Patient-Generated Subjective Global Assessment and Nutritional Risk Indicators in Oncology Patients Receiving Chemotherapy

Detalhes bibliográficos
Autor(a) principal: Gomes, Nayara de Souza
Data de Publicação: 2015
Outros Autores: Maio, Regiane
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista Brasileira de Cancerologia (Online)
Texto Completo: https://rbc.inca.gov.br/index.php/revista/article/view/253
Resumo: Introduction: The Subjective Global Assessment produced by the patient is recommended for during the nutritional care in oncology, for the early detection of nutritional risk or malnutrition. The location of the tumor and the chemotherapy course may, in themselves, aid in the detection of nutritional risk. Objective: To describe the classification of nutritional status according to the subjective method, together with nutritional risk factors in cancer patients undergoing chemotherapy. Method: This is a case series study held at the chemotherapy unit of a university hospital, from August to December 2014. The participants were adult and elderly outpatients of both sexes, aged ≥20 years, diagnosed with cancer, and who had begun the first cycle of chemotherapy. The location of the tumor and the antineoplastic therapy were used as indicators of nutritional risk. Nutritional assessment was performed via the Subjective Global Assessment produced by the patient themselves. Results: 30 patients were studied, with an average age of 49.1 ± 16.4 years. Twenty-five respondents (83%) were treated solely with chemotherapy. According to the location of the tumor and the course of chemotherapy, 67% and 100% of the cases, respectively, were classified as medium to high nutritional risk. By subjective assessment, 17 (56.7%) presented a nutritional risk or moderate malnutrition (Grade B) and 6 (20%) severe malnutrition (Grade C). By way of the score via subjective assessment, the need for nutritional intervention was detected in 23 cases (76.7%). Conclusion: The sample studied revealed high frequencies of tumors and aggressive therapies that could cause nutritional risk/malnutrition, highlighting the necessity of nutritional therapy.
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spelling Patient-Generated Subjective Global Assessment and Nutritional Risk Indicators in Oncology Patients Receiving ChemotherapyValoración Global Subjetiva Generada por el Paciente e Indicadores de Riesgo Nutricionales en el Paciente con Cancer que Reciben QuimioterapiaAvaliação Subjetiva Global Produzida pelo Próprio Paciente e Indicadores de Risco Nutricional no Paciente Oncológico em QuimioterapiaAvaliação NutricionalEstado NutricionalQuimioterapiaEfeitos Colaterais e Reações Adversas Relacionados a MedicamentosNeoplasiasNutrition AssessmentNutritional StatusDrug TherapyDrug-Related Side Effects and Adverse ReactionsNeoplasmsEvaluación NutricionalEstado NutricionalQuimioterapiaEfectos Colaterales y Reacciones Adversas Relacionados con Medicamentos;NeoplasiasIntroduction: The Subjective Global Assessment produced by the patient is recommended for during the nutritional care in oncology, for the early detection of nutritional risk or malnutrition. The location of the tumor and the chemotherapy course may, in themselves, aid in the detection of nutritional risk. Objective: To describe the classification of nutritional status according to the subjective method, together with nutritional risk factors in cancer patients undergoing chemotherapy. Method: This is a case series study held at the chemotherapy unit of a university hospital, from August to December 2014. The participants were adult and elderly outpatients of both sexes, aged ≥20 years, diagnosed with cancer, and who had begun the first cycle of chemotherapy. The location of the tumor and the antineoplastic therapy were used as indicators of nutritional risk. Nutritional assessment was performed via the Subjective Global Assessment produced by the patient themselves. Results: 30 patients were studied, with an average age of 49.1 ± 16.4 years. Twenty-five respondents (83%) were treated solely with chemotherapy. According to the location of the tumor and the course of chemotherapy, 67% and 100% of the cases, respectively, were classified as medium to high nutritional risk. By subjective assessment, 17 (56.7%) presented a nutritional risk or moderate malnutrition (Grade B) and 6 (20%) severe malnutrition (Grade C). By way of the score via subjective assessment, the need for nutritional intervention was detected in 23 cases (76.7%). Conclusion: The sample studied revealed high frequencies of tumors and aggressive therapies that could cause nutritional risk/malnutrition, highlighting the necessity of nutritional therapy.Introducción: La Valoración Subjetiva Global Generada por el Paciente es recomendada durante la asistencia nutricional en oncología para la detección precoz del riesgo nutricional o desnutrición. La localización del tumor y del esquema quimioterápico pueden por si solo auxiliar en la detección del riesgo nutricional. Objetivo: Describir la clasificación del estado nutricional según el método subjetivo y los indicadores de riesgo nutricional en el paciente con cáncer en quimioterapia. Método: Estudio del tipo serie de casos, realizado en el sector de quimioterapia de un hospital universitario, de agosto a diciembre de 2014. Participaron de la investigación individuos adultos y ancianos, de ambos los sexos, con edad ≥20 años, diagnosticados con cáncer, acompañados ambulatoriamente y que habían iniciado el primer ciclo de quimioterapia. La localización del tumor y la terapia antineoplásica fueron utilizadas como indicadores de riesgo nutricional. La evaluación nutricional fue realizada por la Valoración Subjetiva Global Generada por el Paciente. Resultados: Fueron estudiados 30 pacientes, con edad media de 49,1±16,4 años. 25 encuestados (83%) fueron tratados únicamente con quimioterapia. Segundo la localización del tumor y el esquema quimioterápico, 67% y 100%, respectivamente, fueron considerados de medio a alto riesgo nutricional. A través de la evaluación subjetiva, 17 (56,7%) presentaron riesgo nutricional o desnutrición moderada (Grado B) y 6 (20%) desnutrición grave (Grado C). A través de la puntuación obtenida del formulario subjetivo, la necesidad de intervención nutricional fue verificada en 23 (76,7%) pacientes. Conclusión: En la muestra estudiada fueron altas las frecuencias de tumores y terapias agresivas de riesgo nutricional/desnutrición, así como se observó la necesidad de indicación de terapia nutricional.Introdução: A Avaliação Subjetiva Global Produzida pelo Próprio Paciente é recomendada durante a assistência nutricional em oncologia para detecção precoce do risco nutricional ou desnutrição. A localização do tumor e o esquema quimioterápico podem por si só auxiliar na detecção do risco nutricional. Objetivo: Descrever a classificação do estado nutricional, segundo método subjetivo, e os indicadores de risco nutricional no paciente oncológico em quimioterapia. Método: Estudo descritivo do tipo série de casos, realizado no setor de quimioterapia de um hospital universitário, de agosto a dezembro de 2014. Participaram da pesquisa indivíduos adultos e idosos, de ambos os sexos, com idade ≥20 anos, diagnosticados com câncer, acompanhados ambulatorialmente e que haviam iniciado o primeiro ciclo de quimioterapia. A localização do tumor e a terapia antineoplásica foram utilizadas como indicadores de risco nutricional. A avaliação nutricional foi realizada pela Avaliação Subjetiva Global Produzida pelo Próprio Paciente. Resultados: Foram estudados 30 pacientes, com idade média de 49,1±16,4 anos. Vinte e cinco entrevistados (83%) eram tratados exclusivamente com quimioterapia. Segundo a localização do tumor e o esquema quimioterápico, 67% e 100%, respectivamente, foram considerados de médio a alto risco nutricional. Pela avaliação subjetiva, 17 (56,7%) apresentaram risco nutricional ou desnutrição moderada (grau B) e seis (20%) desnutrição grave (grau C). Pela pontuação obtida no formulário subjetivo, a necessidade de intervenção nutricional foi verificada em 23 (76,7%). Conclusão: Na amostra estudada, foram elevadas as frequências de tumores e terapias agressivas de risco nutricional/desnutrição, assim como de necessidade de indicação de terapia nutricional.INCA2015-09-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos, Avaliado pelos paresapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/25310.32635/2176-9745.RBC.2015v61n3.253Revista Brasileira de Cancerologia; Vol. 61 No. 3 (2015): July/Aug./Sept.; 235-242Revista Brasileira de Cancerologia; Vol. 61 Núm. 3 (2015): jul./agosto/sept.; 235-242Revista Brasileira de Cancerologia; v. 61 n. 3 (2015): jul./ago./set.; 235-2422176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporhttps://rbc.inca.gov.br/index.php/revista/article/view/253/170Gomes, Nayara de Souza Maio, Regianeinfo:eu-repo/semantics/openAccess2021-11-29T20:08:35Zoai:rbc.inca.gov.br:article/253Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2021-11-29T20:08:35Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false
dc.title.none.fl_str_mv Patient-Generated Subjective Global Assessment and Nutritional Risk Indicators in Oncology Patients Receiving Chemotherapy
Valoración Global Subjetiva Generada por el Paciente e Indicadores de Riesgo Nutricionales en el Paciente con Cancer que Reciben Quimioterapia
Avaliação Subjetiva Global Produzida pelo Próprio Paciente e Indicadores de Risco Nutricional no Paciente Oncológico em Quimioterapia
title Patient-Generated Subjective Global Assessment and Nutritional Risk Indicators in Oncology Patients Receiving Chemotherapy
spellingShingle Patient-Generated Subjective Global Assessment and Nutritional Risk Indicators in Oncology Patients Receiving Chemotherapy
Gomes, Nayara de Souza
Avaliação Nutricional
Estado Nutricional
Quimioterapia
Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos
Neoplasias
Nutrition Assessment
Nutritional Status
Drug Therapy
Drug-Related Side Effects and Adverse Reactions
Neoplasms
Evaluación Nutricional
Estado Nutricional
Quimioterapia
Efectos Colaterales y Reacciones Adversas Relacionados con Medicamentos;
Neoplasias
title_short Patient-Generated Subjective Global Assessment and Nutritional Risk Indicators in Oncology Patients Receiving Chemotherapy
title_full Patient-Generated Subjective Global Assessment and Nutritional Risk Indicators in Oncology Patients Receiving Chemotherapy
title_fullStr Patient-Generated Subjective Global Assessment and Nutritional Risk Indicators in Oncology Patients Receiving Chemotherapy
title_full_unstemmed Patient-Generated Subjective Global Assessment and Nutritional Risk Indicators in Oncology Patients Receiving Chemotherapy
title_sort Patient-Generated Subjective Global Assessment and Nutritional Risk Indicators in Oncology Patients Receiving Chemotherapy
author Gomes, Nayara de Souza
author_facet Gomes, Nayara de Souza
Maio, Regiane
author_role author
author2 Maio, Regiane
author2_role author
dc.contributor.author.fl_str_mv Gomes, Nayara de Souza
Maio, Regiane
dc.subject.por.fl_str_mv Avaliação Nutricional
Estado Nutricional
Quimioterapia
Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos
Neoplasias
Nutrition Assessment
Nutritional Status
Drug Therapy
Drug-Related Side Effects and Adverse Reactions
Neoplasms
Evaluación Nutricional
Estado Nutricional
Quimioterapia
Efectos Colaterales y Reacciones Adversas Relacionados con Medicamentos;
Neoplasias
topic Avaliação Nutricional
Estado Nutricional
Quimioterapia
Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos
Neoplasias
Nutrition Assessment
Nutritional Status
Drug Therapy
Drug-Related Side Effects and Adverse Reactions
Neoplasms
Evaluación Nutricional
Estado Nutricional
Quimioterapia
Efectos Colaterales y Reacciones Adversas Relacionados con Medicamentos;
Neoplasias
description Introduction: The Subjective Global Assessment produced by the patient is recommended for during the nutritional care in oncology, for the early detection of nutritional risk or malnutrition. The location of the tumor and the chemotherapy course may, in themselves, aid in the detection of nutritional risk. Objective: To describe the classification of nutritional status according to the subjective method, together with nutritional risk factors in cancer patients undergoing chemotherapy. Method: This is a case series study held at the chemotherapy unit of a university hospital, from August to December 2014. The participants were adult and elderly outpatients of both sexes, aged ≥20 years, diagnosed with cancer, and who had begun the first cycle of chemotherapy. The location of the tumor and the antineoplastic therapy were used as indicators of nutritional risk. Nutritional assessment was performed via the Subjective Global Assessment produced by the patient themselves. Results: 30 patients were studied, with an average age of 49.1 ± 16.4 years. Twenty-five respondents (83%) were treated solely with chemotherapy. According to the location of the tumor and the course of chemotherapy, 67% and 100% of the cases, respectively, were classified as medium to high nutritional risk. By subjective assessment, 17 (56.7%) presented a nutritional risk or moderate malnutrition (Grade B) and 6 (20%) severe malnutrition (Grade C). By way of the score via subjective assessment, the need for nutritional intervention was detected in 23 cases (76.7%). Conclusion: The sample studied revealed high frequencies of tumors and aggressive therapies that could cause nutritional risk/malnutrition, highlighting the necessity of nutritional therapy.
publishDate 2015
dc.date.none.fl_str_mv 2015-09-30
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Artigos, Avaliado pelos pares
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/253
10.32635/2176-9745.RBC.2015v61n3.253
url https://rbc.inca.gov.br/index.php/revista/article/view/253
identifier_str_mv 10.32635/2176-9745.RBC.2015v61n3.253
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/253/170
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv INCA
publisher.none.fl_str_mv INCA
dc.source.none.fl_str_mv Revista Brasileira de Cancerologia; Vol. 61 No. 3 (2015): July/Aug./Sept.; 235-242
Revista Brasileira de Cancerologia; Vol. 61 Núm. 3 (2015): jul./agosto/sept.; 235-242
Revista Brasileira de Cancerologia; v. 61 n. 3 (2015): jul./ago./set.; 235-242
2176-9745
reponame:Revista Brasileira de Cancerologia (Online)
instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron:INCA
instname_str Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron_str INCA
institution INCA
reponame_str Revista Brasileira de Cancerologia (Online)
collection Revista Brasileira de Cancerologia (Online)
repository.name.fl_str_mv Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
repository.mail.fl_str_mv rbc@inca.gov.br
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