Nutritional Status Assessment and Its Correlation with Performance Status in Head & Neck Cancer Patients
Journal Title: Indian Journal of Cancer Education and Research - Year 2017, Vol 5, Issue 2
Abstract
ontext: Malnutrition among cancer patients is a frequent problem and has been observed in 40 and 80% patients. It is a more common problem in patients with head and neck cancer owing to the nutrition impact symptoms. It incidence has been found between 3050% in various studies. Aims: The purpose of this study was to assess the nutritional status using PGSGA and its correlation with performance status in patients with Head & Neck cancer. Material & Methods: Fifty one patients of proven Head and Neck Cancer were assessed using scored Patient Generated Subjective Global Assessment (PGSGA), SGA classes and functional status was scored using Karnofsky Performance Scale (KPS). Results: Mean age was 50.78 years. Site wise distribution was as: Oropharynx25% (13/51), Hypopharynx8.0% (4/51), Nasopharynx2% (1/51), Larynx12% (6/51) and Oral cavity53% (27/51). Mean PGSGA Score was 7.72. The prevalence of malnutrition was eighty one percent (41/51) patients as assessed by scored PGSGA and SGA classes. Median KPS was 70. Eight one percent patients had compromised performance status as assessed by KPS. Scored PGSGA, SGA and KPS were significantly correlated (r=. 934, p<0.00001 and r=0.868, p<0.00001) respectively. Conclusion: Patients with Head & Neck Cancer have a high prevalence of malnutrition. Scored PGSGA and SGA classes can be used to assess malnutrition and are significantly correlated with performance status assessed using KPS.
Authors and Affiliations
Kailash Mittal
Cytological Grading of Breast Carcinoma on FNAC & Correlation with Histological Grading on Excised Specimen
Background: With the advent of fine needle aspiration cytology (FNAC), the approach to diagnosis and management of breast lesions has been revolutionized. Assigning a tumor grade to breast cancer provides important progn...
A Case Study on Lung Cancer: Proceedings of 3rd International Meeting of Clinical Practice Guidelines in Oncology
Third International Meeting of Clinical Practice Guidelines in Oncology–2014 and Indian Perspectives was conducted on December 20th 2014. The conference was organized by the unit of medical oncology, Sri Ramachandra Univ...
Male Breast Cancer with Skeletal Metastasis: A Case Report and Review of Literature
While it is the most common malignancy in women, breast cancer is rare in men and thus often ignored or overlooked, which leads to delayed diagnosis for the already fulminant condition. Bone is the most common location f...
Chromosomal Abnormalities in Multiple Myeloma: An Observational Study from South India
Recurrent cytogenetic abnormalities are noted throughout the course of multiple myeloma (MM) from the premalignant stage of monoclonal gammopathy of undetermined significance to end-stage disease. The prospective, observ...
Drug Utilization Review of Anticancer Drugs in Medical Oncology Department of a Tertiary Care Teaching Hospita
The present study aimed to analyze the drug utilization pattern of anticancer drugs in medical oncology department of a tertiary care teaching hospital, Tamilnadu. Each prescription in the department of medical oncology...