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Predicting Postoperative Events in Patients With Gastric Cancer: A Comparison of Five Nutrition Assessment Tools
Shun-Wen Hsueh1, Keng-Hao Liu2, Chia-Yen Hung3,4
1Department of Oncology, Chang Gung Memorial Hospital at Keelung, Keelung, Taiwan, R.O.C.
Background/Aim:
We compared the adequacy of five nutrition assessment tools with respect to their predictive value in patients with locally advanced gastric cancer (GC) receiving radical surgery.
Patients And Methods:
Five nutrition assessment tools-Glasgow prognostic score (GPS), malnutritional universal screening tool (MUST), nutritional risk screening, patient generated subjective global assessment (PG-SGA), and prognostic nutritional index (PNI)-were assessed preoperatively for stage III GC patients. The correlation between postoperative events and nutritional status was further analyzed.
Results:
Most of the nutritional tools accurately predicted length of hospital stay and grade 3 or higher surgical complications, while only the GPS correlated with 30-day readmission and surgical complications. The PG-SGA performed the poorest among the five tools and failed to predict any postoperative event.
Conclusion:
The application of GPS is recommended as a prognostic index for patients with locally advanced GC prior to radical surgery.
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