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Prevalence of Protein-Energy Wasting in Dialysis Patients Using a Practical Online Tool to Compare with Other Nutritional Scores: Results of the Nutrendial Study

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 intr...

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Autores principales: Arias-Guillén, Marta, Collado, Silvia, Coll, Elisabeth, Carreras, Jordi, Betancourt, Loreley, Romano, Bárbara, Fernández, Marisol, Duarte, Verónica, Garro, Julia, Soler, Jordi, González, Juan Carlos, Calabia, Jordi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9413877/
https://www.ncbi.nlm.nih.gov/pubmed/36014879
http://dx.doi.org/10.3390/nu14163375
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author Arias-Guillén, Marta
Collado, Silvia
Coll, Elisabeth
Carreras, Jordi
Betancourt, Loreley
Romano, Bárbara
Fernández, Marisol
Duarte, Verónica
Garro, Julia
Soler, Jordi
González, Juan Carlos
Calabia, Jordi
author_facet Arias-Guillén, Marta
Collado, Silvia
Coll, Elisabeth
Carreras, Jordi
Betancourt, Loreley
Romano, Bárbara
Fernández, Marisol
Duarte, Verónica
Garro, Julia
Soler, Jordi
González, Juan Carlos
Calabia, Jordi
author_sort Arias-Guillén, Marta
collection PubMed
description 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.
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spelling pubmed-94138772022-08-27 Prevalence of Protein-Energy Wasting in Dialysis Patients Using a Practical Online Tool to Compare with Other Nutritional Scores: Results of the Nutrendial Study Arias-Guillén, Marta Collado, Silvia Coll, Elisabeth Carreras, Jordi Betancourt, Loreley Romano, Bárbara Fernández, Marisol Duarte, Verónica Garro, Julia Soler, Jordi González, Juan Carlos Calabia, Jordi Nutrients Article 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. MDPI 2022-08-17 /pmc/articles/PMC9413877/ /pubmed/36014879 http://dx.doi.org/10.3390/nu14163375 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/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/).
spellingShingle Article
Arias-Guillén, Marta
Collado, Silvia
Coll, Elisabeth
Carreras, Jordi
Betancourt, Loreley
Romano, Bárbara
Fernández, Marisol
Duarte, Verónica
Garro, Julia
Soler, Jordi
González, Juan Carlos
Calabia, Jordi
Prevalence of Protein-Energy Wasting in Dialysis Patients Using a Practical Online Tool to Compare with Other Nutritional Scores: Results of the Nutrendial Study
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
title_full Prevalence of Protein-Energy Wasting in Dialysis Patients Using a Practical Online Tool to Compare with Other Nutritional Scores: Results of the Nutrendial Study
title_fullStr Prevalence of Protein-Energy Wasting in Dialysis Patients Using a Practical Online Tool to Compare with Other Nutritional Scores: Results of the Nutrendial Study
title_full_unstemmed Prevalence of Protein-Energy Wasting in Dialysis Patients Using a Practical Online Tool to Compare with Other Nutritional Scores: Results of the Nutrendial Study
title_short Prevalence of Protein-Energy Wasting in Dialysis Patients Using a Practical Online Tool to Compare with Other Nutritional Scores: Results of the Nutrendial Study
title_sort prevalence of protein-energy wasting in dialysis patients using a practical online tool to compare with other nutritional scores: results of the nutrendial study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9413877/
https://www.ncbi.nlm.nih.gov/pubmed/36014879
http://dx.doi.org/10.3390/nu14163375
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