Studies expressing criterion or construct validity of nutrition screening or assessment tools to establish nutritional status
Tools developed for the adult hospitalized population
SGA / Baker, JP (1982) 8 / surgical patients / 59 / BW/WL/Anthropometry/
full nutritional assessment / linear regression and analysis of variance: sign. correlations to lean body weight, body fat, total body nitrogen, total body K (mostly p<0.001); linear regression and analysis of variance: sign. correlations to albumin, transferrin, CHI (mostly p<0.001) / ?
Tu, MY (2012) 35 / preoperative colorectal cancer / 45 / prealbumin / se 72, sp 81, PPV 87, NPV 62 / f
Martins, CPAL (2005) 10 / orthopedic elderly hospitalized patients (≥ 65years old) / 207 / NRS-2002 / se 85, sp 69, PPV 85, NPV 69 / f
Nutrition Screening Tool / Elmore, MF (1994) 22 / Adult (medical and surgical) / 251 / Assessment by a professional / se 72, sp 84, PPV 66, NPV 87 / f
Nutrition Screening Equation / Elmore, MF (1994) 22 / Adult (medical and surgical) / 251 / Assessment by a professional / se 92, sp 85, PPV 66, NPV 97 / g
NRS / Reilly, HM (1995) 23 / Medical, surgical on admission / 153 / NRI / correlation to NRI: r = 0.68, p<0.001
correlation to clinical impression: r = 0.83, p< 0.001 / g
g
Corish, CA (2004) 33 / newly admitted patients (≥ 65 and <65 years old) / 359 / BW/WL/Anthropometry/
full nutritional assessment / >65 years old: se 100
<65 years old: se 71 / f
p
Nutrition Risk Classification / Kovacevich, DS (1997) 24 / hospitalized adults / 242 / prealbumin / se 85, sp 63, PPV 41, NPV 93 / f
MST / Ferguson, M (1999) 5 / adult inpatients / 408 / SGA / se 93, sp 93, PPV 98, NPV 72 / g
Neelemaat, F (2011) 39 / adults and older (≥ 60
years old) / 275 / BW/WL/Anthropometry/
full nutritional assessment / adults: se 76-78, sp 90-96 (no/low vs severe risk and no vs.low/severe risk);
older: se 74-78, sp 88-94 (no/low vs severe risk and no vs.low/severe risk) / f
f
Isenring, E (2006) 43 / oncology outpatients receiving chemotherapy / 50 / PG-SGA / se 100, sp 92, PPV 80, NPV 100 / g
Amaral,TF (2008) 44 / oncology / 130 / NRS-2002 / se 49, sp 95 / p
Martins,CPAL (2005) 10 / orthopedic elderly hospitalized patients (≥ 65years old) / 207 / NRS-2002 / se 58, sp 84, PPV 89, NPV 48 / f
Screening Sheet / Thorsdóttir, I (1999) 25 / newly admitted patients / 282 / BW/WL/Anthropometry/
full nutritional assessment / se 69, sp 91, PPV 65 / f
Thorsdóttir, I (2001) 45 / COPD / 34 / BW/WL/Anthropometry/
full nutritional assessment / se 69, sp 90, PPV 95, NPV 83 / f
Thorsdottir (2005) 36 / hospitalized elderly (≥ 65years old) / 60 / BW/WL/Anthropometry/
full nutritional assessment / se 89, sp 80, PPV 76, NPV 79 / g
MUST / Elia M, (2003) 1 / elderly (≥ 65 years old),
hospital patients,
orthopaedic + trauma patients / 412 / NRS, assessment by a professional, MNA, SGA / MUST score 3: k to NRS= 0.775 (n=75), k to professional= 0.771 (n=100)
MUST score 2: k to NRS= 0.813 (n=75), k to professional= 0,804 (n=100), k to MNA medical= 0.551 (n=86) and surgical= 0.605 (n=85) k to SGA 0.783 (n=50) / good for correlations with NRS, professionalSGA
fair for correlation with MNA
Almeida AI, (2012) 34 / surgical patients / 300 / SGA / se 85, sp 93, PPV 89 , NPV 99 / Agreement to SGA k= 0.912 (p<0,001) / g
Tu, MY (2012) 35 / preoperative colorectal cancer / 45 / SGA,
prealbumin / SGA: se 96, sp 75, PPV 82, NPV 94
prealbumin: se 64, sp 60, PPV 66, NPV 57
Kyle, UG (2006) 9 / newly admitted adult patients / 995 / SGA / se 61, sp 76, PPV 65, NPV 76 / f
Neelemaat, F (2011) 39 / adults and older (≥ 60
years old) / 275 / BW/WL/Anthropometry/
full nutritional assessment / adult: se 73-96, sp 82-80 (no/low vs severe risk and no vs.low/severe risk)
older: se 67-97, sp 82-79 (no/low vs severe risk and no vs.low/severe risk) / g
g
Amaral,TF (2008) 44 / oncology / 130 / NRS-2002 / se 97, sp 77 / f
Stratton, RJ (2004) 46 / elderly (≥ 65 years old), adult surgical patients, medical inpatients / 246 / MNA, MST / to MNA in elderly: se 97, sp 60.
to MNA in adult surgical patients: se 72, sp 91
to MST in medical inpatients: se 81, sp 91 / f
f
g
Bauer, J (2003) 26 / oncology / 65 / SGA / se 59, sp 75, PPV 88, NPV 38 / f
NRS-2002 / Kondrup J (2003) 2 / 128 clinical trials / Among 75 studies of patients classified as “nutritional risk”, 43 showed a positive effect of nutritional support on clinical outcome. Among 53 studies of patients classified as “not nutritional risk”, 14 showed a positive effect (P=0.0006) / ?
Kyle, UG (2006) 9 / newly admitted adult patients / 995 / SGA / se 62, sp 93, PPV 85, NPV 79 / f
Almeida AI, (2012) 34 / surgical patients / 300 / SGA / se 80, sp 89, PPV 87, NPV 100 / K = 0.853 (p<0,001) / g
Westergren, A (2011) 42 / adult and elderly inpatients (≥ 65 years old ) / 87 / MNA / adult: se 37, sp 82, PPV 76, NPV 47, ac 55
elderly: se 36, sp 79, PPV 71, NPV 46, ac 53 / p
p
Neelemaat, F (2011) 39 / adults and older / 275 / BW/WL/Anthropometry/
full nutritional assessment / adults: se 94-92, sp 80-85 (no/low vs severe risk and no vs.low/severe risk)
older: se 94-92, sp 79-83 (no/low vs severe risk and no vs.low/severe risk) / g
g
British Nutrition Screening Tool / Weekes, CE (2004) 27 / general medical wards / 100 / Assessment by a professional / k = 0:72; 95% CI 0.59 –0.84 / g
Mirmiran, P (2011) 48 / adults from different wards / 446 / Assessment by a professional / se 87, sp 62, PPV 79, NPV 73 / f
SNAQ / Kruizenga, HM (2005) 6 / medical and surgical / 291 / BW/WL/Anthropometry/
full nutritional assessment / ≥ 2 se 79, sp 83, PPV 70, NPV 89
≥ 3 se 76, sp 83, PPV 62, NPV 91 / f
f
Neelemaat, F (2011) 39 / adults and older (≥ 60
years old) / 275 / BW/WL/Anthropometry/
full nutritional assessment / adults: se 68-75, sp 97-84 (no/low vs severe risk and no vs.low/severe risk)
older: se 63-72, sp 96-83 (no/low vs severe risk and no vs.low/severe risk) / f
f
Neelemaat, F (2008) 47 / general and preoperative outpatients / 1684 / BW/WL/Anthropometry/
full nutritional assessment / general:se 67, sp 98, PPV 72, NPV 97
preoperative: se 53, sp 97, PPV 69, NPV 94 / f
f
Chinese Nutrition Screen / Woo, J (2005) 28 / elderly (from hospital and old age homes)
(≥ 65years old) / 400 / Assessment by a professional / Cronbach's alpha for questions of CNS and physicians assessment>0.5 / ?
Glasgow Nutrition Screening Tool / Gerasimidis K (2007) 29 / hospital inpatients / 242 / MUST / se 95, sp 65 / f
TOOLS DEVELOPED FOR THE ADULT HOSPITAL POPULATION OF WHICH THE ORIGINAL DEVELOPMENT STUDY WAS NOT IDENTIFIED
Nutrition Screen / Mackintosh, MA (2001) 30 / older people (day hospital) (> 65 years old) / 70 / Assessment by a professional / low sensitvity but high specificity (data not given) / overall agreement 0.73 / p
PG-SGA / Bauer, J (2002) 12 / oncology / 71 / SGA / se 98, sp 82 / g
INSYST I / Tammam, JD (2009) 31 / hospital inpatients / 61 / MNA, MUST / to MNA: se 100, sp 83;
to MUST: se 95, sp 80 / to MNA: agreement 89%, k to MNA 0.76 agreement to MUST 85%, k to MUST 0.73 / g
g
INSYST II / Tammam, JD (2009) 31 / hospital inpatients / 61 / MNA, MUST / to MNA: se 95, sp 65;
to MUST: se 95, sp 60 / to MNA: agreement 75%, k to MNA 0.53
to MUST: agreement 75%, k to MUST 0.53 / f
f
The development studies are printed in bold