Validity of the Short Nutritional Assessment Questionnaire for Japanese Patients with Cancer Undergoing Outpatient Chemotherapy

Purpose: To investigate the utility of the Short Nutritional Assessment Questionnaire (SNAQ) in the nutritional evaluation of patients with cancer undergoing outpatient chemotherapy. Methods: We included 229 patients with cancer who were undergoing outpatient chemotherapy between October 2015 and Ap...

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Veröffentlicht in:The Journal of Medical Investigation 2017, Vol.64(1.2), pp.117-121
Hauptverfasser: Harada, Kiyomi, Ochi, Kiyo, Taguchi, Tetsuya, Nakamura, Terukazu, Kanazawa, Motohiro, Yoshida, Naohisa, Neriya, Hiroko, Okagaki, Masami, Nishida, Naoko, Takishita, Yukie, Yamamoto, Yoko, Wada, Sayori, Kuwahata, Masashi, Yokota, Isao, Sekido, Keiko, Higashi, Akane
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container_end_page 121
container_issue 1.2
container_start_page 117
container_title The Journal of Medical Investigation
container_volume 64
creator Harada, Kiyomi
Ochi, Kiyo
Taguchi, Tetsuya
Nakamura, Terukazu
Kanazawa, Motohiro
Yoshida, Naohisa
Neriya, Hiroko
Okagaki, Masami
Nishida, Naoko
Takishita, Yukie
Yamamoto, Yoko
Wada, Sayori
Kuwahata, Masashi
Yokota, Isao
Sekido, Keiko
Higashi, Akane
description Purpose: To investigate the utility of the Short Nutritional Assessment Questionnaire (SNAQ) in the nutritional evaluation of patients with cancer undergoing outpatient chemotherapy. Methods: We included 229 patients with cancer who were undergoing outpatient chemotherapy between October 2015 and April 2016. The SNAQ and the revised SNAQ (addition of age and body mass index) were implemented, and their relationships with Controlling Nutritional Status (CONUT), an indicator of bionutritional assessment, were examined. Results: The cutoff value of the SNAQ score corresponding to moderate-to-severe undernourishment in CONUT values was 0.5, with a sensitivity of 87.5% and a specificity of 65.9%, and the corresponding values for the revised SNAQ score were 2.5, 91.7%, and 62.9%, respectively. This cutoff value and the corresponding positive prediction value for the revised SNAQ were superior to those of SNAQ. Binary logistic regression analysis with the revised SNAQ and sex as independent variables and the CONUT value as the dependent variable revealed that the higher the SNAQ score, the more likely it was that CONUT moderate-to-severe undernourishment would be identified (odds ratio, 1.48;, 1.34-1.96). Conclusion: Nutritional evaluation with the revised SNAQ can predict moderate-to-severe undernourishment according to CONUT in patients with cancer undergoing outpatient chemotherapy. J. Med. Invest. 64: 117-121, February, 2017
doi_str_mv 10.2152/jmi.64.117
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Methods: We included 229 patients with cancer who were undergoing outpatient chemotherapy between October 2015 and April 2016. The SNAQ and the revised SNAQ (addition of age and body mass index) were implemented, and their relationships with Controlling Nutritional Status (CONUT), an indicator of bionutritional assessment, were examined. Results: The cutoff value of the SNAQ score corresponding to moderate-to-severe undernourishment in CONUT values was 0.5, with a sensitivity of 87.5% and a specificity of 65.9%, and the corresponding values for the revised SNAQ score were 2.5, 91.7%, and 62.9%, respectively. This cutoff value and the corresponding positive prediction value for the revised SNAQ were superior to those of SNAQ. Binary logistic regression analysis with the revised SNAQ and sex as independent variables and the CONUT value as the dependent variable revealed that the higher the SNAQ score, the more likely it was that CONUT moderate-to-severe undernourishment would be identified (odds ratio, 1.48;, 1.34-1.96). Conclusion: Nutritional evaluation with the revised SNAQ can predict moderate-to-severe undernourishment according to CONUT in patients with cancer undergoing outpatient chemotherapy. J. Med. 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Med. Invest.</addtitle><description>Purpose: To investigate the utility of the Short Nutritional Assessment Questionnaire (SNAQ) in the nutritional evaluation of patients with cancer undergoing outpatient chemotherapy. Methods: We included 229 patients with cancer who were undergoing outpatient chemotherapy between October 2015 and April 2016. The SNAQ and the revised SNAQ (addition of age and body mass index) were implemented, and their relationships with Controlling Nutritional Status (CONUT), an indicator of bionutritional assessment, were examined. Results: The cutoff value of the SNAQ score corresponding to moderate-to-severe undernourishment in CONUT values was 0.5, with a sensitivity of 87.5% and a specificity of 65.9%, and the corresponding values for the revised SNAQ score were 2.5, 91.7%, and 62.9%, respectively. This cutoff value and the corresponding positive prediction value for the revised SNAQ were superior to those of SNAQ. Binary logistic regression analysis with the revised SNAQ and sex as independent variables and the CONUT value as the dependent variable revealed that the higher the SNAQ score, the more likely it was that CONUT moderate-to-severe undernourishment would be identified (odds ratio, 1.48;, 1.34-1.96). Conclusion: Nutritional evaluation with the revised SNAQ can predict moderate-to-severe undernourishment according to CONUT in patients with cancer undergoing outpatient chemotherapy. J. Med. Invest. 64: 117-121, February, 2017</description><subject>Aged</subject><subject>Ambulatory Care</subject><subject>Antineoplastic Agents - adverse effects</subject><subject>Antineoplastic Agents - therapeutic use</subject><subject>Female</subject><subject>Humans</subject><subject>Japan</subject><subject>Japanese</subject><subject>Male</subject><subject>Malnutrition - diet therapy</subject><subject>Malnutrition - etiology</subject><subject>Middle Aged</subject><subject>Neoplasms - complications</subject><subject>Neoplasms - diet therapy</subject><subject>Neoplasms - drug therapy</subject><subject>Nutrition Assessment</subject><subject>nutritional evaluation</subject><subject>Nutritional Status</subject><subject>outpatient chemotherapy</subject><subject>patients with cancer</subject><subject>Surveys and Questionnaires</subject><subject>utility</subject><issn>1343-1420</issn><issn>1349-6867</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo90MtKw0AUBuBBFKvVjQ8gsxZS55ZkspJSvFKsonUbTpOTZkpzYWaCdOWrm9ra1RzmfPwHfkKuOBsJHorbVWVGkRpxHh-RMy5VEkQ6io__ZhlwJdiAnDu3YkzKMAxPyUBoGcuIxWfk5wvWJjd-Q5uC-hLpR9lYT187b403TQ1rOnYOnauw9vS9Q7f9rcFYpEVj6Qu0UKND-gbe9MTRb-NLOoE6Q0vndY522Zh6SWedb3eETkqsmv6WhXZzQU4KWDu83L9DMn-4_5w8BdPZ4_NkPA0yFSU-yDUInXMdq0RDnOcxxlyDVoqFyYILzpnMZIIMMyFVwVmecKWBFUosdIILlENys8vNbOOcxSJtranAblLO0m2Lad9iGqm0b7HH1zvcdosK8wP9r60Hdzuwch6WeABgvcnWeMhKxT7ysMlKsCnW8hcGGIcp</recordid><startdate>2017</startdate><enddate>2017</enddate><creator>Harada, Kiyomi</creator><creator>Ochi, Kiyo</creator><creator>Taguchi, Tetsuya</creator><creator>Nakamura, Terukazu</creator><creator>Kanazawa, Motohiro</creator><creator>Yoshida, Naohisa</creator><creator>Neriya, Hiroko</creator><creator>Okagaki, Masami</creator><creator>Nishida, Naoko</creator><creator>Takishita, Yukie</creator><creator>Yamamoto, Yoko</creator><creator>Wada, Sayori</creator><creator>Kuwahata, Masashi</creator><creator>Yokota, Isao</creator><creator>Sekido, Keiko</creator><creator>Higashi, Akane</creator><general>The University of Tokushima Faculty of Medicine</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>2017</creationdate><title>Validity of the Short Nutritional Assessment Questionnaire for Japanese Patients with Cancer Undergoing Outpatient Chemotherapy</title><author>Harada, Kiyomi ; 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Results: The cutoff value of the SNAQ score corresponding to moderate-to-severe undernourishment in CONUT values was 0.5, with a sensitivity of 87.5% and a specificity of 65.9%, and the corresponding values for the revised SNAQ score were 2.5, 91.7%, and 62.9%, respectively. This cutoff value and the corresponding positive prediction value for the revised SNAQ were superior to those of SNAQ. Binary logistic regression analysis with the revised SNAQ and sex as independent variables and the CONUT value as the dependent variable revealed that the higher the SNAQ score, the more likely it was that CONUT moderate-to-severe undernourishment would be identified (odds ratio, 1.48;, 1.34-1.96). Conclusion: Nutritional evaluation with the revised SNAQ can predict moderate-to-severe undernourishment according to CONUT in patients with cancer undergoing outpatient chemotherapy. J. Med. Invest. 64: 117-121, February, 2017</abstract><cop>Japan</cop><pub>The University of Tokushima Faculty of Medicine</pub><pmid>28373607</pmid><doi>10.2152/jmi.64.117</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
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subjects Aged
Ambulatory Care
Antineoplastic Agents - adverse effects
Antineoplastic Agents - therapeutic use
Female
Humans
Japan
Japanese
Male
Malnutrition - diet therapy
Malnutrition - etiology
Middle Aged
Neoplasms - complications
Neoplasms - diet therapy
Neoplasms - drug therapy
Nutrition Assessment
nutritional evaluation
Nutritional Status
outpatient chemotherapy
patients with cancer
Surveys and Questionnaires
utility
title Validity of the Short Nutritional Assessment Questionnaire for Japanese Patients with Cancer Undergoing Outpatient Chemotherapy
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