Diagnostic Consistency of GLIM Criteria and PG-SGA in Pancreatic Cancer
Researchers in Shijiazhuang, People's Republic of China, have conducted a study to evaluate the diagnostic consistency between the Global Leadership Initiative on Malnutrition (GLIM) criteria and the Patient-Generated Subjective Global Assessment (PG-SGA) for identifying malnutrition in patients with pancreatic malignant tumors. The study aimed to assess the effectiveness of these tools in identifying patients with functional deficits and poorer clinical outcomes. The researchers collected demographic and clinical data from 108 patients with pancreatic cancer and used various assessments to evaluate nutritional risk and malnutrition.
Key Takeaways:
- The study found significant differences in nutritional risk based on age, Body Mass Index (BMI), tumor stage, and tumor size among patients with pancreatic cancer.
- The Global Leadership Initiative on Malnutrition (GLIM) criteria and the Patient-Generated Subjective Global Assessment (PG-SGA) were effective in identifying patients with functional deficits and poorer clinical outcomes.
- Both tools showed high diagnostic consistency in identifying malnutrition in patients with pancreatic cancer.
- The prevalence of malnutrition was 75.0% (81/108) among the study participants, indicating a significant risk of malnutrition in this patient population.
- The study suggests the utility of GLIM as a practical assessment tool in clinical settings for identifying patients with malnutrition.
Statistics:
- 108 patients with pancreatic cancer were enrolled in the study.
- 81 (75.0%) of the patients were identified as being at nutritional risk.
- The mean NRS 2002 score was 3.37 ? 0.98.
- The diagnostic consistency between GLIM and PG-SGA was analyzed using Cohen's kappa () and prevalence-adjusted bias-adjusted kappa (PABAK).
- Pearson correlation examined the relationship between the tools and conventional nutritional indicators.
- T-tests were used to compare functional outcomes (handgrip strength) and clinical outcomes (length of stay) between nutritional groups.
Sources:
- Diagnostic consistency of GLIM criteria and PG-SGA for malnutrition in patients with pancreatic cancer. Frontiers in Nutrition, 2025;12:1642171.
- NewsRx. Researchers from First Hospital of Hebei Medical University Report on Findings in Pancreatic Cancer (Diagnostic consistency of GLIM criteria and PG-SGA for malnutrition in patients with pancreatic cancer). World Disease Weekly. November 4, 2025; p 78.