The Experts below are selected from a list of 169428 Experts worldwide ranked by ideXlab platform
Yves Rolland - One of the best experts on this subject based on the ideXlab platform.
-
Association between cachexia, chemotherapy and outcomes in older cancer patients: A systematic review
Clinical Nutrition, 2017Co-Authors: Philippe Caillet, Evelyne Liuu, Agathe Raynaud Simon, Marc Bonnefoy, Olivier Guerin, Gilles Berrut, Bruno Lesourd, Claude Jeandel, Monique Ferry, Yves RollandAbstract:BACKGROUND & AIMS: The aims of this systematic review were (i) to determine the prevalence of Malnutrition and cachexia in older cancer patients in a chemotherapy setting, and (ii) to report the chemotherapy-related causes of Malnutrition and (iii) the consequences of Malnutrition on the outcomes of these patients. METHODS: We searched MEDLINE for articles published in English or French between 2005 and 2016 and which reported retrospective or prospective, observational or interventional studies of the prevalence of Malnutrition and its consequences in patients 65 years or older with solid tumors and chemotherapy-related causes of Malnutrition. RESULTS AND CONCLUSION: Malnutrition is prevalent up to 83% in older patients with cancer scheduled to receive chemotherapy. One third or more of patients were malnourished before receiving chemotherapy. A weight loss of 10% or more during the past three or six months was reported in 8%-40% of cancer patients, while a body mass index
-
Screening for Malnutrition in Older People
Clinics in geriatric medicine, 2015Co-Authors: Sophie Guyonnet, Yves RollandAbstract:Malnutrition risk increases with age and level of care. Despite significant medical advances, Malnutrition remains a significant and highly prevalent public health problem of developed countries. Earlier identification and appropriate nutrition support may help to reverse or halt the Malnutrition trajectory and the negative outcomes associated with poor nutritional status. A nutrition screening process is recommended to help detect people with protein-energy Malnutrition (PEM) or at Malnutrition risk. Evidence supports that oral nutritional supplements and dietary counseling can increase dietary intake and improve quality of life in elderly with PEM or at Malnutrition risk. This article examines nutritional screening and assessment tools designated for older adults.
Merrilyn Banks - One of the best experts on this subject based on the ideXlab platform.
-
development of a valid and reliable Malnutrition screening tool for adult acute hospital patients
Nutrition, 1999Co-Authors: Maree Ferguson, Sandra Capra, Judy Bauer, Merrilyn BanksAbstract:Nutrition screening identifies individuals who are malnourished or at risk of becoming malnourished and who may benefit from nutrition support. The aim of this study was to develop a simple, reliable and valid Malnutrition screening tool that could be used at hospital admission to identify adult acute patients at risk of Malnutrition. The sample population included 408 patients admitted to an Australian hospital, excluding pediatric, maternity, and psychiatric patients. The ability of various nutrition screening questions to predict subjective global assessment (SGA) were examined in contingency tables. The combination of nutrition screening questions with the highest sensitivity and specificity at predicting SGA was termed the Malnutrition screening tool (MST), and consisted of two questions regarding appetite and recent unintentional weight loss. Subjects who were at risk of Malnutrition according to the MST had significantly lower mean values for the objective nutrition parameters (except immunologic parameters) and longer length of stays than subjects who were not at risk of Malnutrition. Therefore convergent and predictive validity of the MST was established. The interrater reliability of the Malnutrition screening tool was high (93-97%). The MST is a simple, quick, valid, and reliable tool which can be used to identify patients at risk of Malnutrition.
Sandra Capra - One of the best experts on this subject based on the ideXlab platform.
-
quick and easy is not without cost implications of poorly performing nutrition screening tools in hip fracture
Journal of the American Geriatrics Society, 2014Co-Authors: Sandra Capra, Jack J Bell, Judith Bauer, Ranjeev C PulleAbstract:Objectives To evaluate the performance of commonly applied nutrition screening tools and measures and to consider the potential costs of undiagnosed Malnutrition in a case-based reimbursement funding environment. Design A diagnostic accuracy study to compare a variety of nutrition screening techniques against primary, secondary, and comparative measures of nutritional status. Setting Public metropolitan hospital orthogeriatric unit. Participants Individuals with acute hip fracture admitted to the orthogeriatric unit; 150 prospective, consecutively admitted individuals were considered, with eight exclusions, yielding a sample size of 142 participants. Measurements Screens included the Mini Nutritional Assessment - Short Form, Malnutrition Screening Tool, Malnutrition Universal Screening Tool, Nutrition Risk Screen 2002, anthropometric measures, and albumin. Malnutrition was diagnosed using International Statistical Classification of Diseases and Health Related Problems, Tenth Edition, Australian Modification (ICD-10-AM) criteria. Healthcare coders costed Malnutrition-related diagnostic related groups and cost-weight changes for individual participants. Results Malnutrition prevalence was 48%. Screening tools had only slight to moderate agreement with ICD-10-AM diagnosis of Malnutrition, and none of the screening tools tested met the a priori requirement of 80% sensitivity and 60% specificity. The estimated cost effect of poor screening tool sensitivity on a 16-bed hip fracture unit ranged from AUS46,506 to AUS228,896 per year. Conclusion Poor screening tool sensitivity leads to undiagnosed Malnutrition; tools that are quick and easy to apply are not without cost. Routine nutrition assessment should replace nutrition risk screening in hip fracture settings with a high prevalence of Malnutrition reliant on case-mix funding. Further pragmatic studies are urgently required to determine whether findings apply to other elderly inpatient populations with endemic Malnutrition, comorbidities, and cognitive impairment.
-
The Malnutrition screening tool versus objective measures to detect Malnutrition in hip fracture.
Journal of human nutrition and dietetics : the official journal of the British Dietetic Association, 2013Co-Authors: Jack J Bell, Judith Bauer, Sandra CapraAbstract:BackgroundThe Malnutrition Screening Tool (MST) is the most commonly used screening tool in Australia. Poor screening tool sensitivity may lead to an under-diagnosis of Malnutrition, with potential patient and economic ramifications. The present study aimed to determine whether the MST or anthropometric parameters adequately detect Malnutrition in patients who were admitted to a hip fracture unit.
-
development of a valid and reliable Malnutrition screening tool for adult acute hospital patients
Nutrition, 1999Co-Authors: Maree Ferguson, Sandra Capra, Judy Bauer, Merrilyn BanksAbstract:Nutrition screening identifies individuals who are malnourished or at risk of becoming malnourished and who may benefit from nutrition support. The aim of this study was to develop a simple, reliable and valid Malnutrition screening tool that could be used at hospital admission to identify adult acute patients at risk of Malnutrition. The sample population included 408 patients admitted to an Australian hospital, excluding pediatric, maternity, and psychiatric patients. The ability of various nutrition screening questions to predict subjective global assessment (SGA) were examined in contingency tables. The combination of nutrition screening questions with the highest sensitivity and specificity at predicting SGA was termed the Malnutrition screening tool (MST), and consisted of two questions regarding appetite and recent unintentional weight loss. Subjects who were at risk of Malnutrition according to the MST had significantly lower mean values for the objective nutrition parameters (except immunologic parameters) and longer length of stays than subjects who were not at risk of Malnutrition. Therefore convergent and predictive validity of the MST was established. The interrater reliability of the Malnutrition screening tool was high (93-97%). The MST is a simple, quick, valid, and reliable tool which can be used to identify patients at risk of Malnutrition.
O. R. L. Wright - One of the best experts on this subject based on the ideXlab platform.
-
Malnutrition Screening and Assessment in Hospitalised Older People: A Review
The journal of nutrition health & aging, 2019Co-Authors: Elsa Dent, E. O. Hoogendijk, R. Visvanathan, O. R. L. WrightAbstract:Malnutrition (undernutrition) remains one of the most serious health problems for older people worldwide. Many factors contribute to Malnutrition in older people, including: loss of appetite, polypharmacy, dementia, frailty, poor dentition, swallowing difficulties, social isolation, and poverty. Malnutrition is common in the hospital setting, yet often remains undetected by medical staff. The objective of this review is to compare the validity and reliability of Nutritional Screening Tools (NSTs) for older adults in the hospital setting. We also provide an overview of the various nutritional screening and assessment tools used to identify Malnutrition in hospitalised older adults. These include: Subjective Global Assessment (SGA), the Mini Nutritional Assessment (MNA), MNA-short form (MNA-SF), Malnutrition Universal Screening Tool (MUST), Simplified Nutritional Appetite Questionnaire (SNAQ), Geriatric Nutrition Risk Index (GNRI) and anthropometric measurements. The prevalence and outcomes of Malnutrition in hospitalised older adults are also addressed.
Jack J Bell - One of the best experts on this subject based on the ideXlab platform.
-
quick and easy is not without cost implications of poorly performing nutrition screening tools in hip fracture
Journal of the American Geriatrics Society, 2014Co-Authors: Sandra Capra, Jack J Bell, Judith Bauer, Ranjeev C PulleAbstract:Objectives To evaluate the performance of commonly applied nutrition screening tools and measures and to consider the potential costs of undiagnosed Malnutrition in a case-based reimbursement funding environment. Design A diagnostic accuracy study to compare a variety of nutrition screening techniques against primary, secondary, and comparative measures of nutritional status. Setting Public metropolitan hospital orthogeriatric unit. Participants Individuals with acute hip fracture admitted to the orthogeriatric unit; 150 prospective, consecutively admitted individuals were considered, with eight exclusions, yielding a sample size of 142 participants. Measurements Screens included the Mini Nutritional Assessment - Short Form, Malnutrition Screening Tool, Malnutrition Universal Screening Tool, Nutrition Risk Screen 2002, anthropometric measures, and albumin. Malnutrition was diagnosed using International Statistical Classification of Diseases and Health Related Problems, Tenth Edition, Australian Modification (ICD-10-AM) criteria. Healthcare coders costed Malnutrition-related diagnostic related groups and cost-weight changes for individual participants. Results Malnutrition prevalence was 48%. Screening tools had only slight to moderate agreement with ICD-10-AM diagnosis of Malnutrition, and none of the screening tools tested met the a priori requirement of 80% sensitivity and 60% specificity. The estimated cost effect of poor screening tool sensitivity on a 16-bed hip fracture unit ranged from AUS46,506 to AUS228,896 per year. Conclusion Poor screening tool sensitivity leads to undiagnosed Malnutrition; tools that are quick and easy to apply are not without cost. Routine nutrition assessment should replace nutrition risk screening in hip fracture settings with a high prevalence of Malnutrition reliant on case-mix funding. Further pragmatic studies are urgently required to determine whether findings apply to other elderly inpatient populations with endemic Malnutrition, comorbidities, and cognitive impairment.
-
The Malnutrition screening tool versus objective measures to detect Malnutrition in hip fracture.
Journal of human nutrition and dietetics : the official journal of the British Dietetic Association, 2013Co-Authors: Jack J Bell, Judith Bauer, Sandra CapraAbstract:BackgroundThe Malnutrition Screening Tool (MST) is the most commonly used screening tool in Australia. Poor screening tool sensitivity may lead to an under-diagnosis of Malnutrition, with potential patient and economic ramifications. The present study aimed to determine whether the MST or anthropometric parameters adequately detect Malnutrition in patients who were admitted to a hip fracture unit.
