Clinically nutritional assessment methods for liver cancer patients and their development_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

SONG Ge ^1,2 , WANG Haijiu ^1,2 , LI Xiaolong ^1,2 , WANG Peng ^1,2 , WANG Zhan ^1,2 , ZHOU Ying ^1,2 , REN Li ^1,2 , Yangdan cairang ^1,2 , HOU Lizhao ^1,2 ,  FAN Haining ^1,2

1. Department of Hepatopancreatobiliary Surgery, The Affiliated Hospital of Qinghai University, Xining, Qinghai 810001, P.R.China;
2. Research Key Laboratory for Echinococcosis of Qinghai Province, Xining, Qinghai 810001, P.R.China;

Corresponding?author：

FAN Haining, Email: fanhaining@medmail.com.cn

Keywords：

liver cancer; nutritional status; subjective global assessment; mini nutritional assessment; nutritional risk screening 2002; precisely nutritional assessment

DOI：

10.7507/1007-9424.201609032

Video：

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Objective To summarize the nutritional assessment methods for liver cancer patients and their development, and to provide reference for rationally nutritional assessment and nutritional support. Method Domestic and foreign literatures were searched to summarize the nutritional assessment methods for liver cancer patients and their development, in order to determine a practical and feasible assessment method. Results The evaluation validity of traditionally nutritional assessment methods which contained many individual indicators was low. But subjective global assessment (SGA), mini nutritional assessment (MNA), and nutritional risk screening 2002 (NRS-2002) had similar evaluation validity, this 3 kinds of nutritional assessment methods were more suitable for liver cancer patients compared with the traditionally nutritional assessment methods. Conclusion The clinician should simultaneously apply SGA, MNA, NRS-2002, and other comprehensively nutritional assessment methods, as well as related anthropometric and laboratory indexes, to get a more accurate assessment of the nutritional status for patients with liver cancer.

Citation： SONG Ge, WANG Haijiu, LI Xiaolong, WANG Peng, WANG Zhan, ZHOU Ying, REN Li, Yangdan cairang, HOU Lizhao, FAN Haining. Clinically nutritional assessment methods for liver cancer patients and their development. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2017, 24(6): 760-764. doi: 10.7507/1007-9424.201609032 Copy

1.	?魏礦榮, 彭俠彪, 梁智恒, 等. 全球肝癌流行概況. 中國腫瘤, 2015, 24(8): 621-630.
2.	譚桂軍. 肝移植受者術前營養評價及支持治療. 實用器官移植電子雜志, 2016, 4(3): 157-162.
3.	翟茂東, 楊俊, 賈震易, 等. 肝膽胰外科患者營養風險篩查與臨床結局分析. 肝膽胰外科雜志, 2012, 24(3): 179-182.
4.	Schütte K, Tippelt B, Schulz C, et al. Malnutrition is a prognostic factor in patients with hepatocellular carcinoma (HCC). Clin Nutr, 2015, 34(6): 1122-1127.
5.	劉小青, 李靜. 住院患者營養狀況評估方法及其臨床應用進展. 中國護理管理, 2013, 13(8): 108-111.
6.	Critselis E, Panagiotakos DB, Machairas A, et al. Postoperative hypoproteinemia in cancer patients following extensive abdominal surgery despite parenteral nutritional support. Nutr Cancer, 2011, 63(7): 1021-1028.
7.	陳滿宇, 呂龍, 何秋山. 胃腸道惡性腫瘤患者營養狀況評價及影響因素分析. 東南大學學報: 醫學版, 2016, 35(2): 208-211.
8.	Rossi RE, Conte D, Massironi S. Diagnosis and treatment of nutritional deficiencies in alcoholic liver disease: overview of available evidence and open issues. Dig Liver Dis, 2015, 47(10): 819-825.
9.	郭加友, 方立儉, 郭嘉漪. 預后營養指數與胃癌術后臨床特征及預后關系. 中國腫瘤臨床, 2015, 42(2): 100-104.
10.	崔紅元, 李照, 朱繼業. 外科肝癌患者營養狀況與肝功能分級和臨床結局的相關性分析. 中華臨床營養雜志, 2014, 22(2): 82-86.
11.	Medhat AS, Ahmed AO, Ahmed FT, et al. Creatinine height index as a predictor of nutritional status among patients with liver cirrhosis. 雜志簡稱? , 2016, 8(10): 220-228.
12.	Johnson TM, Overgard EB, Cohen AE, et al. Nutrition assessment and management in advanced liver disease. Nutr Clin Pract, 2013, 28(1): 15-29.
13.	Rodrigues CS, Chaves GV. Patient-Generated Subjective Global Assessment in relation to site, stage of the illness, reason for hospital admission, and mortality in patients with gynecological tumors. Support Care Cancer, 2015, 23(3): 871-879.
14.	Ferreira LG, Anastácio LR, Lima AS, et al. Assessment of nutritional status of patients waiting for liver transplantation. Clin Transplant, 2011, 25(2): 248-254.
15.	吳蓓雯, 曹偉新, 燕敏, 等. 主觀綜合營養評價法評判消化系統惡性腫瘤病人營養狀況和預后. 外科理論與實踐, 2008, 13(5): 415-418.
16.	劉萍, 宋春華, 田麗. 兩種營養評估方法在原發性肝癌病人中的應用比較. 腸外與腸內營養, 2015, 22(1): 26-28.
17.	韓東, 賀軍, 丁成明, 等. 不同營養評價方法對膽管癌患者術后并發癥的評估價值比較. 中國現代醫學雜志, 2015, 25(8): 88-92.
18.	Johnson TM, Overgard EB, Cohen AE, et al. Nutrition assessment and management in advanced liver disease. Nutr Clin Pract, 2013, 28(1): 15-29.
19.	Sungurtekin H, Sungurtekin U, Hanci V, et al. Comparison of two nutrition assessment techniques in hospitalized patients. Nutrition, 2004, 20(5): 428-432.
20.	Bakshi N, Singh K. Nutrition assessment in patients undergoing liver transplant. Indian J Crit Care Med, 2014, 18(10): 672-681.
21.	Ottery FD. Rethinking nutritional support of the cancer patient: the new field of nutritional oncology. Semin Oncol, 1994, 21(6): 770-778.
22.	Chan LN, Compher C, DiBaise JK, et al. American Society for Parenteral and Enteral Nutrition research agenda. JPEN J Parenter Enteral Nutr, 2014, 38(1): 13-18.
23.	CSCO 腫瘤營養治療專家委員會. 惡性腫瘤患者的營養治療專家共識. 臨床腫瘤學雜志, 2012, 17(1): 59-73.
24.	Gioulbasanis I, Baracos VE, Giannousi Z, et al. Baseline nutritional evaluation in metastatic lung cancer patients: Mini Nutritional Assessment versus weight loss history. Ann Oncol, 2011, 22(4): 835-841.
25.	Gabrielson DK, Scaffidi D, Leung E, et al. Use of an abridged scored Patient-Generated Subjective Global Assessment (abPG-SGA) as a nutritional screening tool for cancer patients in an outpatient setting. Nutr Cancer, 2013, 65(2): 234-239.
26.	Sharma D, Kannan R, Tapkire R, et al. Evaluation of nutritional status of cancer patients during treatment by patient-generated subjective global assessment: a hospital-based study. Asian Pac J Cancer Prev, 2015, 16(18): 8173-8176.
27.	Guigoz Y, Vellas B, Garry PJ, et al. Mini Nutritional Assessment: a practical assessment tool for grading the nutritional state of elderly patients. Indian J Animal Nutr, 1997, 61(11): 31-36.
28.	Tsai AC, Hsu WC, Chan SC, et al. Usefulness of the mini nutritional assessment in predicting the nutritional status of patients with liver cancer in Taiwan. Nutr Cancer, 2001, 63(3): 334-341.
29.	Dubhashi SP, Kayal A. Preoperative nutritional assessment in elderly cancer patients undergoing elective surgery: MNA or PG-SGA? Indian J Surg, 2015, 77(Suppl 2): 232-235.
30.	Rubenstein LZ, Harker JO, Salvà A, et al. Screening for undernutrition in geriatric practice: developing the short-form mini-nutritional assessment (MNA-SF). J Gerontol A Biol Sci Med Sci, 2001, 56(6): M366-M372.
31.	Kaiser MJ, Bauer JM, Ramsch C, et al. Validation of the Mini Nutritional Assessment short-form (MNA-SF): a practical tool for identification of nutritional status. J Nutr Health Aging, 2009, 13(9): 782-788.
32.	吳萍, 王東林, 卞大榮, 等. 應用微型營養評價法及微型營養評價精法評價惡性腫瘤患者的營養狀況. 上海醫學, 2009, 32(12): 1110-1112.
33.	Elrehim AA, Fekry O, Elaziz A, et al. Prospective study evaluating the value of subjective global assessment and national risk score 2002 for post-operative risk detection in living related donor liver transplant recipients. Open J Gastroenterol, 2013, 3(2): 119-127.
34.	馮京華, 李卡. 應用 NRS-2002 營養風險評分評估結直腸癌患者術前、術后第 1 天、術后 6 天營養狀況. 中華醫學會腸外腸內營養學分會第八屆全國腸外腸內營養學術大會論文集, 2014: 476-477.
35.	孔明, 段鐘平. 終末期肝病患者營養狀況評價與營養風險篩查方法. 實用肝臟病雜志, 2011, 14(6): 482-486.
36.	時淑云, 韓軍軍, 閆茗, 等. 慢性肝病患者的營養風險評估. 中華肝臟病雜志, 2014, 22(7): 536-539.
37.	Kim JY, Wie GA, Cho YA, et al. Development and validation of a nutrition screening tool for hospitalized cancer patients. Clin Nutr, 2011, 30(6): 724-749.
38.	Ryu SW, Kim IH. Comparison of different nutritional assessments in detecting malnutrition among gastric cancer patients. World J Gastroenterol, 2010, 16(26): 3310-3317.
39.	Huang D, Li T, Wang L, et al. Hepatocellular carcinoma redirects to ketolysis for progression under nutrition deprivation stress. Cell Res, 2016, 26(10): 1112-1130.
40.	李廣鵬, 周黎黎, 歐陽偉鋼, 等. 四種營養評價法對肝硬化患者營養不良評價的一致性探討. 現代生物醫學進展, 2010, 10(5): 934-936.
41.	Siquier Homar P, Pinte?o Blanco M, Calleja Hernández Má, et al. Development of integrated support software for clinical nutrition. Farm Hosp, 2015, 39(5): 240-268.
42.	Siquier Homar P. Desarrollo de una aplicación informática de ayuda al soporte nutricional especializado integrado en la historia clínica electrónica. Entomología Y Vectores, 2015, 6(2): 156-165.
43.	常穎, 張晴, 范銳心, 等. 惡性腫瘤住院病人營養風險和營養支持與臨床轉歸的研究. 腸外與腸內營養, 2016, 23(2): 71-73.
44.	趙建軍, 畢新宇, 黃振, 等. 不同營養支持治療方式對肝癌術后恢復的前瞻性對照研究. 醫學研究雜志, 2014, 43(4): 75-79.

1. ?魏礦榮, 彭俠彪, 梁智恒, 等. 全球肝癌流行概況. 中國腫瘤, 2015, 24(8): 621-630.
2. 譚桂軍. 肝移植受者術前營養評價及支持治療. 實用器官移植電子雜志, 2016, 4(3): 157-162.
3. 翟茂東, 楊俊, 賈震易, 等. 肝膽胰外科患者營養風險篩查與臨床結局分析. 肝膽胰外科雜志, 2012, 24(3): 179-182.
4. Schütte K, Tippelt B, Schulz C, et al. Malnutrition is a prognostic factor in patients with hepatocellular carcinoma (HCC). Clin Nutr, 2015, 34(6): 1122-1127.
5. 劉小青, 李靜. 住院患者營養狀況評估方法及其臨床應用進展. 中國護理管理, 2013, 13(8): 108-111.
6. Critselis E, Panagiotakos DB, Machairas A, et al. Postoperative hypoproteinemia in cancer patients following extensive abdominal surgery despite parenteral nutritional support. Nutr Cancer, 2011, 63(7): 1021-1028.
7. 陳滿宇, 呂龍, 何秋山. 胃腸道惡性腫瘤患者營養狀況評價及影響因素分析. 東南大學學報: 醫學版, 2016, 35(2): 208-211.
8. Rossi RE, Conte D, Massironi S. Diagnosis and treatment of nutritional deficiencies in alcoholic liver disease: overview of available evidence and open issues. Dig Liver Dis, 2015, 47(10): 819-825.
9. 郭加友, 方立儉, 郭嘉漪. 預后營養指數與胃癌術后臨床特征及預后關系. 中國腫瘤臨床, 2015, 42(2): 100-104.
10. 崔紅元, 李照, 朱繼業. 外科肝癌患者營養狀況與肝功能分級和臨床結局的相關性分析. 中華臨床營養雜志, 2014, 22(2): 82-86.
11. Medhat AS, Ahmed AO, Ahmed FT, et al. Creatinine height index as a predictor of nutritional status among patients with liver cirrhosis. 雜志簡稱? , 2016, 8(10): 220-228.
12. Johnson TM, Overgard EB, Cohen AE, et al. Nutrition assessment and management in advanced liver disease. Nutr Clin Pract, 2013, 28(1): 15-29.
13. Rodrigues CS, Chaves GV. Patient-Generated Subjective Global Assessment in relation to site, stage of the illness, reason for hospital admission, and mortality in patients with gynecological tumors. Support Care Cancer, 2015, 23(3): 871-879.
14. Ferreira LG, Anastácio LR, Lima AS, et al. Assessment of nutritional status of patients waiting for liver transplantation. Clin Transplant, 2011, 25(2): 248-254.
15. 吳蓓雯, 曹偉新, 燕敏, 等. 主觀綜合營養評價法評判消化系統惡性腫瘤病人營養狀況和預后. 外科理論與實踐, 2008, 13(5): 415-418.
16. 劉萍, 宋春華, 田麗. 兩種營養評估方法在原發性肝癌病人中的應用比較. 腸外與腸內營養, 2015, 22(1): 26-28.
17. 韓東, 賀軍, 丁成明, 等. 不同營養評價方法對膽管癌患者術后并發癥的評估價值比較. 中國現代醫學雜志, 2015, 25(8): 88-92.
18. Johnson TM, Overgard EB, Cohen AE, et al. Nutrition assessment and management in advanced liver disease. Nutr Clin Pract, 2013, 28(1): 15-29.
19. Sungurtekin H, Sungurtekin U, Hanci V, et al. Comparison of two nutrition assessment techniques in hospitalized patients. Nutrition, 2004, 20(5): 428-432.
20. Bakshi N, Singh K. Nutrition assessment in patients undergoing liver transplant. Indian J Crit Care Med, 2014, 18(10): 672-681.
21. Ottery FD. Rethinking nutritional support of the cancer patient: the new field of nutritional oncology. Semin Oncol, 1994, 21(6): 770-778.
22. Chan LN, Compher C, DiBaise JK, et al. American Society for Parenteral and Enteral Nutrition research agenda. JPEN J Parenter Enteral Nutr, 2014, 38(1): 13-18.
23. CSCO 腫瘤營養治療專家委員會. 惡性腫瘤患者的營養治療專家共識. 臨床腫瘤學雜志, 2012, 17(1): 59-73.
24. Gioulbasanis I, Baracos VE, Giannousi Z, et al. Baseline nutritional evaluation in metastatic lung cancer patients: Mini Nutritional Assessment versus weight loss history. Ann Oncol, 2011, 22(4): 835-841.
25. Gabrielson DK, Scaffidi D, Leung E, et al. Use of an abridged scored Patient-Generated Subjective Global Assessment (abPG-SGA) as a nutritional screening tool for cancer patients in an outpatient setting. Nutr Cancer, 2013, 65(2): 234-239.
26. Sharma D, Kannan R, Tapkire R, et al. Evaluation of nutritional status of cancer patients during treatment by patient-generated subjective global assessment: a hospital-based study. Asian Pac J Cancer Prev, 2015, 16(18): 8173-8176.
27. Guigoz Y, Vellas B, Garry PJ, et al. Mini Nutritional Assessment: a practical assessment tool for grading the nutritional state of elderly patients. Indian J Animal Nutr, 1997, 61(11): 31-36.
28. Tsai AC, Hsu WC, Chan SC, et al. Usefulness of the mini nutritional assessment in predicting the nutritional status of patients with liver cancer in Taiwan. Nutr Cancer, 2001, 63(3): 334-341.
29. Dubhashi SP, Kayal A. Preoperative nutritional assessment in elderly cancer patients undergoing elective surgery: MNA or PG-SGA? Indian J Surg, 2015, 77(Suppl 2): 232-235.
30. Rubenstein LZ, Harker JO, Salvà A, et al. Screening for undernutrition in geriatric practice: developing the short-form mini-nutritional assessment (MNA-SF). J Gerontol A Biol Sci Med Sci, 2001, 56(6): M366-M372.
31. Kaiser MJ, Bauer JM, Ramsch C, et al. Validation of the Mini Nutritional Assessment short-form (MNA-SF): a practical tool for identification of nutritional status. J Nutr Health Aging, 2009, 13(9): 782-788.
32. 吳萍, 王東林, 卞大榮, 等. 應用微型營養評價法及微型營養評價精法評價惡性腫瘤患者的營養狀況. 上海醫學, 2009, 32(12): 1110-1112.
33. Elrehim AA, Fekry O, Elaziz A, et al. Prospective study evaluating the value of subjective global assessment and national risk score 2002 for post-operative risk detection in living related donor liver transplant recipients. Open J Gastroenterol, 2013, 3(2): 119-127.
34. 馮京華, 李卡. 應用 NRS-2002 營養風險評分評估結直腸癌患者術前、術后第 1 天、術后 6 天營養狀況. 中華醫學會腸外腸內營養學分會第八屆全國腸外腸內營養學術大會論文集, 2014: 476-477.
35. 孔明, 段鐘平. 終末期肝病患者營養狀況評價與營養風險篩查方法. 實用肝臟病雜志, 2011, 14(6): 482-486.
36. 時淑云, 韓軍軍, 閆茗, 等. 慢性肝病患者的營養風險評估. 中華肝臟病雜志, 2014, 22(7): 536-539.
37. Kim JY, Wie GA, Cho YA, et al. Development and validation of a nutrition screening tool for hospitalized cancer patients. Clin Nutr, 2011, 30(6): 724-749.
38. Ryu SW, Kim IH. Comparison of different nutritional assessments in detecting malnutrition among gastric cancer patients. World J Gastroenterol, 2010, 16(26): 3310-3317.
39. Huang D, Li T, Wang L, et al. Hepatocellular carcinoma redirects to ketolysis for progression under nutrition deprivation stress. Cell Res, 2016, 26(10): 1112-1130.
40. 李廣鵬, 周黎黎, 歐陽偉鋼, 等. 四種營養評價法對肝硬化患者營養不良評價的一致性探討. 現代生物醫學進展, 2010, 10(5): 934-936.
41. Siquier Homar P, Pinte?o Blanco M, Calleja Hernández Má, et al. Development of integrated support software for clinical nutrition. Farm Hosp, 2015, 39(5): 240-268.
42. Siquier Homar P. Desarrollo de una aplicación informática de ayuda al soporte nutricional especializado integrado en la historia clínica electrónica. Entomología Y Vectores, 2015, 6(2): 156-165.
43. 常穎, 張晴, 范銳心, 等. 惡性腫瘤住院病人營養風險和營養支持與臨床轉歸的研究. 腸外與腸內營養, 2016, 23(2): 71-73.
44. 趙建軍, 畢新宇, 黃振, 等. 不同營養支持治療方式對肝癌術后恢復的前瞻性對照研究. 醫學研究雜志, 2014, 43(4): 75-79.

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Clinically nutritional assessment methods for liver cancer patients and their development

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