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

  • Harada Kiyomi
    School of Nursing, Kyoto Prefectural University of Medicine
  • Ochi Kiyo
    Department of Nursing, University Hospital, Kyoto Prefectural University of Medicine
  • Taguchi Tetsuya
    Department of Endocrine and Breast Surgery, Kyoto Prefectural University of Medicine Graduate School of Medical Science
  • Nakamura Terukazu
    Department of Urology, Imperial Gift Foundation, Saiseikai Suita Hospital Department of Urology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine
  • Kanazawa Motohiro
    Department of Urology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine
  • Yoshida Naohisa
    Department of Molecular Gastroenterology and Hepatology, Kyoto Prefectural University of Medicine, Graduate School of Medical Science
  • Neriya Hiroko
    Department of Clinical Nutrition, University Hospital, Kyoto Prefectural University of Medicine
  • Okagaki Masami
    Department of Clinical Nutrition, University Hospital, Kyoto Prefectural University of Medicine
  • Nishida Naoko
    Faculty of Health and Medical Sciences, Kyoto Gakuen University
  • Takishita Yukie
    School of Nursing, Kyoto Prefectural University of Medicine
  • Yamamoto Yoko
    School of Nursing, Kyoto Prefectural University of Medicine
  • Wada Sayori
    Graduate School of Life and Environmental Sciences, Kyoto Prefectural University
  • Kuwahata Masashi
    Graduate School of Life and Environmental Sciences, Kyoto Prefectural University
  • Yokota Isao
    Department of Biostatistics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine
  • Sekido Keiko
    School of Nursing, Kyoto Prefectural University of Medicine
  • Higashi Akane
    Graduate School of Life and Environmental Sciences, Kyoto Prefectural University

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<p>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</p>

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