Prevalence of protein-energy wasting in dialysis patients using a practical online tool to compare with other nutritional scores: Results of the nutrendial study
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- dc.contributor.author Arias-Guillén, Marta
- dc.contributor.author Collado Nieto, Silvia
- dc.contributor.author Coll, Elisabeth
- dc.contributor.author Carreras, Jordi
- dc.contributor.author Betancourt, Loreley
- dc.contributor.author Romano, Bárbara
- dc.contributor.author Fernández, Marisol
- dc.contributor.author Duarte, Verónica
- dc.contributor.author Garro, Julia
- dc.contributor.author Soler-Majoral, Jordi
- dc.contributor.author González, Juan Carlos
- dc.contributor.author Calabia, Jordi
- dc.date.accessioned 2023-02-10T07:30:44Z
- dc.date.available 2023-02-10T07:30:44Z
- dc.date.issued 2022
- dc.description.abstract This cross-sectional study aims to explore the prevalence of protein-energy wasting (PEW) in dialysis patients in Catalonia, Spain, using a new and practical online tool which enables rapid calculation and comparison with other nutritional scores. Methods: A web tool (Nutrendial) was created to introduce different variables and automatically calculate PEW, Malnutrition inflammation Score (MIS) and Subjective Global Assessment (SGA) in 1389 patients (88% in haemodialysis (HD)), 12% in peritoneal dialysis (PD) from different regions of Catalonia. Results: A prevalence of 23.3% (26% HD, 10.2% PD) of PEW was found, with a mean MIS score of 6 and SGA score of C in 7% of the patients. ROC analysis showed MIS as the best nutritional score to diagnose PEW (AUC 0.85). Albumin delivered lower diagnostic precision (AUC 0.77) and sensitivity (66%). A cut off point of 7 (86% sensitivity and 75% specificity) for MIS and 3.7 mg/dL for albumin were found to predict the appearance of PEW in this population. SGA B or C showed an 87% sensitivity and 55% specificity to diagnose PEW. Very low nutritional intervention (14%) was recorded with this tool in patients with PEW. Conclusions: This new online tool facilitated the calculation of PEW, enabling different professionals-including nephrologists, dieticians and nurses-to efficiently obtain insights into the nutritional status of the Catalonian dialysis population and implement the required nutritional interventions. MIS is the score with more sensitivity to diagnose PEW.
- dc.format.mimetype application/pdf
- dc.identifier.citation Arias-Guillén M, Collado S, Coll E, Carreras J, Betancourt L, Romano B, Fernández M, Duarte V, Garro J, Soler J, González JC, Calabia J. Prevalence of protein-energy wasting in dialysis patients using a practical online tool to compare with other nutritional scores: Results of the nutrendial study. Nutrients. 2022 Aug 17;14(16):3375. DOI: 10.3390/nu14163375
- dc.identifier.doi http://dx.doi.org/10.3390/nu14163375
- dc.identifier.issn 2072-6643
- dc.identifier.uri http://hdl.handle.net/10230/55711
- dc.language.iso eng
- dc.publisher MDPI
- dc.relation.ispartof Nutrients. 2022 Aug 17;14(16):3375
- dc.rights © 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
- dc.rights.accessRights info:eu-repo/semantics/openAccess
- dc.rights.uri https://creativecommons.org/licenses/by/4.0/
- dc.subject.keyword Dialysis
- dc.subject.keyword Malnutrition inflammation score
- dc.subject.keyword Nutritional assessment
- dc.subject.keyword Online tool
- dc.subject.keyword Protein-energy wasting
- dc.subject.keyword Subjective global assessment
- dc.title Prevalence of protein-energy wasting in dialysis patients using a practical online tool to compare with other nutritional scores: Results of the nutrendial study
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/publishedVersion