Evidence map›Paper›PMID 36771319›Full record

SynthesisNutrients2023

Expert Consensus on Morphofunctional Assessment in Disease-Related Malnutrition. Grade Review and Delphi Study.

José Manuel García-Almeida, Cristina García-García, María D Ballesteros-Pomar, Gabriel Olveira, Juan J Lopez-Gomez, Virginia Bellido, Irene Bretón Lesmes, Rosa Burgos, Alejandro Sanz-Paris, Pilar Matia-Martin and 4 more

Abstract readSystematic ReviewConsensus Statement
In one paragraph

Synthesis in Nutrients, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
–field-weighted citation impact
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

27 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Observational
  5. Article
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  7. Observational
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  9. Observational
  10. Article
  11. Article
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  13. Review
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  15. Observational
  16. Article
  17. Using physical activity to advance a career in clinical nutrition.European journal of clinical nutrition · 2024
    Review
  18. Observational
  19. Article
  20. Article
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.

José Manuel García-AlmeidaDepartment of Endocrinology and Nutrition, Hospital Clínico Universitario Virgen de la Victoria, 29010 Málaga, Spain.ORCID 0000-0001-8570-184X
Cristina García-GarcíaPhD Program in Biomedicine, Translational Research and New Health Technologies, Faculty of Medicine, University of Málaga, 29071 Málaga, Spain.ORCID 0000-0002-1311-9970
María D Ballesteros-PomarDepartment of Endocrinology and Nutrition, Complejo Asistencial Universitario de León, 24071 León, Spain.ORCID 0000-0002-5729-9926
Gabriel OlveiraIBIMA, Instituto de Investigación Biomédica y Plataforma en Nanomedicina, BIONAND, 29590 Málaga, Spain.ORCID 0000-0002-7646-2899
Juan J Lopez-GomezDepartment of Endocrinology and Nutrition, Hospital Clínico Universitario de Valladolid, 47003 Valladolid, Spain.ORCID 0000-0003-3144-343X
Virginia BellidoDepartment of Endocrinology and Nutrition, Hospital Universitario Virgen del Rocío, 41013 Sevilla, Spain.ORCID 0000-0002-8384-043X
Irene Bretón LesmesDepartment of Endocrinology and Nutrition, Hospital General Universitario Gregorio Marañón, 28007 Madrid, Spain.ORCID 0000-0003-0263-3728
Rosa BurgosNutritional Support Unit, Vall d'Hebron Barcelona Hospital Campus, 08035 Barcelona, Spain.
Alejandro Sanz-ParisDepartment of Endocrinology and Nutrition, University Hospital Miguel Servet, 50009 Zaragoza, Spain.ORCID 0000-0002-7758-3588
Pilar Matia-MartinDepartment of Endocrinology and Nutrition, Hospital Clínico San Carlos, 28040 Madrid, Spain.ORCID 0000-0002-1424-8352
Francisco Botella RomeroDepartment of Endocrinology and Nutrition, Complejo Hospitalario de Albacete, 02006 Albacete, Spain.ORCID 0000-0001-9947-0974
Julia Ocon BretonDepartment of Endocrinology and Nutrition, Hospital Clínico Universitario Lozano Blesa, 50009 Zaragoza, Spain.
Ana Zugasti MurilloNutrition Department, Hospital Universitario de Navarra, 31008 Pamplona, Spain.
Diego BellidoDepartment of Endocrinology and Nutrition, Complejo Hospitalario de Ferrol, 15405 Ferrol, Spain.ORCID 0000-0003-0631-2710

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Disease-related malnutrition (DRM) affects approximately a third of hospitalized patients and is associated with an increased risk of morbimortality. However, DRM is often underdiagnosed and undertreated. Our aim is to evaluate the prognostic value of morphofunctional tools and tests for nutritional assessment in clinical practice. A systematic literature review was conducted to identify studies relating to the morphofunctional assessment of nutritional status and mortality or complications. Evidence was evaluated using the GRADE (Grading of Recommendations, Assessment, Development, and Evaluations) method. Twelve GRADE recommendations were made and divided into seven topics: food intake and nutrient assimilation, anthropometry, biochemical analysis, hand grip strength, phase angle, muscle imaging, and functional status and quality of life. From these recommendations, 37 statements were developed and scored in a two-survey Delphi method by 183 experts. A consensus was reached on accepting 26/37 statements. Surveys had high internal consistency and high inter-rater reliability. In conclusion, evidence-based recommendations were made on the prognostic value of morphofunctional assessment tools and tests to assess malnutrition, most of which were found to be feasible in routine clinical practice, according to expert opinions.

Indexed as

Hand StrengthMalnutritionConsensusDelphi TechniqueHumansQuality of LifeReproducibility of Resultsclinical practiceDelphifeasibilityGRADEmalnutritionmorphofunctional assessment

Identifiers

PMID36771319
PMCPMC9920608

What OpenQuestion holds

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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.