The Swedish version of the patient-generated subjective global assessment of nutritional status: gastrointestinal vs urological cancers.
OBJECTIVE
To translate and evaluate the Patient-Generated Subjective Global Assessment (PG-SGA) a method for the assessment of nutritional status.


METHODS
Eighty-seven patients with gastrointestinal and urological tumours completed four sections and the remaining sections were independently completed by a doctor and a dietician. Patients were classified as SGA A (well nourished), SGA B (moderately/suspected of being malnourished) or SGA C (severely malnourished).


RESULTS
Interobserver agreement was complete in 90% of the cases. More patients with gastrointestinal cancers than with urological cancers were classified as SGA B and C. Mean levels of S-albumin and P-prealbumin differed between the SGA-classes. Multivariate logistic regression analyses showed independent contributions to the overall classification by weight loss in the last 6 months, level of food intake, problems with eating, physical activity and muscle wastage. Survival was significantly higher in SGA A than in SGA B+C, P < 0.001.


CONCLUSIONS
The PG-SGA is useful for the assessment of nutritional status. Patients had no problems in answering the questions. The PG-SGA also carried prognostic information.
Persson
C
C
Department of Oncology, Akademiska sjukhuset, Uppsala, Sweden.
Sjödén
P O
PO
Glimelius
B
B
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004435:Eating; D005260:Female; D005770:Gastrointestinal Neoplasms / Q000097:blood / Q000150:complications*; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D015596:Nutrition Assessment; D009748:Nutrition Disorders / Q000097:blood / Q000175:diagnosis* / Q000209:etiology; D015588:Observer Variation; D011228:Prealbumin / Q000378:metabolism; D012709:Serum Albumin / Q000378:metabolism; D011795:Surveys and Questionnaires / Q000592:standards*; D016019:Survival Analysis; D013548:Sweden; D014571:Urologic Neoplasms / Q000097:blood / Q000150:complications*; D015431:Weight Loss
D011228:Prealbumin; D012709:Serum Albumin