Comparison of a novel, simple nutrition screening tool for adult oncology inpatients and the Malnutrition Screening Tool(MST) against the Patient-Generated Subjective Global Assessment(PG-SGA).

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Shaw C, Fleuret C, Pickard J, Mohammed K, Black G, Wedlake, L. Comparison of a novel, simple nutrition screening tool for adult oncology inpatients and the Malnutrition Screening Tool(MST) against the Patient-Generated Subjective Global Assessment(PG-SGA). Support Care CancerI.2015;23(1):47-54.

           

            This article evaluates the specificity and sensitivity of different methods of assessing nutrition status. What is different is that this article is looking to find a the best one for a specific disease.

            While some screening tools are better than others overall for identifying malnutrition in patients, no one tool is the best for everyone. More than the contents of this study  the idea itself is what is important. Instead of a tool or method that is used throughout dietetics or through a hospital  using one that has been proven to me the most effective at identifying malnutrition within a specific disease state is the most appropriate course of action.
            Malnutrition can have a number of different manifestations, each disease state can cause signs and symptoms that are different from each other, but all indicate malnutrition of some time. This is why a master tool can not be as effective as custom tools.
            Some outside of medical professions may not see the importance of what tool to use or what method should be standard. Statistics show that 1/3 of those who are malnourished upon admission go unidentified. Two-thirds of that population becomes even more malnourished while in the hospital.

            Malnourishment can exacerbate current disease symptoms, hinder the healing process, reduce quality of life, increase stays in hospital, and increase mortality.
 
           While it's not feasible for a disease specific screening form to be used on every individual who comes into a hospital because a number have yet to be diagnosed, it is very possible for specialty physicians to use custom screening forms for those who have already been diagnosed or who are likely to have a particular disease.
 
           

Ellsworth

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