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.	魏矿荣, 彭侠彪, 梁智恒, 等. 全球肝癌流行概况. 中国肿瘤, 2015, 24(8): 621-630.
2.	谭桂军. 肝移植受者术前营养评价及支持治疗. 实用器官移植电子杂志, 2016, 4(3): 157-162.
3.	翟茂东, 杨俊, 贾震易, 等. 肝胆胰外科患者营养风险筛查与临床结局分析. 肝胆胰外科杂志, 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.	刘小青, 李静. 住院患者营养状况评估方法及其临床应用进展. 中国护理管理, 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.	陈满宇, 吕龙, 何秋山. 胃肠道恶性肿瘤患者营养状况评价及影响因素分析. 东南大学学报: 医学版, 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, 方立俭, 郭嘉漪. 预后营养指数与胃癌术后临床特征及预后关系. 中国肿瘤临床, 2015, 42(2): 100-104.
10.	崔红元, 李照, 朱继业. 外科肝癌患者营养状况与肝功能分级和临床结局的相关性分析. 中华临床营养杂志, 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. 杂志简称? , 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.	吴蓓雯, 曹伟新, 燕敏, 等. 主观综合营养评价法评判消化系统恶性肿瘤病人营养状况和预后. 外科理论与实践, 2008, 13(5): 415-418.
16.	刘萍, 宋春华, 田丽. 两种营养评估方法在原发性肝癌病人中的应用比较. 肠外与肠内营养, 2015, 22(1): 26-28.
17.	韩东, 贺军, 丁成明, 等. 不同营养评价方法对胆管癌患者术后并发症的评估价值比较. 中国现代医学杂志, 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 肿瘤营养治疗专家委员会. 恶性肿瘤患者的营养治疗专家共识. 临床肿瘤学杂志, 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.	吴萍, 王东林, 卞大荣, 等. 应用微型营养评价法及微型营养评价精法评价恶性肿瘤患者的营养状况. 上海医学, 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.	冯京华, 李卡. 应用 NRS-2002 营养风险评分评估结直肠癌患者术前、术后第 1 天、术后 6 天营养状况. 中华医学会肠外肠内营养学分会第八届全国肠外肠内营养学术大会论文集, 2014: 476-477.
35.	孔明, 段钟平. 终末期肝病患者营养状况评价与营养风险筛查方法. 实用肝脏病杂志, 2011, 14(6): 482-486.
36.	时淑云, 韩军军, 闫茗, 等. 慢性肝病患者的营养风险评估. 中华肝脏病杂志, 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.	李广鹏, 周黎黎, 欧阳伟钢, 等. 四种营养评价法对肝硬化患者营养不良评价的一致性探讨. 现代生物医学进展, 2010, 10(5): 934-936.
41.	Siquier Homar P, Pinteño 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.	常颖, 张晴, 范锐心, 等. 恶性肿瘤住院病人营养风险和营养支持与临床转归的研究. 肠外与肠内营养, 2016, 23(2): 71-73.
44.	赵建军, 毕新宇, 黄振, 等. 不同营养支持治疗方式对肝癌术后恢复的前瞻性对照研究. 医学研究杂志, 2014, 43(4): 75-79.

1. 魏矿荣, 彭侠彪, 梁智恒, 等. 全球肝癌流行概况. 中国肿瘤, 2015, 24(8): 621-630.
2. 谭桂军. 肝移植受者术前营养评价及支持治疗. 实用器官移植电子杂志, 2016, 4(3): 157-162.
3. 翟茂东, 杨俊, 贾震易, 等. 肝胆胰外科患者营养风险筛查与临床结局分析. 肝胆胰外科杂志, 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. 刘小青, 李静. 住院患者营养状况评估方法及其临床应用进展. 中国护理管理, 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. 陈满宇, 吕龙, 何秋山. 胃肠道恶性肿瘤患者营养状况评价及影响因素分析. 东南大学学报: 医学版, 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, 方立俭, 郭嘉漪. 预后营养指数与胃癌术后临床特征及预后关系. 中国肿瘤临床, 2015, 42(2): 100-104.
10. 崔红元, 李照, 朱继业. 外科肝癌患者营养状况与肝功能分级和临床结局的相关性分析. 中华临床营养杂志, 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. 杂志简称? , 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. 吴蓓雯, 曹伟新, 燕敏, 等. 主观综合营养评价法评判消化系统恶性肿瘤病人营养状况和预后. 外科理论与实践, 2008, 13(5): 415-418.
16. 刘萍, 宋春华, 田丽. 两种营养评估方法在原发性肝癌病人中的应用比较. 肠外与肠内营养, 2015, 22(1): 26-28.
17. 韩东, 贺军, 丁成明, 等. 不同营养评价方法对胆管癌患者术后并发症的评估价值比较. 中国现代医学杂志, 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 肿瘤营养治疗专家委员会. 恶性肿瘤患者的营养治疗专家共识. 临床肿瘤学杂志, 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. 吴萍, 王东林, 卞大荣, 等. 应用微型营养评价法及微型营养评价精法评价恶性肿瘤患者的营养状况. 上海医学, 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. 冯京华, 李卡. 应用 NRS-2002 营养风险评分评估结直肠癌患者术前、术后第 1 天、术后 6 天营养状况. 中华医学会肠外肠内营养学分会第八届全国肠外肠内营养学术大会论文集, 2014: 476-477.
35. 孔明, 段钟平. 终末期肝病患者营养状况评价与营养风险筛查方法. 实用肝脏病杂志, 2011, 14(6): 482-486.
36. 时淑云, 韩军军, 闫茗, 等. 慢性肝病患者的营养风险评估. 中华肝脏病杂志, 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. 李广鹏, 周黎黎, 欧阳伟钢, 等. 四种营养评价法对肝硬化患者营养不良评价的一致性探讨. 现代生物医学进展, 2010, 10(5): 934-936.
41. Siquier Homar P, Pinteño 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. 常颖, 张晴, 范锐心, 等. 恶性肿瘤住院病人营养风险和营养支持与临床转归的研究. 肠外与肠内营养, 2016, 23(2): 71-73.
44. 赵建军, 毕新宇, 黄振, 等. 不同营养支持治疗方式对肝癌术后恢复的前瞻性对照研究. 医学研究杂志, 2014, 43(4): 75-79.

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