P-142 - Severity of Malnutrition Status of Gastrointestinal Cancer: Nutritional Screening and Assessment Registry in Korean Gastroenterointestinal Cancer Pa...

Date 04 July 2015
Event WorldGI 2015
Session Posters
Topics Supportive Care
Gastrointestinal Cancers
Presenter E.S. Kim
Citation Annals of Oncology (2015) 26 (suppl_4): 1-100. 10.1093/annonc/mdv233
Authors E.S. Kim1, S.H. Kim2, H.S. Moon3, S.H. Lee4, D.U. Kim5, G.A. Song6, S.E. Kim7, M.J. Chung8, S.Y. Park9
  • 1Korea University College of Medicine, Seoul/KR
  • 2Chunbuk National University Hospital, Seoul/
  • 3Chungnam National University Hospital, Seoul/KR
  • 4Yeungnam University Hospital, Seoul/KR
  • 5Pusan National University, Busan/KR
  • 6Pusan University, Seoul/KR
  • 7Kosin University Gospel Hospital, Seoul/KR
  • 8Division Of Gastroenterology, Department Of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul/KR
  • 9Chonnam National University Hospital, Seoul/KR

Abstract

Introduction

Malnutrition is common among cancer patients, unintentional malnutrition may be associated with decreased quality of life and a poorer prognosis. Also, nutritional problems are more common in gastroenterointestinal (GEI) organ cancer patients. However the prevalence and severity of malnutrition have not been assessed systemically in Korean GEI cancer patients. The aim of this study is to assess of nutrition status in GEI cancer patients in Korea.

Methods

This study is Nation-wide, nutrition screening and assessment registry of GEI cancer patient including stomach, esophagus, colon, pancreas, and biliary tract cancer except early stage patients. 8 tertiary referral hospitals of Korea participated in this study. Assessment of nutrition status was performed using PG-SGA (patient-generated subjective global assessment). Malnutrition related risk of clinical parameters and laboratory data were analyzed.

Results

150 patients from 8 tertiary hospitals were enrolled. Mean weight loss of patients was 9.9Kg. Patients in moderate malnutrition and severe malnutrition state were 35.4% and 41.9%, respectively. Biliary cancer patients' malnutrition was more severe (94.7%). Malnutrition patients of stomach cancer, colon cancer, and pancreatic cancer were 72.7%, 64%, and 80%, respectively. Weight loss, cancer stage, performance scale were related malnutrition status. Serum albumin and hemoglobin were related laboratory factors with malnutrition.

Conclusion

Malnutrition is severe in GEI cancer patients of Korea. Weight loss, cancer stage, performance scale, serum albumin and hemoglobin were related to malnutrition.