An evaluation of the feasibility and validity of a patient-administered malnutrition universal screening tool (‘MUST’) compared to healthcare professional screening in an inflammatory bowel disease (IBD) outpatient clinic
| Autor: | Stuart Bloom, Katie Keetarut, Stefani Zacharopoulou-Otapasidou, P.S. Patel, Anne Majumdar |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male 0301 basic medicine medicine.medical_specialty Health Personnel dewey610 Medicine (miscellaneous) Ambulatory Care Facilities Inflammatory bowel disease Body Mass Index Cohort Studies Young Adult 03 medical and health sciences 0302 clinical medicine Risk Factors Surveys and Questionnaires Internal medicine Prevalence medicine Humans Mass Screening Outpatient clinic Young adult Mass screening Aged Aged 80 and over 030109 nutrition & dietetics Nutrition and Dietetics business.industry Malnutrition Reproducibility of Results Middle Aged Anthropometry Inflammatory Bowel Diseases medicine.disease Skinfold Thickness Nutrition Assessment Body Composition Physical therapy Feasibility Studies Female 030211 gastroenterology & hepatology business Body mass index dewey360 Cohort study |
| Zdroj: | Journal of Human Nutrition and Dietetics. 30:737-745 |
| ISSN: | 0952-3871 |
| Popis: | Background Malnutrition is common in inflammatory bowel disease (IBD) and is associated with poor health outcomes. Despite this, screening for malnutrition in the outpatient-setting is not routine and research in the area is limited. The present study aimed to evaluate whether agreement between malnutrition screening completed by patients and healthcare professionals (HCPs) could be achieved by comparing patient self-administered ‘MUST’ (‘MUST’-P) with HCP administered ‘MUST’ (‘MUST’-HCP) in a single tertiary IBD outpatient clinic. Methods We conducted a feasibility and validity study on adult outpatients with IBD. We collected anthropometric, nutritional and clinical data from patients. All patients completed ‘MUST’-P using a self-administered questionnaire, followed by ‘MUST’-HCP. ‘MUST’-P was timed and feedback on ease-of-use was obtained. The risk of malnutrition was classified as low (score = 0), medium (score = 1) and high (score ≥ 2) and agreement was tested using kappa statistics (κ). Results Eighty patients were recruited (Crohn's disease: n = 49, ulcerative colitis: n = 29, unclassified: n = 2), with a mean (SD) age of 39.9 (15.1) years (51.2% were males). Seventy-one (92%) of patients found ‘MUST’-P either easy or very easy. The mean (SD) time to complete ‘MUST’-P was 3.1 (1.8) min (range 1–10 min). Sixty-eight (85%) of patients were at low risk of malnutrition when screened by the HCP. There was moderate agreement (κ = 0.486, P |
| Databáze: | OpenAIRE |
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