This is a preview and has not been published.

The relatıonshıp between pg-sga scores and nutrıtıonal status of patıents receıvıng chemotherapy




PG-SGA, Nutrition Education, Cancer, Malnutrition


Background: We aimed to examine cancer patients receiving chemotherapy in terms of nutritional education status, malnutrition rate, and use of oral nutritional support. The relationships between these variables are explored.

Materials/Methods: PG-SGA malnutrition screening tool and questionnaires about nutrition education status and oral nutritional support were carried out with 281 cancer patients treated in the chemotherapy unit of a private health institution. The data were analyzed with SPSS.

Results: We found that 56.1% of the patients received their nutritional information from the doctor. There was not a significant relationship between nutritional education status and malnutrition. According to the PG-SGA evaluation, 37.7% of the patients were moderately malnourished and 6.8% were severely malnourished. However, it is seen that 72.5% of malnourished patients do not receive oral nutritional support. The PG-SGA results revealed that Albumin was significantly lower in patients with severe malnutrition compared to other groups. It was found that malnutrition was overlooked in 82% of patients evaluated with BMI alone.

Conclusion: PG-SGA is a tool that should be used routinely with chemotherapy patients. In future research, the validity of the PG-SGA short form should be conducted as it may provide ease of application and widespread use.


Download data is not yet available.


- Union for International Cancer Control. GLOBOCAN 2020: New Global Cancer Data (2020)

- Andreyev H.J.N, Norman A.R, Oates J, Cunningham D. Why do patients with weight loss have a worse outcome when undergoing chemotherapy for gastrointestinal malignancies? Eur. J. Cancer, 1988, 34: 503-9.

- Sørbye L.W, Cancer in home care: unintended weight loss and ethical challenges. A cross-sectional study of older people at 11 sites in Europe. Arch Gerontol Geriatr. 2011, 53: 64-9.

- Kılıçturgay S. Klinik Nutrisyonda Temel Kavramlar 2. baskı. İstanbul:Logos Yayıncılık, 2002, 383-92.

- De Groot L.M, Lee G, Ackerie A, Van der Meii B.S. Malnutrition screening and assessment in the cancer care ambulatory setting: mortality predictability and validity of the patient-generated subjective global assessment short form (PG-SGA SF) and the GLIM criteria. Nutrients, 2020, 12: 2287.

- Bauer J, Ash S, Davidson W et al. Evidence based practice guidelines for the nutritional management of cancer cachexia. Nut. Diet, 2006, 63: 5-32.

- Isenring E.A, Banks M, Ferguson M, Bauer J.D. Beyond malnutrition screening: appropriate methods to guide nutrition care for aged care residents. J. Acad. Nutr. Diet, 2012, 112: 376-81.

- Bozzetti F, Mariani L, Vullo S.L et al. The nutritional risk in oncology: a study of 1,453 cancer outpatients. Support. Care Cancer 2012, 20: 1919-28.

- Bauer J, Capra S, Ferguson M. Use of the scored Patient-Generated Subjective Global Assessment (PG-SGA) as a nutrition assessment tool in patients with cancer. Eur. J. Clin Nutr 2002, 56: 779-85.

- Arends J, Bachmann P, Baracos V et al. ESPEN guidelines on nutrition in cancer patients. Clin. Nutr 2017, 36: 11-48.

- August D.A, Huhmann M.B. American Society for Parenteral and Enteral Nutrition (ASPEN) Board of Directors. ASPEN clinical guidelines: nutrition support therapy during adult anticancer treatment and in hematopoietic cell transplantation. J. Parenter. Enter Nutr, 2009, 33: 472-500.

- National Collaborating Centre for Acute Care (UK). Nutrition Support for Adults: Oral Nutrition Support, Enteral Tube Feeding and Parenteral Nutrition. London: National Collaborating Centre for Acute Care (UK); 2006.

- Isenring E, Cross G, Kellett E, Koczwara B, Daniels L. Nutritional status and information needs of medical oncology patients receiving treatment at an Australian public hospital. Nutr Cancer, 2010, 62: 220-8.

- Xu Y.C, Vincent J.I. Clinical measurement properties of malnutrition assessment tools for use with patients in hospitals: a systematic review. Nutr J, 2020, 19: 1-12.



Original articles