title: Assessment of nutritional status of gynecological cancer cases in India and comparison of subjective and objective nutrition assessment parameters.
abstract: OBJECTIVE
  To assess the nutritional status of gynecological cancer patients using scored Patient Generated Subjective Global Assessment (PG-SGA) then compare it with the body mass index (BMI), hemoglobin, serum albumin, and approximate percentage weight lost in last 1 month so as to find any one parameter that can be used in place of the comprehensive assessment tool.
  
  
  METHODS
  Sixty gynecological cancer patients were assessed for their nutritional status using BMI, serum albumin, hemoglobin, percentage weight lost in last 1 month, and scored PG-SGA. Correlation, sensitivity, specificity, and predictive values of the former four parameters compared to scored PG-SGA were calculated.
  
  
  RESULTS
  88.33% of cases were at risk of or had some degree of malnutrition according to scored PG-SGA. Serum albumin level ≤ 2 g/dl had highest specificity and positive predictive value at 1, whereas percentage weight lost in last month had better overall sensitivity, specificity, and positive and negative predictive values of 0.5833, 0.9444, 0.875, and 0.7727, respectively. The Pearson's correlation coefficient between scored PG-SGA and percentage weight lost in last 1 month was 0.784, highest among all the parameters.
  
  
  CONCLUSIONS
  88.33% of gynecologic cancer cases had some degree of malnutrition or were at risk of malnutrition. Approximate percentage weight lost in last 1 month, that is, ≥ 5% may be used in place of the comprehensive scored PG-SGA to triage the patients in case the latter is not used for some reason. Severe hypoalbuminemia ≤ 2 g/dl is an indicator of severe malnutrition in gynecologic cancer cases.
authors.affiliation: Department of Gynaecologic Oncology, Gujarat Cancer Research Institute, Ahmadabad, Gujarat, India.
authors.forename: Ushashree
authors.initials: U
authors.lastname: Das
authors.affiliation: Department of Gynaecologic Oncology, Gujarat Cancer Research Institute, Ahmadabad, Gujarat, India.
authors.forename: Shilpa
authors.initials: S
authors.lastname: Patel
authors.affiliation: Department of Gynaecologic Oncology, Gujarat Cancer Research Institute, Ahmadabad, Gujarat, India.
authors.forename: Kalpana
authors.initials: K
authors.lastname: Dave
authors.affiliation: Department of Gynaecologic Oncology, Gujarat Cancer Research Institute, Ahmadabad, Gujarat, India.
authors.forename: Ronak
authors.initials: R
authors.lastname: Bhansali
keywords: BMI; gynecologic cancer; hemoglobin; nutrition; scored PG-SGA; serum albumin