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Article

Efficacy of the Nutritional Risk Index, Geriatric Nutritional Risk Index, BMI, and GLIM-Defined Malnutrition in Predicting Survival of Patients with Head and Neck Cancer Patients Qualified for Home Enteral Nutrition

1
Department of Clinical Dietetics, Faculty of Health Sciences, Medical University of Warsaw, 01-445 Warsaw, Poland
2
Department of Education and Research in Health Sciences, Faculty of Health Sciences, Medical University of Warsaw, 00-581 Warsaw, Poland
3
Department of General Surgery and Clinical Nutrition, Centre of Postgraduate Medical Education, 00-401 Warsaw, Poland
4
Department of Human Nutrition, Faculty of Health Sciences, Medical University of Warsaw, 01-445 Warsaw, Poland
*
Author to whom correspondence should be addressed.
Academic Editor: Elena Niccolai
Nutrients 2022, 14(6), 1268; https://doi.org/10.3390/nu14061268
Received: 1 March 2022 / Revised: 14 March 2022 / Accepted: 15 March 2022 / Published: 17 March 2022
Malnutrition is a poor prognostic factor in cancer disease. In case of head and neck cancer, there are multiple disease symptoms and side effects of treatment that increase the risk of malnutrition. The aim of the study is to assess the association between nutritional status at the time of qualification for home enteral nutrition (HEN) and overall survival of patients with head and neck cancer (HNC), and assessment usefulness of selected nutritional indices as prognostic factors. The retrospective survival analysis involved 157 patients with HNC referred to HEN between January 2018 and October 2021. The nutritional status assessment was performed at the qualification for HEN visit. We have analyzed results of body mass index (BMI), Nutritional Risk Index (NRI) for patients <65 years, Geriatric Nutritional Risk Index (GNRI) for patients ≥65 years and malnutrition defined by Global Leadership Initiative on Malnutrition (GLIM). The mean patient survival was 44.7 weeks and the median was 23.9 weeks. Patients with low NRI and GNRI score had a higher risk of death (NRI: p = 0.0229; GNRI: p = 0.371). NRI, GNRI, and malnutrition defined by GLIM were superior to BMI as prognostic markers for survival. Results suggest that the use of NRI, GNRI, and GLIM criteria could provide useful prognostic information. The longer survival since the qualifying visit for home enteral nutrition suggests that nutritional management could be initiated earlier. View Full-Text
Keywords: survival analysis; head and neck cancer; home enteral nutrition; malnutrition; risk of malnutrition; NRI; GNRI; GLIM criteria survival analysis; head and neck cancer; home enteral nutrition; malnutrition; risk of malnutrition; NRI; GNRI; GLIM criteria
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MDPI and ACS Style

Przekop, Z.; Szostak-Węgierek, D.; Milewska, M.; Panczyk, M.; Zaczek, Z.; Sobocki, J. Efficacy of the Nutritional Risk Index, Geriatric Nutritional Risk Index, BMI, and GLIM-Defined Malnutrition in Predicting Survival of Patients with Head and Neck Cancer Patients Qualified for Home Enteral Nutrition. Nutrients 2022, 14, 1268. https://doi.org/10.3390/nu14061268

AMA Style

Przekop Z, Szostak-Węgierek D, Milewska M, Panczyk M, Zaczek Z, Sobocki J. Efficacy of the Nutritional Risk Index, Geriatric Nutritional Risk Index, BMI, and GLIM-Defined Malnutrition in Predicting Survival of Patients with Head and Neck Cancer Patients Qualified for Home Enteral Nutrition. Nutrients. 2022; 14(6):1268. https://doi.org/10.3390/nu14061268

Chicago/Turabian Style

Przekop, Zuzanna, Dorota Szostak-Węgierek, Magdalena Milewska, Mariusz Panczyk, Zuzanna Zaczek, and Jacek Sobocki. 2022. "Efficacy of the Nutritional Risk Index, Geriatric Nutritional Risk Index, BMI, and GLIM-Defined Malnutrition in Predicting Survival of Patients with Head and Neck Cancer Patients Qualified for Home Enteral Nutrition" Nutrients 14, no. 6: 1268. https://doi.org/10.3390/nu14061268

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