Tenth International Conference on Health, Wellness & Society

Abstract

Early detection of malnutrition and timely nutritional interventions can minimize countless complications and improve the outcome for cervical cancer patients. A total of 175 women with cervical cancer and on treatment were prospectively followed for 1-year period for their nutritional status during treatment to see association between nutritional statuses as measured by patient generated subjective global assessment (SGA) and mortality among cervical cancer patients. This study was approved by the Research Ethics Committee and the Scientific and Research Ethics Committee. The prevalence of malnutrition determined by the PG-SGA was 47.1%. According to SGA, one in three 34.29% require nutritional intervention. Most of the patients 72 (41.1%) were challenged by loss of appetite during the course of cervical cancer treatment followed by nausea 28 (16.0%). Neither the demographic and BMI nor clinical and pathological factors are predictive of survival of cervical cancer patients. PG-SGA grade-based Malnutrition and place of residence predict the survival of cancer patients. Patients who were Malnourished (PG-SGA-B and C) had an increased risk of mortality (Hazard Ratio [HR]: 3.12, 95% CI: 1.23 -7.86) as compared to well nourished (PG-SGA-A). Patients who come from rural area had an increased risk of mortality (HR: 6.99, 95% CI: 2.07 – 23.58) as compared to patients who come from urban area. Once nutrition screening has been conducted to identify nutrition risk and malnutrition, a thorough nutrition assessment using scored PG-SGA is needed.