Scholar 

  • Segura A, Pardo J, Jara C, Zugazabeitia L, Carulla J, de Las Penas R et al. (2005). An epidemiological evaluation of the prevalence of malnutrition in Spanish patients with locally advanced or metastatic cancer. Clin Nutr 24, 801–814.

    Article  Google Scholar 

  • Spirtos NM, Ballon SC (1988). Needle catheter jejunostomy: a controlled, prospective, randomized trial in patients with gynecologic malignancy. Am J Obstet Gynecol 158 (Part 1), 1285–1290.

    Article  CAS  Google Scholar 

  • Terada KY, Christen C, Roberts JA (1988). Parenteral nutrition in gynecology. J Reprod Med 33, 957–960.

    CAS  PubMed  Google Scholar 

  • Tunca JC (1983). Nutritional evaluation of gynecologic cancer patients during initial diagnosis of their disease. Am J Obstet Gynecol 147, 893–896.

    Article  CAS  Google Scholar 

Download references

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Correspondence to A Obermair.

Additional information

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).

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Laky, B., Janda, M., Bauer, J. et al. Malnutrition among gynaecological cancer patients. Eur J Clin Nutr 61, 642–646 (2007). https://doi.org/10.1038/sj.ejcn.1602540

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  • DOI: https://doi.org/10.1038/sj.ejcn.1602540

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