Practice Consideration
Data Used in Malnutrition Screening Tools
The following table outlines the data required to complete the nutrition screening tools validated for use in elderly ambulatory patients or patients with cancer in an ambulatory setting.(1-7)
* Only the MST (3) and the PG-SGA-SF (5) have been validated for elderly ambulatory patients with cancer.(8)
Adapted from Skipper A, Ferguson M, Thompson K et al. Nutrition screening tools: An analysis of the evidence. J Parenter Enteral Nutr. 2012; 36: 292-298.(9)
References
1. Kondrup J, Rasmussen HH, Hamberg O, Stanga Z; Ad Hoc ESPEN Working Group. Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials. Clin Nutr. 2003; 22: 321-336.
2. Rubenstein LZ, Harker JO, Salva A, Guigoz Y, Vellas B. Screening for undernutrition in geriatric practice: developing the short-form Mini-Nutritional Assessment (M.N.A-S.F.). J Gerontol A Biol Sci Med Sci. 2001; 56: M366-372.
3. Ferguson M, Capra S, Bauer J. Banks M. Development of a valid and reliable malnutrition screening tool for adult acute hospital patients. Nutrition. 1999; 15: 458-464.
4. Elia M. The ‘MUST’ report. Nutritional screening for adults: a multidisciplinary responsibility. Development and use of the ‘Malnutrition Universal Screening Tool’ (‘MUST’) for adults. A report by the Malnutrition Advisory Group of the British Association for Parenteral and Enteral Nutrition, 2003.
5. Abbott J, Teleni L, McKavanagh D, Watson J, McCarthy AL, Isenring E. Patient-Generated Subjective Global Assessment Short Form (PG-SGA SF) is a valid screening tool in chemotherapy outpatients. Support Care Cancer. 2016; 24: 3883-3887.
6. Arribas L, Hurtós L, Sendrós MJ, Peiró I, Salleras N, Fort E, Sánchez-Migallón JM. A new nutritional screening tool for oncological outpatients. Nutrition, 2017; 33: 297-303.
7. Kim JW, Kim SH, Kim YJ, Lee KW, Kim KI, Lee JS, et al. A Novel Geriatric Screening Tool in Older Patients with Cancer: The Korean Cancer Study Group Geriatric Score (KG)-7. PLoS ONE. 2015; 10(9): 724-729.
8. Academy of Nutrition and Dietetics. ONC: Malnutriton screening and nutrition assessment of adult oncology patients (2012) Chicago, USA. 2012; Accessed 14 August 2017. Available from: https://www.andeal.org/topic.cfm?menu=5291&cat=4873.
9. Skipper A, Ferguson M, Thompson K, Castellanos V, Porcari J. Nutrition screening tools: An analysis of the evidence. J Parenter Enteral Nutr. 2012; 36: 292-298.
| Criteria | Tools | ||||||
| NRS-2002(1) | MNA-SF(2) | MST* (3) | MUST (4) | PG-SGA-SF* (5) | NUTRI-SCORE (6) | KG-7 (7) | |
| Recent unintentional weight loss | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | |
| Appetite | ✓ | ✓ | ✓ | ||||
| Body mass index | ✓ | ✓ | ✓ | ||||
| Age >70 years | ✓ | ||||||
| Housebound | ✓ | ✓ | |||||
| Height and weight | ✓ | ✓ | ✓ | ||||
| Dementia or depression | ✓ | ✓ | |||||
| Food-intake or eating problem; skipping meals | ✓ | ✓ | ✓ | ✓ | ✓ | ||
| Nutrition impact symptoms (nausea, constipation, mouth sores, taste, swallowing, dry mouth, fatigue, feeling full, diarrhea) | ✓ | ||||||
| Self-view of nutrition status | ✓ | ||||||
| Location of cancer and cancer treatment | ✓ | ||||||
| Activities of daily living | ✓ | ||||||
* Only the MST (3) and the PG-SGA-SF (5) have been validated for elderly ambulatory patients with cancer.(8)
Adapted from Skipper A, Ferguson M, Thompson K et al. Nutrition screening tools: An analysis of the evidence. J Parenter Enteral Nutr. 2012; 36: 292-298.(9)
References
1. Kondrup J, Rasmussen HH, Hamberg O, Stanga Z; Ad Hoc ESPEN Working Group. Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials. Clin Nutr. 2003; 22: 321-336.
2. Rubenstein LZ, Harker JO, Salva A, Guigoz Y, Vellas B. Screening for undernutrition in geriatric practice: developing the short-form Mini-Nutritional Assessment (M.N.A-S.F.). J Gerontol A Biol Sci Med Sci. 2001; 56: M366-372.
3. Ferguson M, Capra S, Bauer J. Banks M. Development of a valid and reliable malnutrition screening tool for adult acute hospital patients. Nutrition. 1999; 15: 458-464.
4. Elia M. The ‘MUST’ report. Nutritional screening for adults: a multidisciplinary responsibility. Development and use of the ‘Malnutrition Universal Screening Tool’ (‘MUST’) for adults. A report by the Malnutrition Advisory Group of the British Association for Parenteral and Enteral Nutrition, 2003.
5. Abbott J, Teleni L, McKavanagh D, Watson J, McCarthy AL, Isenring E. Patient-Generated Subjective Global Assessment Short Form (PG-SGA SF) is a valid screening tool in chemotherapy outpatients. Support Care Cancer. 2016; 24: 3883-3887.
6. Arribas L, Hurtós L, Sendrós MJ, Peiró I, Salleras N, Fort E, Sánchez-Migallón JM. A new nutritional screening tool for oncological outpatients. Nutrition, 2017; 33: 297-303.
7. Kim JW, Kim SH, Kim YJ, Lee KW, Kim KI, Lee JS, et al. A Novel Geriatric Screening Tool in Older Patients with Cancer: The Korean Cancer Study Group Geriatric Score (KG)-7. PLoS ONE. 2015; 10(9): 724-729.
8. Academy of Nutrition and Dietetics. ONC: Malnutriton screening and nutrition assessment of adult oncology patients (2012) Chicago, USA. 2012; Accessed 14 August 2017. Available from: https://www.andeal.org/topic.cfm?menu=5291&cat=4873.
9. Skipper A, Ferguson M, Thompson K, Castellanos V, Porcari J. Nutrition screening tools: An analysis of the evidence. J Parenter Enteral Nutr. 2012; 36: 292-298.
Updated September 11, 2017