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Validity of the Chinese Version of the Patient-Generated Subjective Global Assessment (PG-SGA) in Gastric Cancer Patients

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作者：
Zhen Ming Fu[1] * ; Hong Xia Xu[2] * ; Chun Hua Song[3] * ; Wei Li[4] ; Zeng Qing Guo[5] ; Yuan Lin[6] ; Ying Ying Shi[7] ; Wen Hu[8] ; Yi Ba[9] ; Su Yi Li[10] ; Zeng Ning Li[11] ; Kun Hua Wang[12] ; Jing Wu[13] ; Ying He[14] ; Jia Jun Yang[15] ; Cong Hua Xie[16] ; Xin Xia Song[17] ; Gong Yan Chen[18] ; Wen Jun Ma[19] ; Su Xia Luo[20] ; Zi Hua Chen[21] ; Ming Hua Cong[22] ; Hu Ma[23] ; Chun Ling Zhou[24] ; Wei Wang[25] ; Qi Luo[26] ; Yong Mei Shi[27] ; Yu Mei Qi[28] ; Hai Ping Jiang[29] ; Wen Xian Guan[30] ; Jun Qiang Chen[31] ; Jia Xin Chen[32] ; Yu Fang[33] ; Lan Zhou[34] ; Yong Dong Feng[35] ; Rong Shao Tan[36] ; Tao Li[37] ; Jun Wen Ou[38] ; Qing Chuan Zhao[39] ; Jian Xiong Wu[40] ; Chang Wang[4] ; Han Ping Shi[41] ;
单位： [1]Cancer Center, Renmin Hospital of Wuhan University, Wuhan, Hubei 430060, China [2]Department of Nutrition, Daping Hospital & Research Institute of Surgery, Third Military Medical University, Chongqing 400042, China [3]Department of Epidemiology, College of Public Health, Zhengzhou University, Zhengzhou, Henan 450001, China [4]Cancer Center of the First Hospital of Jilin University,Changchun, Jilin 130021 China [5]Department of Medical Oncology, Fujian Cancer Hospital, Fujian Medical University Cancer Hospital, Fuzhou, Fujian 350014, China [6]Department of Gastrointestinal Surgery, Affiliated Tumor Hospital of Guangxi Medical University, Nanning, Guangxi 530021, China [7]Department of Surgery, The First Affiliated Hospital of Sun Yat-sen University,Guangzhou, Guangdong 510080, China [8]Department of Clinical Nutrition, West China Hospital of Sichuan University, Chengdu,Sichuan 610041, China [9]Department of Gastrointestinal Oncology, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Tianjin Key Laboratory of Cancer Prevention and Therapy, Tianjin 300060, China [10]Department of Nutrition and Metabolism of Oncology, Affiliated Provincial Hospital of Anhui Medical University, Hefei, Anhui 230031, China [11]Department of Clinical Nutrition, The First Hospital of Hebei Medical University, Shijiazhuang, Hebei 050031, China [12]Department of Gastrointestinal Surgery, Institute of Gastroenterology, The First Affiliated Hospital of Kunming Medical University, Kunming,Yunnan 650032, China [13]Department of Clinical Nutrition, The First People's Hospital of Kashi, Xinjiang 844000, China [14]Department of Clinical Nutrition, Chongqing General Hospital, Chongqing 400014, China [15]Department of Colorectal and Anal Surgery, Huizhou Municipal Central Hospital, Huizhou, Guangdong 516001, China [16]Department of Radiation and Medical Oncology,Zhongnan Hospital of Wuhan University, Wuhan, Hubei 430071, China [17]Department of Oncology, Xingtai People's Hospital, Hebei Medical University, Xingtai, Hebei 054031, China [18]The First Department of the Tumor Hospital of Harbin Medical University,Harbin, Heilongjiang 150085, China [19]Department of Nutrition, Guangdong General Hospital, Guangdong Academy of Medical Sciences, Guangzhou, Guangdong 510080, China [20]Department of Oncology, Affiliated Cancer Hospital of Zhengzhou University and Henan Cancer Hospital, Zhengzhou, Henan 450008, China [21]Department of General Surgery, Xiangya Hospital, Central South University, Changsha, Hunan 410008, China [22]Comprehensive Oncology Department, Cancer Hospital, Chinese Academy of Medical Sciences, Beijing 100021, China [23]Department of Oncology, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou 563000,China [24]The Fourth Affiliated Hospital, Harbin Medical University, Harbin, Heilongjiang 150001, China [25]Cancer center, The First People's Hospital of Foshan, Foshan, Guangdong 528000, China [26]Department of Gastrointestinal Tumor Surgery, The First Affiliated Hospital, Xiamen University, Xiamen, Fujian 361003, China [27]Department of Nutrition, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China [28]Department of Nutrition, Tianjin Third Central Hospital, Tianjin 300170,China [29]Department of Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong 510632, China [30]Department of General Surgery, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School,Nanjing, Jiangsu 210008, China [31]Department of Gastrointestinal Surgery, First Affiliated Hospital of Guangxi Medical University,Nanning, Guangxi 530021, China [32]Department of Radiation and Medical Oncology, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, Guangxi 530021, China [33]Department of Clinical Nutrition, Peking University Cancer Hospital and Institute, Beijing 100142, China [34]Department of Nutrition, Third Affiliated Hospital of Kunming Medical College, Tumor Hospital of Yunnan Province, Kunming, Yunnan 650118, China [35]Department of Surgery,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China [36]Department of Nutrition, Guangzhou Red Cross Hospital, Guangzhou,Guangdong 510220, China [37]Department of Radiotherapy, Sichuan Cancer Hospital& Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science and Technology of China, Chengdu, Sichuan 610041, China [38]Department of Clinical Nutrition, Clifford Hospital, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong 510632, China [39]Department of Digestive Diseases, Xijing Hospital, Fourth Military Medical University, Xi'an, Shanxi 710032, China [40]Department of Hepatobiliary Surgery, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China [41]Department of Gastrointestinal Surgery/Clinical Nutrition, Beijing Shijitan Hospital, Capital Medical University,The 9th Clinical College, PKU.No.10 Tieyi Road, Haidian Dist, Beijing 100038, China
出处：

关键词： Validation Nutrition status Chinese version Cancer

摘要：
Purpose Malnutrition is severe among gastric cancer patients in China.While the Patient-Generated Subjective Global Assessment (PG-SGA) is a widely used nutritional assessment tool,the validation for Chinese patients with gastric cancer has not been performed yet.The aim of this research is to validate the Chinese version of the PGSGA in Chinese gastric cancer patients by conducting analyses of nutrition screening and assessment data.Methods Two thousand consecutive adult patients with gastric cancer were included in this observational,cross-sectional study in several tertiary hospitals in China.A survey was made among those patients,which included several questionnaires and some anthropometric parameters.We calculated the parameters to validate the use of PG-SGA categorizing the nutritional status of gastric cancer patients.Then we performed statistical analysis to evaluate the internal consistency,external consistency,and construct validity.Results This study verified the ability of the PG-SGA to differentiate gastric cancer patients into different nutritional groups.The confirmatory factor analysis verified the original four-factor structure of the PG-SGA.The internal and external consistency was measured by a concordance analysis which showed an intraclass correlation coefficients (ICC) of 0.987.The correlations of the Box 4 score with the Karnofsky performance status score demonstrated alternative form validity with good external consistency (Pearson,r =0.643,P ＜ 0.001).All three anthropometric dimensions of the PG-SGA were supported by principal component analysis.Spearman correlations (P＜ 0.001) were significant in the majority of tests.Conclusion The Chinese version of the PG-SGA is a valid tool to access the patients' nutritional status for Chinese gastric patients.

基金：
This study was supported by a National Science and Technology Major Project from Ministry of Science and Technology of the People’s Republic of China, the National Key Research and Development Program (No: 2017YFC1309200).

基金编号： No:2017YFC1309200

语种：
外文
第一作者：
第一作者单位： [1]Cancer Center, Renmin Hospital of Wuhan University, Wuhan, Hubei 430060, China
共同第一作者：
通讯作者：
通讯机构： [41]Department of Gastrointestinal Surgery/Clinical Nutrition, Beijing Shijitan Hospital, Capital Medical University,The 9th Clinical College, PKU.No.10 Tieyi Road, Haidian Dist, Beijing 100038, China
推荐引用方式(GB/T 7714)：
Zhen Ming Fu,Hong Xia Xu,Chun Hua Song,et al.Validity of the Chinese Version of the Patient-Generated Subjective Global Assessment (PG-SGA) in Gastric Cancer Patients[J].Journal of Nutritional Oncology.2018,3(4):182-188.
APA：
Zhen Ming Fu,Hong Xia Xu,Chun Hua Song,Wei Li,Zeng Qing Guo...&Han Ping Shi.(2018).Validity of the Chinese Version of the Patient-Generated Subjective Global Assessment (PG-SGA) in Gastric Cancer Patients.Journal of Nutritional Oncology,3,(4)
MLA：
Zhen Ming Fu,et al."Validity of the Chinese Version of the Patient-Generated Subjective Global Assessment (PG-SGA) in Gastric Cancer Patients".Journal of Nutritional Oncology 3..4(2018):182-188

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