Outcomes of Systematic Nutritional Assessment and Medical Nutrition Therapy in XXXX .

@entity1 @entity788 @entity5
OBJECTIVES: We investigated the nutritional and survival outcomes of medical nutrition therapy by a registered dietitian, along with support from a dedicated nutrition and metabolic support team in @entity788 @entity1 requiring enteral or parenteral nutrition. METHODS: Subjective global assessment (SGA) was used to assess nutritional status in 304 @entity788 @entity1 . Using baseline and last SGA, @entity1 were categorized into 3 groups: improved SGA, deteriorated SGA, and unchanged SGA. Kaplan-Meier and Cox regression were used to calculate survival after controlling for relevant confounders. RESULTS: One-hundred twenty-five (41.1%) @entity1 had their SGA unchanged, 87 (28.6%) @entity1 had "improved SGA," whereas 92 (30.3%) @entity1 had "deteriorated SGA." On univariate survival analysis, the median survival was 7.8, 11.2, and 12.6 months for deteriorated, unchanged, and improved SGA groups, respectively. On multivariate analysis, change in SGA was independently predictive of survival. @entity1 with deteriorated SGA had 1.5 times (95% confidence interval, 1.1-2.1) greater risk of mortality compared to those with improved SGA. CONCLUSIONS: The majority of @entity788 @entity1 (70%) in our study either maintained or improved their nutritional status during @entity5 treatment. Improvement in SGA correlated with a significantly decreased risk of mortality independent of sex, previous treatment history, and evidence of biological anticancer activity.
