Assessing malnutrition in patients with nasopharyngeal carcinoma: Diagnostic protocol for the development and validation of a new nutritional assessment tool
Introduction There is currently no gold standard or specific nutritional assessment tool to assess malnutrition in patients with nasopharyngeal carcinoma (NPC). Our study aims to develop a new nutritional assessment tool for NPC patients. Methods and analysis NPC patients will be required to complet...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science
2024
|
| Online Access: | http://psasir.upm.edu.my/id/eprint/112848/ http://psasir.upm.edu.my/id/eprint/112848/1/112848.pdf |
| _version_ | 1848866054957170688 |
|---|---|
| author | Zhang, Peng Wang, Pengpeng Soh, Kim Lam Japar, Salimah Khazaai, Huzwah Liao, Jinlian Ying, Yanping Ning, Chuanyi Xue, Li Pan, Xiao |
| author_facet | Zhang, Peng Wang, Pengpeng Soh, Kim Lam Japar, Salimah Khazaai, Huzwah Liao, Jinlian Ying, Yanping Ning, Chuanyi Xue, Li Pan, Xiao |
| author_sort | Zhang, Peng |
| building | UPM Institutional Repository |
| collection | Online Access |
| description | Introduction There is currently no gold standard or specific nutritional assessment tool to assess malnutrition in patients with nasopharyngeal carcinoma (NPC). Our study aims to develop a new nutritional assessment tool for NPC patients. Methods and analysis NPC patients will be required to complete a risk factor questionnaire after obtaining their informed consent. The risk factor questionnaire will be used to collect potential risk factors for malnutrition. Univariate and multivariate logistic regression analyses will be used to identify risk factors for malnutrition. A new nutritional assessment tool will be developed based on risk factors. The new tool's performance will be assessed by calibration and discrimination. The bootstrapping will be used for internal validation of the new tool. In addition, external validation will be performed by recruiting NPC patients from another hospital. Discussion If the new tool is validated to be effective, it will potentially save medical staff time in assessing malnutrition and improve their work efficiency. Additionally, it may reduce the incidence of malnutrition and its adverse consequences. Strengths and limitations of this study The study will comprehensively analyze demographic data, disease status, physical examination, and blood sampling to identify risk factors for malnutrition. Furthermore, the new tool will be systematically evaluated, and validated to determine their effectiveness. However, the restricted geographical range may limit the generalizability of the results to other ethnicities. Additionally, the study does not analyze subjective indicators such as psychology. Ethics and dissemination The ethical approval was granted by the Ethical Committee of the First Affiliated Hospital of Guangxi Medical University (NO. 2022-KT-GUI WEI-005) and the Second Affiliated Hospital of Guangxi Medical University (NO. 2022-KY-0752). © 2024 Wang et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
| first_indexed | 2025-11-15T14:14:31Z |
| format | Article |
| id | upm-112848 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T14:14:31Z |
| publishDate | 2024 |
| publisher | Public Library of Science |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-1128482024-11-06T03:59:55Z http://psasir.upm.edu.my/id/eprint/112848/ Assessing malnutrition in patients with nasopharyngeal carcinoma: Diagnostic protocol for the development and validation of a new nutritional assessment tool Zhang, Peng Wang, Pengpeng Soh, Kim Lam Japar, Salimah Khazaai, Huzwah Liao, Jinlian Ying, Yanping Ning, Chuanyi Xue, Li Pan, Xiao Introduction There is currently no gold standard or specific nutritional assessment tool to assess malnutrition in patients with nasopharyngeal carcinoma (NPC). Our study aims to develop a new nutritional assessment tool for NPC patients. Methods and analysis NPC patients will be required to complete a risk factor questionnaire after obtaining their informed consent. The risk factor questionnaire will be used to collect potential risk factors for malnutrition. Univariate and multivariate logistic regression analyses will be used to identify risk factors for malnutrition. A new nutritional assessment tool will be developed based on risk factors. The new tool's performance will be assessed by calibration and discrimination. The bootstrapping will be used for internal validation of the new tool. In addition, external validation will be performed by recruiting NPC patients from another hospital. Discussion If the new tool is validated to be effective, it will potentially save medical staff time in assessing malnutrition and improve their work efficiency. Additionally, it may reduce the incidence of malnutrition and its adverse consequences. Strengths and limitations of this study The study will comprehensively analyze demographic data, disease status, physical examination, and blood sampling to identify risk factors for malnutrition. Furthermore, the new tool will be systematically evaluated, and validated to determine their effectiveness. However, the restricted geographical range may limit the generalizability of the results to other ethnicities. Additionally, the study does not analyze subjective indicators such as psychology. Ethics and dissemination The ethical approval was granted by the Ethical Committee of the First Affiliated Hospital of Guangxi Medical University (NO. 2022-KT-GUI WEI-005) and the Second Affiliated Hospital of Guangxi Medical University (NO. 2022-KY-0752). © 2024 Wang et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Public Library of Science 2024 Article PeerReviewed text en cc_by_4 http://psasir.upm.edu.my/id/eprint/112848/1/112848.pdf Zhang, Peng and Wang, Pengpeng and Soh, Kim Lam and Japar, Salimah and Khazaai, Huzwah and Liao, Jinlian and Ying, Yanping and Ning, Chuanyi and Xue, Li and Pan, Xiao (2024) Assessing malnutrition in patients with nasopharyngeal carcinoma: Diagnostic protocol for the development and validation of a new nutritional assessment tool. PLoS ONE, 19 (3). art. no. e0300067. e0300067. ISSN 1932-6203 https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0300067 10.1371/journal.pone.0300067 |
| spellingShingle | Zhang, Peng Wang, Pengpeng Soh, Kim Lam Japar, Salimah Khazaai, Huzwah Liao, Jinlian Ying, Yanping Ning, Chuanyi Xue, Li Pan, Xiao Assessing malnutrition in patients with nasopharyngeal carcinoma: Diagnostic protocol for the development and validation of a new nutritional assessment tool |
| title | Assessing malnutrition in patients with nasopharyngeal carcinoma: Diagnostic protocol for the development and validation of a new nutritional assessment tool |
| title_full | Assessing malnutrition in patients with nasopharyngeal carcinoma: Diagnostic protocol for the development and validation of a new nutritional assessment tool |
| title_fullStr | Assessing malnutrition in patients with nasopharyngeal carcinoma: Diagnostic protocol for the development and validation of a new nutritional assessment tool |
| title_full_unstemmed | Assessing malnutrition in patients with nasopharyngeal carcinoma: Diagnostic protocol for the development and validation of a new nutritional assessment tool |
| title_short | Assessing malnutrition in patients with nasopharyngeal carcinoma: Diagnostic protocol for the development and validation of a new nutritional assessment tool |
| title_sort | assessing malnutrition in patients with nasopharyngeal carcinoma: diagnostic protocol for the development and validation of a new nutritional assessment tool |
| url | http://psasir.upm.edu.my/id/eprint/112848/ http://psasir.upm.edu.my/id/eprint/112848/ http://psasir.upm.edu.my/id/eprint/112848/ http://psasir.upm.edu.my/id/eprint/112848/1/112848.pdf |