2021, Number 3
Undernutrition in newly diagnosed patients with gynaecological cancer
Language: Spanish
References: 20
Page: 26-35
PDF size: 310.13 Kb.
ABSTRACT
Introduction: The incidence and prevalence of gynecological cancer in our country continues to grow and with it malnutrition and its complications, the Patient-Generated Subjective Global Assessment (PG-SGA) is a tool that identifies patients at risk of malnutrition/moderate malnutrition and severe malnutrition (Category B/C) that requires nutritional intervention. Objective: To determine the of malnutrition in patients newly diagnosed with gynecological cancer. Material and method: Cross-sectional, exploratory, descriptive, correlational study that included 64 patients ›20 years newly diagnosed with cervical cancer (CaCu), endometrium (CaE), ovary (CaO) and vulvar (CaV), without treatment. We evaluated PG-SGA, albumin, % weight loss (%PP). Data collected in Excel 2011 and analyzed in IBM Statistics 23. Results: PG-SGA reported 25% of patients in (Category B) and 29.7% (Category C). BMI identified 6.3% with malnutrition. The percentage PP in 1 and 6 months was higher in Category B/C (p 0.000), the PG-SGA in category B and C presented greater correlation with increase of %PP, decreased albumin and symptomatology in the oncological patient. Conclusions: The PG-SGA reported 29.7% in malnutrition while the BMI reported 6.3%, this tool identifies patients with gynecological cancer at risk of malnutrition and/or malnutrition (54.68%) who require nutritional intervention.REFERENCES
Castillo-Martínez, L., Castro-Eguiluz, D., Copcaek-Mendoza, E. T., Pérez-Camargo, D. A., Reyes-Torres, C. A., Damasco-Ávila, E. A., López-Córdova, G., Fuentes-Hernández, M. R., Cetina-Pérez, L., & Milke-García, M. del P. (2018). Nutritional Assessment Tools for the Identification of Malnutrition and Nutritional Risk Associated with Cancer Treatment. Revista de Investigación Clínica, 70(3), 906. https://doi.org/10.24875/RIC.18002524
Gutiérrez J., Rivera-Dommarco J, Shamah-Levy T, Villalpando-Hernández S, Franco A, Cuevas-Nasu L, Romero-Martínez M, Hernández-Ávila M (2012). Encuesta Nacional de Salud y Nutrición 2012. Resultados Nacionales. Cuernavaca, México: Instituto Nacional de Salud Pública (MX), 2012. ISBN 978-607-511-037-0. Obtenido de: https://ensanut.insp.mx/informes/ENSANUT2012ResultadosNacionales.pdf
Santos Rodrigues, C., & Villaça Chaves, G. (2015). Patient-Generated Subjective Global Assessment in relation to site, stage of the illness, reason for hospital admission, and mortality in patients with gynecological tumors. Supportive Care in Cancer, 23(3), 871–879. https://doi.org/10.1007/s00520-014-2409-7
Shamah-Levy T, Vielma-Orozco E, Heredia-Hernández O, Romero-Martínez M, Mojica-Cuevas J, Cuevas-Nasu L, Santaella-Castell JA, Rivera-Dommarco J. (2020) Encuesta Nacional de Salud y Nutrición 2018-19: Resultados Nacionales. Cuernavaca, México: Instituto Nacional de Salud Pública (MX). ISBN 978-607-511-205-3. Obtenido de: https://ensanut.insp.mx/encuestas/ensanut2018/doctos/informes/ensanut_2018_informe_final.pdf
Thompson, K. L., Elliott, L., Fuchs-Tarlovsky, V., Levin, R. M., Voss, A. C., & Piemonte, T. (2017). Oncology Evidence-Based Nutrition Practice Guideline for Adults. Journal of the Academy of Nutrition and Dietetics, 117(2), 297-310.e47. https://doi.org/10.1016/j.jand.2016.05.010 Valenzuela-Landaeta, K., Rojas, P., & Basfi-fer, K. (2012). Evaluación nutricional del paciente con cáncer. Nutricion Hospitalaria, 27(2), 516–523. https://doi.org/10.3305/nh.2012.27.2.5525
Vázquez de la Torre, M. J., Stein, K., Vásquez Garibay, E. M., Kumazawa Ichikawa, M. R., Troyo Sanromán, R., Salcedo Flores, A. G., & Sánchez Zubieta, F. A. (2017). Patient-Generated Subjective Global Assessment of nutritional status in pediatric patients with recent cancer diagnosis. Nutrición Hospitalaria. https://doi.org/10.20960/nh.935
White, J. V., Guenter, P., Jensen, G., Malone, A., & Schofield, M. (2012). Consensus statement: Academy of nutrition and dietetics and American society for parenteral and enteral nutrition: Characteristics recommended for the identification and documentation of adult malnutrition (undernutrition). Journal of Parenteral and Enteral Nutrition, 36(3), 275–283. https://doi.org/10.1177/0148607112440285