2002年成人癌症患者的营养风险查:系统性审查和元分析
Pengpeng Wang1,2, Yanmei Tan3, Kim Lam Soh2
1Nursing College of Guangxi Medical University, Nanning, Guangxi, China.
Nutrition and cancer
|May 17, 2024
概括
2002年营养风险查 (NRS2002) 工具显示适度灵敏度和高特异性,用于识别成人癌症患者的营养风险,有助于早期营养不良评估.
科学领域:
- 在瘤学瘤学.
- 营养科学 营养科学
- 诊断的准确性 诊断的准确性
背景情况:
- 早期营养不良查对癌症患者至关重要.
- 缺乏统一的标准使营养风险评估复杂化.
- 患者生成的主观全球评估 (PG-SGA) 是一个参考标准.
研究的目的:
- 评估2002年营养风险查 (NRS2002) 对成年癌症患者营养风险查的有效性.
- 将NRS2002的性能与PG-SGA标准进行比较.
主要方法:
- 在多个数据库 (PubMed,Embase,科学网等) 进行系统的文献搜索. ) 的情况.
- 包括在成人癌症患者中比较NRS2002和PG-SGA的研究.
- 使用QUADAS-2进行质量评估和对诊断准确度 (灵敏度,特异性,AUC) 的元分析.
主要成果:
- 包括13项与3373名参与者的研究.
- 综合灵敏度:0.62 (95% CI,0.60-0.64) 的情况.
- 综合特异性:0.86 (95% CI,0.84-0.88). 它们的结合特异性为0.86.
- 曲线下面的面积 (AUC):0.85 (95% CI,0.82-0.88). 在该曲线下面的面积 (AUC):0.85 (95% CI,0.82-0.88).
结论:
- 在成年癌症患者的营养风险查中,NRS2002显示出中度灵敏度和高特异性.
- 该工具对这个人群具有很高的诊断准确性 (AUC).
- NRS2002可以是一个有价值的选工具,尽管考虑到中度灵敏度,可能需要进一步改进.
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