Evidence map›Paper›PMID 34893024›Full record

Observational studyBMC geriatrics2021

PG-SGA SF in nutrition assessment and survival prediction for elderly patients with cancer.

Qi Zhang, Xiang-Rui Li, Xi Zhang, Jia-Shan Ding, Tong Liu, Liang Qian, Meng-Meng Song, Chun-Hua Song, Rocco Barazzoni, Meng Tang and 4 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC geriatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.1field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 43 citations in OpenAlex.

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  6. Prognostic value of systemic inflammation-modified Patient-Generated Subjective Global Assessment in advanced cancers: A large-scale retrospective cohort study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 9 institutions in 2 countries.

Qi Zhang *Department of Gastrointestinal Surgery, Beijing Shijitan Hospital, Capital Medical University, Beijing, 100038, China.
Xiang-Rui Li *Department of Gastrointestinal Surgery, Beijing Shijitan Hospital, Capital Medical University, Beijing, 100038, China.
Xi Zhang *Department of Gastrointestinal Surgery, Beijing Shijitan Hospital, Capital Medical University, Beijing, 100038, China.
Jia-Shan DingDepartment of Obstetrics and Gynecology, the First Affiliated Hospital of Nanchang University, Nanchang, 330006, Jiangxi, China.
Tong LiuDepartment of Gastrointestinal Surgery, Beijing Shijitan Hospital, Capital Medical University, Beijing, 100038, China.
Liang QianDepartment of Obstetrics and Gynecology, Hangzhou Women's hospital/ Hangzhou Maternal and Child Health Hospital/ Hangzhou First People's Hospital Qianjiang New City Campus, Hangzhou, 310008, China.
Meng-Meng SongDepartment of Gastrointestinal Surgery, Beijing Shijitan Hospital, Capital Medical University, Beijing, 100038, China.
Chun-Hua SongDepartment of Epidemiology, College of Public Health, Zhengzhou University, Zhengzhou, 450001, Henan, China.
Rocco BarazzoniDepartment of Medical, Surgical and Health Sciences - University of Trieste, Trieste, Italy.
Meng TangDepartment of Gastrointestinal Surgery, Beijing Shijitan Hospital, Capital Medical University, Beijing, 100038, China.
Kun-Hua WangDepartment of Gastrointestinal Surgery, Institute of Gastroenterology, the First Affiliated Hospital of Kunming Medical University, Kunming, 650032, Yunnan, China.
Hong-Xia XuDepartment of Clinical Nutrition, Daping Hospital, Army Medical University, Chongqing, 400042, China.
Han-Ping ShiDepartment of Gastrointestinal Surgery, Beijing Shijitan Hospital, Capital Medical University, Beijing, 100038, China. shihp@ccmu.edu.cn.
Investigation on Nutrition Status and its Clinical Outcome of Common Cancers (INSCOC) Group
China International Science and Technology Cooperation · CNBeijing Shijitan Hospital · CNCapital Medical University · CNArmy Medical University · CNFirst Affiliated Hospital of Kunming Medical University · CNFirst Affiliated Hospital of Nanchang University · CNHangzhou First People's Hospital · CNUniversity of Trieste · ITZhengzhou University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study was sought to report the prevalence of malnutrition in elderly patients with cancer. Validate the predictive value of the nutritional assessment tool (Patient-Generated Subjective Global Assessment Short Form, PG-SGA SF) for clinical outcomes and assist the therapeutic decision.

methodsThis is a secondary analysis of a multicentric, observational cohort study. Elderly patients with cancer older than 65 years were enrolled after the first admission. Nutritional status was identified using the PG-SGA SF.

resultsOf the 2724 elderly patients included in the analysis, 65.27% of patients were male (n = 1778); the mean age was 71.00 ± 5.36 years. 31.5% of patients were considered malnourished according to PG-SGA SF. In multivariate analysis, malnutrition(PG-SGA SF > 5) was significantly associated with worse OS (HR: 1.47,95%CI:1.29-1.68), affects the quality of life, and was related to more frequent nutrition impact symptoms. During a median follow-up of 4.5 years, 1176 death occurred. The mortality risk was 41.10% for malnutrition during the first 12 months and led to a rate of 323.98 events per-1000-patient-years. All nutritional assessment tools were correlated with each other (PG-SGA SF vs. PG-SGA: r = 0.98; PG-SGA SF vs. GLIM[Global Leadership Initiative on Malnutrition]: r = 0.48, all P < 0.05). PG-SGA SF and PG-SGA performed similarly to predict mortality but better than GLIM. PG-SGA SF improves the predictive ability of the TNM classification system for mortality in elderly patients with cancer, including distinguishing patients' prognoses and directing immunotherapy.

conclusionsThe nutritional status as measured by PG-SGA SF which is a prognostic factor for OS in elderly cancer patients and could improve the prognostic model of TNM.

Indexed as

MalnutritionNeoplasmsAgedHumansMaleNutritional StatusNutrition AssessmentQuality of LifeCancerElderly patientsMalnutritionNutrition assessmentPG-SGA SF

Identifiers

PMID34893024
PMCPMC8665602
OpenAlexW4200560054

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.