Bas Ph Ter Brugge, Lena Sophia Fegg, Marjo Wijnen-Meijer
Preparing medical students for their educational task as physicians: important, desirable and unexplored territory
BMC medical education
despite frequently recognized malnutrition consequence chronic kidney disease negatively affects morbidity mortality functional activity patients quality life management condition made difficult dearth knowledge regarding symptom burden brought inadequate nutritional status additionally multiple tools evaluate nutritional status ckd ptglobal web toolpgsga used oncology investigated chronic kidney disease patients study aimed explore nutritional status symptom burden also investigate predictive validity ptglobal web toolpgsga among predialysis diabetic nondiabetic chronic kidney disease patients crosssectional study carried renal clinic tertiary care public teaching hospital nutritional status symptom burden evaluated employing ptglobal web toolpgsga considered preeminent interdisciplinary tool oncology chronic catabolic conditions predictive validity ptglobal web toolpgsga referred overall score malnutrition ascertained using receiver operating curves roc conclusions drawn using descriptive statistics correlation regression analysis sample 450 predialysis ckd patients malnutrition present 292649 patients diabetic ckd patients exhibit higher proportion malnutrition 159353 prevalence malnutrition exacerbated egfr reduction overall ptglobal web toolpgasga score significantly influenced symptoms fatigue 815 appetite loss 548 physical pain 453 constipation 3178 dry mouth 262 feeling full quickly 258 roc analysis showed auc total pgsga score 0988 95 ci 09761000 indicating reliable indicator malnutrition sensitivity 842 identifying malnutrition low using conventional tool cut score 9 instead discovered score 3 greater sensitivity 993 specificity 443 therefore recommended study presents empirical evidence poor nutritional status ckd patients also reveals worse patients diabetes hypoalbuminemia poorer kidney function well recognized risk factors cardiovascular disease early diagnosis management symptoms contributing malnutrition reduce mortality ckd progression ptglobal web toolpgsga total score 3 appears ideal cut score identifying malnutrition utilized dietician improving malnutrition