Volume 21 Issue 7
Jul.  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(7): 1121-1124
BA Minqing, CHEN Liu, ZHU Xiaoqiong, HU Kongwang, ZHAO Cunxi. Predictive value of NRS2002 and PNI nutritional screening methods in the prognosis of patients with gastric cancer[J]. Chinese Journal of General Practice, 2023, 21(7): 1121-1124. doi: 10.16766/j.cnki.issn.1674-4152.003064
Citation: BA Minqing, CHEN Liu, ZHU Xiaoqiong, HU Kongwang, ZHAO Cunxi. Predictive value of NRS2002 and PNI nutritional screening methods in the prognosis of patients with gastric cancer[J]. Chinese Journal of General Practice, 2023, 21(7): 1121-1124. doi: 10.16766/j.cnki.issn.1674-4152.003064
shu

Predictive value of NRS2002 and PNI nutritional screening methods in the prognosis of patients with gastric cancer

doi: 10.16766/j.cnki.issn.1674-4152.003064
  • 1.

    School of Public Health, Anhui Medical University, Hefei, Anhui 230032, China

Funds:

 202004j07020036

  • Received Date: 2022-12-26
    Available Online: 2023-08-28
    Abstract
  •   Objective  To compare the predictive value of nutritional risk screening 2002 (NRS2002) and prognostic nutritional index (PNI) in the short-term prognosis of gastric cancer.  Methods  A total of 381 gastric cancer patients who attended Anhui Cancer Hospital and underwent surgery from April 2021 to May 2022 were selected for preoperative nutritional assessment using NRS2002 and PNI to analyze the relationship with general clinical information and prognosis of gastric cancer patients. Binary logistic regression was used to analyze the influencing factors of malnutrition. The predictive value of two methods was compared using the area under the receiver operating characteristic (ROC) curve (AUC).  Results  Preoperative nutritional assessment by NRS2002 found that age, TNM stage, and degree of differentiation were independent prognostic factors. Preoperative nutritional assessment by PNI revealed that the patient's nutritional status, age, TNM stage, and degree of differentiation were independent prognostic factors. Both nutritional screening methods showed that the postoperative hospitalization time [(11.57±3.73) days vs. (10.19±2.66) days; (11.63±3.65) days vs. (10.16±2.68) days)], hospitalization costs[(51 078±9 204) ￥ vs. (45 574±2 406)￥; (50 796±8 992)￥ vs. (45 635±8 234)￥, and postoperative complication rate in the group with nutritional risk were higher than those in the group without nutritional risk, and the difference was statistically significant (all P < 0.05). The prediction effect of NRS2002 (AUC=0.73) was slightly better than that of PNI (AUC=0.68).  Conclusion  NRS2002 and PNI nutritional evaluation methods have clinical value in predicting short-term prognosis of gastric cancer patients, and NRS2002 has higher specificity and sensitivity than PNI.

     

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    ZHU J C, HUANG H, ZHANG H R, et al. Effect of home nutrition support on nutritional status and psychological pain of patients with gastric cancer after surgery[J]. Chinese Journal of General Practice, 2021, 19(6): 986-989. doi: 10.16766/j.cnki.issn.1674-4152.001967
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