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Comparison of the glim, espen and icd-10 criteria to diagnose malnutrition and predict 30-day outcomes: An observational study in an oncology population

Poulter, S, Steer, B, Baguley, Brenton, Edbrooke, L and Kiss, Nicole 2021, Comparison of the glim, espen and icd-10 criteria to diagnose malnutrition and predict 30-day outcomes: An observational study in an oncology population, Nutrients, vol. 13, no. 8, pp. 1-13, doi: 10.3390/nu13082602.

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Title Comparison of the glim, espen and icd-10 criteria to diagnose malnutrition and predict 30-day outcomes: An observational study in an oncology population
Author(s) Poulter, S
Steer, B
Baguley, BrentonORCID iD for Baguley, Brenton orcid.org/0000-0003-3974-8107
Edbrooke, L
Kiss, NicoleORCID iD for Kiss, Nicole orcid.org/0000-0002-6476-9834
Journal name Nutrients
Volume number 13
Issue number 8
Article ID ARTN 2602
Start page 1
End page 13
Total pages 13
Publisher MDPI / MDPI AG (Multidisciplinary Digital Publishing Institute)
Place of publication Basel, Switzerland
Publication date 2021-07-28
ISSN 2072-6643
2072-6643
Keyword(s) Science & Technology
Life Sciences & Biomedicine
Nutrition & Dietetics
GLIM
ESPEN
ICD-10
malnutrition
cancer
predictive validity
mortality
unplanned admission
NUTRITIONAL-STATUS
SCREENING TOOL
PREVALENCE
IMPACT
RISK
SURVIVAL
SUPPORT
Summary The Global Leadership Initiative on Malnutrition (GLIM) criteria are consensus criteria for the diagnosis of malnutrition. This study aimed to investigate and compare the prevalence of malnutrition using the GLIM, European Society for Clinical Nutrition and Metabolism (ESPEN) and International Statistical Classification of Diseases version 10 (ICD-10) criteria; compare the level of agreement between these criteria; and identify the predictive validity of each set of criteria with respect to 30-day outcomes in a large cancer cohort. GLIM, ESPEN and ICD-10 were applied to determine the prevalence of malnutrition in 2794 participants from two cancer malnutrition point prevalence studies. Agreement between the criteria was analysed using the Cohen’s Kappa statistic. Binary logistic regression models were used to determine the ability of each set of criteria to predict 30-day mortality and unplanned admission or readmission. GLIM, ESPEN and ICD-10 criteria identified 23.0%, 5.5% and 12.6% of the cohort as malnourished, respectively. Slight-to-fair agreement was reported between the criteria. All three criteria were predictive of mortality, but only the GLIM and ICD-10 criteria were predictive of unplanned admission or readmission at 30 days. The GLIM criteria identified the highest prevalence of malnutrition and had the greatest predictive ability for mortality and unplanned admission or readmission in an oncology population.
Language eng
DOI 10.3390/nu13082602
Field of Research 0908 Food Sciences
1111 Nutrition and Dietetics
HERDC Research category C1 Refereed article in a scholarly journal
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30154155

Document type: Journal Article
Collections: Faculty of Health
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Created: Thu, 05 Aug 2021, 08:25:47 EST

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.