Comparison of Novel, Bach Mai Boston Tool (BBT) and the Patient-Generated Subjective Global Assessment (PG-SGA) for Oncology Inpatients

Cancer Control : Journal of the Moffitt Cancer Center
Binh Pham VanHuong Le Thi

Abstract

Oncology inpatients are at high risk of malnutrition. Identification of at risk patients by nutrition screening requires a practical and easy to use tool. The aim of this study was to determine the validity of the Bach Mai Boston Tool (BBT) compared to a 'gold standard' full nutrition assessment using the Patient-Generated Subjective Global Assessment (PG-SGA). A cross-sectional study was conducted on 270 oncology inpatients from January to December 2016. Cohen's Kappa, sensitivity, specificity and ROC analyses were performed. 270 inpatients were included in this study with a mean age of 56.3 ± 12.1 years old. Of these patients, 51.8% were male, and 74.1% had gastrointestinal cancer. The mean body mass index of patients was 20.6 ± 3.0 kg/m2. The PG-SGA tool identified 146 (54.1%) malnourished patients, while the BBT identified 105 (39.9%) malnourished patients. The BBT had a medium consistency, with a Kappa value of 0.6. Using a cut-off point of ≥ 4, the BBT had a sensitivity of 87.7% and a specificity of 72.6%. On the other hand, a BBT with a cut-off point ≥ 5 resulted in a sensitivity of 67.1%, a specificity of 94.4%, and an AUC of 0.81. The BBT is a practical, informative and valid tool for detecting malnutrition in hospital...Continue Reading

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Citations

Sep 12, 2019·Cancer Control : Journal of the Moffitt Cancer Center·Hoang Van MinhXiao-Ou Shu
Jul 13, 2021·Frontiers in Nutrition·Chelsia GillisClare Shaw
Aug 31, 2021·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Meng TangHanping Shi

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Methods Mentioned

BETA
SGA

Software Mentioned

STATA
PG
SGA

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