NSA: Validity and Reliability of Tools (2018)
Six tools for identifying adults at risk for malnutrition, defined as undernutrition (White et al, 2012) were evaluated for validity, reliability and agreement. An overall summary (expert opinion) of the tools is presented below, as well as a detailed analysis of the evidence for each of tool.
Reference: White JV, Guenter P, Jensen G, Malone A, Schofield M. Consensus statement: Academy of Nutrition and Dietetics and American Society for Parenteral and Enteral Nutrition: characteristics recommended for the identification and documentation of adult malnutrition (undernutrition). JPEN J Parenter Enteral Nutr. 2012; 36(3): 275-283.
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Assessment
ALL TOOLS: What nutrition screening tools have been found to be valid and reliable for identifying malnutrition risk in adults across care settings, acute and chronic medical conditions, and ages?
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Conclusion
Based on the strength of the supporting evidence, the validity, reliability and agreement results, and the generalizability of the six screening tools, the work group ranked the tools from highest to lowest as follows:
Grade I, Good/strong evidence:- Malnutrition Screening Tool (MST).
- Malnutrition Universal Screening Tool (MUST)
- Mini Nutrition Assessment-Short Form (MNA-SF)
- Short Nutritional Assessment Questionnaire (SNAQ)
- Mini Nutrition Assessment-Short Form-Body Mass Index (MNA-SF-BMI)
- Nutrition Risk Screen-2002 (NRS-2002).
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Grade: IV
- Grade I means there is Good/Strong evidence supporting the statement;
- Grade II is Fair;
- Grade III is Limited/Weak;
- Grade IV is Expert Opinion Only;
- Grade V is Not Assignable.
- High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
- Moderate (B) means we are moderately confident in the effect estimate;
- Low (C) means our confidence in the effect estimate is limited;
- Very Low (D) means we have very little confidence in the effect estimate.
- Ungraded means a grade is not assignable.
- Evidence Summary: ALL TOOLS: What nutrition screening tools have been found to be valid and reliable for identifying malnutrition risk in adults across care settings, acute and chronic medical conditions and ages?
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Search Plan and Results: NSCRA: Validity and Reliability of Nutrition Screening Tools (2017)
What is the validity and reliability of Mini Nutritional Assessment-Short Form (MNA-SF) for identifying malnutrition risk in adults across care settings, acute and chronic medical conditions, and ages?-
Conclusion
The Mini Nutritional Assessment-Short Form (MNA-SF) exhibited a moderate degree of validity, a low degree of agreement and a moderate degree of inter-rater reliability in identifying malnutrition risk in adults across care settings, medical conditions and ages.
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Grade: II
- Grade I means there is Good/Strong evidence supporting the statement;
- Grade II is Fair;
- Grade III is Limited/Weak;
- Grade IV is Expert Opinion Only;
- Grade V is Not Assignable.
- High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
- Moderate (B) means we are moderately confident in the effect estimate;
- Low (C) means our confidence in the effect estimate is limited;
- Very Low (D) means we have very little confidence in the effect estimate.
- Ungraded means a grade is not assignable.
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Evidence Summary: What is the validity and reliability of MNA-SF for identifying malnutrition risk in adults across care settings, acute and chronic medical conditions, and ages?
- Detail
- Quality Rating Summary
For a summary of the Quality Rating results, click here.
- Worksheets
- Bell J, Bauer J, Capra S, Pulle R. Concurrent and predictive evaluation of malnutrition diagnostic measures in hip fracture inpatients: a diagnostic accuracy study. European Journal of Clinical Nutrition. 2014; 68:358-362.
- Borowiak E, Kostka T. Usefulness of Short (MNA-SF) and Full Version of the Mini Nutritional Assessment (MNA) in examining the Nutritional State of Older Persons. New Medicine. 2003; 6:125-129
- Calvo I, Olivar J, Martínez E, Rico A, Díaz J, Gimena M. MNA® Mini Nutritional Assessment as a nutritional screening tool for hospitalized older adults; rationales and feasibility. Nutricion Hospitalaria. 2012; 27:1,619-1,625.
- Cohendy R, Rubenstein L, Eledjam J. The Mini Nutritional Assessment-Short Form for preoperative nutritional evaluation of elderly patients. Aging (Milan, Italy). 2001; 13:293-297.
- Cuervo M, García A, Ansorena D, Sánchez-Villegas A, Martínez-González M, Astiasarán I, Martínez J. Nutritional assessment interpretation on 22,007 Spanish community-dwelling elders through the Mini Nutritional Assessment test. Public Health Nutrition. 2009; 12:82-90.
- De La Montana J, Miguez M. Suitability of the short-form Mini Nutritional Assessment in free-living elderly people in the northwest of Spain. Journal of Nutrition, Health & Aging. 2011; 15:187-191.
- Donini LM, Poggiogalle E, Molfino A, Rosano A, Lenzi A, Rossi Fanelli F, Muscaritoli M. Mini-Nutritional Assessment, Malnutrition, Universal Screening Tool, and Nutrition Risk Screening Tool for the Nutritional Evaluation of Older Nursing Home Residents. Journal of the American Medical Directors Association. 2016; 17:959.e11-959.e18.
- Hertroijs D, Wijnen C, Leistra E, Visser M, van der Heijden E, Kruizenga H. Rehabilitation patients: undernourished and obese?. Journal of Rehabilitation Medicine. 2012; 44:696-701
- Isenring EA, Banks M, Ferguson M, Bauer JD. Beyond malnutrition screening: appropriate methods to guide nutrition care for aged care residents. Journal of the Academy of Nutrition and Dietetics. 2012; 112:376-381
- Kuzuya M, Kanda S, Koike T, Suzuki Y, Satake S, Iguchi A. Evaluation of Mini-Nutritional Assessment for Japanese frail elderly. Nutrition. 2005; 21:498-503
- Lei Z, Qingyi D, Feng G, Chen W, Hock RS, Changli W. Clinical study of mini-nutritional assessment for older Chinese inpatients. Journal of Nutrition, Health & Aging. 2009; 13:871-875.
- Lilamand M, Kelaiditi E, Cesari M, Raynaud-Simon A, Ghisolfi A, Guyonnet S, Vellas B, van Kan G. Validation of the Mini Nutritional Assessment-Short Form in a Population of Frail Elders without Disability. Analysis of the Toulouse Frailty Platform Population in 2013. The Journal of Nutrition, Health & Aging. 2015; 19:570-574.
- Marshall S, Young A, Bauer J, Isenring E. Nutrition Screening in Geriatric Rehabilitation: Criterion (Concurrent and Predictive) Validity of the Malnutrition Screening Tool and the Mini Nutritional Assessment-Short Form. Journal of the Academy of Nutrition and Dietetics. 2016; 116:795-801.
- Neelemaat F, Meijers J, Kruizenga H, van Ballegooijen H, van Bokhorst-de van der Schueren M. Comparison of five malnutrition screening tools in one hospital inpatient sample. Journal of Clinical Nursing 2011; 20:2144-2152
- Olivares J, Ayala L, Salas-Salvadó J, Muñiz MJ, Gamundí A, Martínez-Indart L, Masmiquel LL. Assessment of risk factors and test performance on malnutrition prevalence at admission using four different screening tools. Nutricion Hospitalaria. 2014; 29:674-680.
- Rubenstein LZ, Harker JO, Salvà A, Guigoz Y, Vellas B. Screening for undernutrition in geriatric practice: developing the short-form mini-nutritional assessment (MNA-SF). The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences. 2001; 56:M366-M372.
- Santin F, Bigogno F, Dias Rodrigues J, Cuppari L, Avesani C. Concurrent and Predictive Validity of Composite Methods to Assess Nutritional Status in Older Adults on Hemodialysis. Journal of Renal Nutrition: The Official Journal of the Council on Renal Nutrition of the National Kidney Foundation 2016; 26:18-25
- Sargento L, Satendra M, Almeida I, Sousa C, Gomes S, Salazar F, Lousada N, Palma Dos Reis R. Nutritional status of geriatric outpatients with systolic heart failure and its prognostic value regarding death or hospitalization, biomarkers and quality of life. Journal of Nutrition, Health & Aging. 2013; 17:300-304.
- Sheard J, Ash S, Mellick G, Silburn P, Kerr G. Nutrition Screening and Assessment in Parkinson's Disease: A Comparison of Methods. e-SPEN Journal. 2013; 8:e187-e192
- Tsai A, Wang J, Chang T, Li T. A comparison of the full Mini Nutritional Assessment, short-form Mini Nutritional Assessment, and Subjective Global Assessment to predict the risk of protein-energy malnutrition in patients on peritoneal dialysis: a cross-sectional study. International Journal of Nursing Studies. 2013; 50:83-89.
- Wikby K, Ek AC, Christensson L. The two-step Mini Nutritional Assessment procedure in community resident homes. Journal of Clinical Nursing. 2008; 17:1,211-1,218.
- Young AM, Kidston S, Banks MD, Mudge AM, Isenring EA. Malnutrition screening tools: comparison against two validated nutrition assessment methods in older medical inpatients. Nutrition (Burbank, Los Angeles County, Calif.). 2013; 29:101-106.
- Detail
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Search Plan and Results: NSCRA: Validity and Reliability of Nutrition Screening Tools (2017)
What is the validity and reliability of the Mini Nutritional Assessment-Short Form-Body Mass Index (MNA-SF-BMI) for identifying malnutrition risk in adults across care settings, acute and chronic medical conditions, and ages?-
Conclusion
The Mini Nutritional Assessment-Short Form-Body Mass Index (MNA-SF-BMI) exhibited a high degree of validity and a moderate degree of agreement in identifying malnutrition risk in adults across care settings, medical conditions and ages. Inter-rater reliability of the tool was not reported.
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Grade: II
- Grade I means there is Good/Strong evidence supporting the statement;
- Grade II is Fair;
- Grade III is Limited/Weak;
- Grade IV is Expert Opinion Only;
- Grade V is Not Assignable.
- High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
- Moderate (B) means we are moderately confident in the effect estimate;
- Low (C) means our confidence in the effect estimate is limited;
- Very Low (D) means we have very little confidence in the effect estimate.
- Ungraded means a grade is not assignable.
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Evidence Summary: What is the validity and reliability of MNA-SF-BMI for identifying malnutrition risk in adults across care settings, acute and chronic medical conditions and ages?
- Detail
- Quality Rating Summary
For a summary of the Quality Rating results, click here.
- Worksheets
- Garcia-Meseguer MJ, Serrano-Urrea R. Validation of the revised mini nutritional assessment short-forms in nursing homes in Spain. The Journal of Nutrition, Health & Aging. 2013; 17:26-29.
- Kaiser MJ, Bauer JM, Uter W, Donini LM, Stange I, Volkert D, Diekmann R, Drey M, Bollwein J, Tempera S, Guerra A, Ricciardi LM, Sieber CC. Prospective validation of the modified mini nutritional assessment short-forms in the community, nursing home and rehabilitation setting. Journal of the American Geriatrics Society. 2011; 59:2,124-2,128.
- Kostka J, Borowiak E, Kostka T. Validation of the modified mini nutritional assessment short-forms in different populations of older people in Poland. The Journal of Nutrition, Health & Aging. 2014; 18:366-371
- Lera L, Sánchez H, Ángel B, Albala C. Mini Nutritional Assessment Short-Form: Validation in Five Latin American Cities. SABE Study. The Journal of Nutrition, Health & Aging 2016; 20:797-805
- Martín A, Ruiz E, Sanz A, García JM, Gómez-Candela C, Burgos R, Matía P, Ramalle-Gomera E. Accuracy of Different Mini Nutritional Assessment Reduced Forms to Evaluate the Nutritional Status of Elderly Hospitalised Diabetic Patients. The Journal of Nutrition, Health & Aging. 2016; 20:370-375
- Tsai AC, Chang MZ. Long-form but not short-form Mini-Nutritional Assessment is appropriate for grading nutritional risk of patients on hemodialysis--a cross-sectional study. International Journal of Nursing Studies. 2011; 48:1,429-1,435
- Detail
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Search Plan and Results: NSCRA: Validity and Reliability of Nutrition Screening Tools (2017)
What is the validity and reliability of the Malnutrition Screening Tool (MST) for identifying malnutrition risk in adults across care settings, acute and chronic medical conditions, and ages?-
Conclusion
The Malnutrition Screening Tool (MST) exhibited a moderate degree of validity, a moderate degree of agreement and a moderate degree of inter-rater reliability in identifying malnutrition risk in adults across care settings, medical conditions and ages.
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Grade: I
- Grade I means there is Good/Strong evidence supporting the statement;
- Grade II is Fair;
- Grade III is Limited/Weak;
- Grade IV is Expert Opinion Only;
- Grade V is Not Assignable.
- High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
- Moderate (B) means we are moderately confident in the effect estimate;
- Low (C) means our confidence in the effect estimate is limited;
- Very Low (D) means we have very little confidence in the effect estimate.
- Ungraded means a grade is not assignable.
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Evidence Summary: What is the validity and reliability of MST for identifying malnutrition risk in adults across care settings, acute and chronic medical conditions and ages?
- Detail
- Quality Rating Summary
For a summary of the Quality Rating results, click here.
- Worksheets
- Abbott J, Teleni L, McKavanagh D, Watson J, McCarthy A, Isenring E. A novel, automated nutrition screening system as a predictor of nutritional risk in an oncology day treatment unit (ODTU). Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer. 2014; 22:2,107-2,112.
- Abe Vicente M, Barão K, Silva TD, Forones NM. What are the most effective methods for assessment of nutritional status in outpatients with gastric and colorectal cancer?. Nutricion Hospitalaria. 2013; 28:585-591.
- Arribas L, Hurtós L, Sendrós M, Peiró I, Salleras N, Fort E, Sánchez-Migallón J. NUTRISCORE: A new nutritional screening tool for oncological outpatients. Nutrition (Burbank, Los Angeles County, Calif.). 2017; 33:297-303
- Bell J, Bauer J, Capra S. The malnutrition screening tool versus objective measures to detect malnutrition in hip fracture. Journal of Human Nutrition and Dietetics: The Official Journal of the British Dietetic Association. 2013; 26:519-526
- Ferguson ML, Bauer J, Gallagher B, Capra S, Christie DR, Mason BR. Validation of a malnutrition screening tool for patients receiving radiotherapy. Australasian Radiology. 1999; 43:325-327.
- Ferguson M, Capra S, Bauer J, Banks M. Development of a valid and reliable malnutrition screening tool for adult acute hospital patients. Nutrition (Burbank, Los Angeles County, Calif.). 1999; 15:458-464.
- Gabrielson DK, Scaffidi D, Leung E, Stoyanoff L, Robinson J, Nisenbaum R, Brezden-Masley C, Darling PB. Use of an abridged scored Patient-Generated Subjective Global Assessment (abPG-SGA) as a nutritional screening tool for cancer patients in an outpatient setting. Nutrition and Cancer. 2013; 65:234-239.
- Hogan D, Lan L, Diep D, Gallegos D, Collins P. Nutritional status of Vietnamese outpatients with chronic obstructive pulmonary disease. Journal of Human Nutrition and Dietetics: The Official Journal of the British Dietetic Association. 2017; 30:83-89.
- Isenring EA, Banks M, Ferguson M, Bauer JD. Beyond malnutrition screening: appropriate methods to guide nutrition care for aged care residents. Journal of the Academy of Nutrition and Dietetics. 2012; 112:376-381
- Isenring EA, Bauer JD, Banks M, Gaskill D. The Malnutrition Screening Tool is a useful tool for identifying malnutrition risk in residential aged care. Journal of Human Nutrition and Dietetics: The Official Journal of the British Dietetic Association. 2009; 22:545-550.
- Isenring E, Cross G, Daniels L, Kellett E, Koczwara B. Validity of the malnutrition screening tool as an effective predictor of nutritional risk in oncology outpatients receiving chemotherapy. Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer. 2006; 14:1,152-1,156.
- Lawson C, Campbell K, Dimakopoulos I, Dockrell M. Assessing the validity and reliability of the MUST and MST nutrition screening tools in renal inpatients. Journal of Renal Nutrition: The Official Journal of the Council on Renal Nutrition of the National Kidney Foundation. 2012; 22:499-506.
- Marshall S, Young A, Bauer J, Isenring E. Nutrition Screening in Geriatric Rehabilitation: Criterion (Concurrent and Predictive) Validity of the Malnutrition Screening Tool and the Mini Nutritional Assessment-Short Form. Journal of the Academy of Nutrition and Dietetics. 2016; 116:795-801.
- Neelemaat F, Meijers J, Kruizenga H, van Ballegooijen H, van Bokhorst-de van der Schueren M. Comparison of five malnutrition screening tools in one hospital inpatient sample. Journal of Clinical Nursing 2011; 20:2144-2152
- Nor Azian MZ, Suzana S, Romzi MA. Sensitivity, Specificity, Predictive Value and Inter-Rater Sensitivity, Specificity, Predictive Value and Inter-Rater Reliability of Malnutrition Screening Tools in Hospitalised Adult Patients . Mal J Nutr. 2014; 20:209-219.
- Nursal TZ, Noyan T, Atalay BG, Köz N, Karakayali H. Simple two-part tool for screening of malnutrition. Nutrition (Burbank, Los Angeles County, Calif.). 2005; 21:659-665.
- Shaw C, Fleuret C, Pickard JM, Mohammed K, Black G, Wedlake L. Comparison of a novel, simple nutrition screening tool for adult oncology inpatients and the Malnutrition Screening Tool (MST) against the Patient-Generated Subjective Global Assessment (PG-SGA). Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer. 2015; 23:47-54.
- Ulltang M, Vivanti AP, Murray E.. Malnutrition prevalence in a medical assessment and planning unit and its association with hospital readmission. Australian Health Review: A Publication of the Australian Hospital Association. 2013; 37:636-641.
- Wu M, Courtney M, Shortridge-Baggett L, Finlayson K, Isenring E. Validity of the malnutrition screening tool for older adults at high risk of hospital readmission. Journal of Gerontological Nursing. 2012; 38:38-45.
- Young AM, Kidston S, Banks MD, Mudge AM, Isenring EA. Malnutrition screening tools: comparison against two validated nutrition assessment methods in older medical inpatients. Nutrition (Burbank, Los Angeles County, Calif.). 2013; 29:101-106.
- Detail
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Search Plan and Results: NSCRA: Validity and Reliability of Nutrition Screening Tools (2017)
What is the validity and reliability of the Malnutrition Universal Screening Tool (MUST) for identifying malnutrition risk in adults across care settings, acute and chronic medical conditions, and ages?-
Conclusion
The Malnutrition Universal Screening Tool (MUST) exhibited a high degree of validity, a moderate degree of agreement and a moderate degree of inter-rater reliability in identifying malnutrition risk in adults across care settings, medical conditions and ages.
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Grade: II
- Grade I means there is Good/Strong evidence supporting the statement;
- Grade II is Fair;
- Grade III is Limited/Weak;
- Grade IV is Expert Opinion Only;
- Grade V is Not Assignable.
- High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
- Moderate (B) means we are moderately confident in the effect estimate;
- Low (C) means our confidence in the effect estimate is limited;
- Very Low (D) means we have very little confidence in the effect estimate.
- Ungraded means a grade is not assignable.
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Evidence Summary: What is the validity and reliability of MUST for identifying malnutrition risk in adults across care settings, acute and chronic medical conditions, and ages?
- Detail
- Quality Rating Summary
For a summary of the Quality Rating results, click here.
- Worksheets
- Abe Vicente M, Barão K, Silva TD, Forones NM. What are the most effective methods for assessment of nutritional status in outpatients with gastric and colorectal cancer?. Nutricion Hospitalaria. 2013; 28:585-591.
- Almeida A, Correia M, Camilo M, Ravasco P. Nutritional risk screening in surgery: valid, feasible, easy!. Clinical Nutrition (Edinburgh, Scotland). 2012; 31:206-211.
- Boléo-Tomé C, Monteiro-Grillo I, Camilo M, Ravasco P. Validation of the Malnutrition Universal Screening Tool (MUST) in cancer. The British Journal of Nutrition. 2012; 108:343-348.
- Cansado P, Ravasco P, Camilo M. A longitudinal study of hospital undernutrition in the elderly: Comparison of four validated methods. The Journal of Nutrition, Health & Aging. 2009; 13:159-164.
- Donini LM, Poggiogalle E, Molfino A, Rosano A, Lenzi A, Rossi Fanelli F, Muscaritoli M. Mini-Nutritional Assessment, Malnutrition, Universal Screening Tool, and Nutrition Risk Screening Tool for the Nutritional Evaluation of Older Nursing Home Residents. Journal of the American Medical Directors Association. 2016; 17:959.e11-959.e18.
- Ferreira C, Lavinhas C, Fernandes L, Camilo M, Ravasco P. Nutritional risk and status of surgical patients; the relevance of nutrition training of medical students. Nutrición Hospitalaria. 2012; 27:1,086-1,091.
- Gibson S, Sequeira J, Cant R, Ku C. Identifying malnutrition risk in acute medical patients: Validity and Utility of Malnutrition Universal Screening Tool and Modified Malnutrition Screening Tool. Nutrition & Dietetics. 2012; 69:309-314.
- Hertroijs D, Wijnen C, Leistra E, Visser M, van der Heijden E, Kruizenga H. Rehabilitation patients: undernourished and obese?. Journal of Rehabilitation Medicine. 2012; 44:696-701
- Isenring EA, Banks M, Ferguson M, Bauer JD. Beyond malnutrition screening: appropriate methods to guide nutrition care for aged care residents. Journal of the Academy of Nutrition and Dietetics. 2012; 112:376-381
- Kyle UG, Kossovsky MP, Karsegard VL, Pichard C. Comparison of tools for nutritional assessment and screening at hospital admission: a population study. Clinical Nutrition (Edinburgh, Scotland). 2006; 25:409-417.
- Lawson C, Campbell K, Dimakopoulos I, Dockrell M. Assessing the validity and reliability of the MUST and MST nutrition screening tools in renal inpatients. Journal of Renal Nutrition: The Official Journal of the Council on Renal Nutrition of the National Kidney Foundation. 2012; 22:499-506.
- Leistra E, Langius JA, Evers AM, van Bokhorst-de van der Schueren MA, Visser M, de Vet HC, Kruizenga HM. Validity of nutritional screening with MUST and SNAQ in hospital outpatients. European Journal of Clinical Nutrition. 2013; 67:738-742
- Lomivorotov VV, Efremov SM, Boboshko VA, Nikolaev DA, Vedernikov PE, Lomivorotov VN, Karaskov AM. Evaluation of nutritional screening tools for patients scheduled for cardiac surgery. Nutrition (Burbank, Los Angeles County, Calif.) 2013; 29:436-442
- Neelemaat F, Meijers J, Kruizenga H, van Ballegooijen H, van Bokhorst-de van der Schueren M. Comparison of five malnutrition screening tools in one hospital inpatient sample. Journal of Clinical Nursing 2011; 20:2144-2152
- Nor Azian MZ, Suzana S, Romzi MA. Sensitivity, Specificity, Predictive Value and Inter-Rater Sensitivity, Specificity, Predictive Value and Inter-Rater Reliability of Malnutrition Screening Tools in Hospitalised Adult Patients . Mal J Nutr. 2014; 20:209-219.
- Olivares J, Ayala L, Salas-Salvadó J, Muñiz MJ, Gamundí A, Martínez-Indart L, Masmiquel LL. Assessment of risk factors and test performance on malnutrition prevalence at admission using four different screening tools. Nutricion Hospitalaria. 2014; 29:674-680.
- Pereira Borges N, D'Alegria Silva B, Cohen C, Portari Filho P, Medeiros F. Comparison of the nutritional diagnosis, obtained through different methods and indicators, in patients with cancer. Nutrición Hospitalaria. 2009; 24:51-55.
- Stratton RJ, Hackston A, Longmore D, Dixon R, Price S, Stroud M, King C, Elia M. Malnutrition in hospital outpatients and inpatients: prevalence, concurrent validity and ease of use of the 'malnutrition universal screening tool' ('MUST') for adults. The British Journal of Nutrition. 2004; 92:799-808.
- Tripathy S, Mishra JC. Assessing nutrition in the critically ill elderly patient: A comparison of two screening tools. Indian Journal of Critical Care Medicine: Peer-Reviewed, Official Publication of Indian Society of Critical Care Medicine. 2015; 19:518-522.
- Vallen, C Hagell P, Westergren, A. Validity and user-friendliness of the minimal eating observation and nutrition form - version II (MEONF-II) for undernutrition risk screening. Food and Nutrition Research. 2011; 55:5,801-5,807.
- Velasco C, García E, Rodríguez V, Frias L, Garriga R, Alvarez J, García-Peris P, León M. Comparson of four nutritional screening tools to detect nutritional risk in hospitalized patients: a multicentre study. European Journal of Clinical Nutrition. 2011; 65:269-274.
- Young AM, Kidston S, Banks MD, Mudge AM, Isenring EA. Malnutrition screening tools: comparison against two validated nutrition assessment methods in older medical inpatients. Nutrition (Burbank, Los Angeles County, Calif.). 2013; 29:101-106.
- Detail
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Search Plan and Results: NSCRA: Validity and Reliability of Nutrition Screening Tools (2017)
What is the validity and reliability of Nutrition Risk Screening-2002 (NRS-2002) for identifying malnutrition risk in adults across care settings, acute and chronic medical conditions and ages?-
Conclusion
Nutrition Risk Screening-2002 (NRS-2002) exhibited a moderate degree of validity and a moderate degree of agreement in identifying malnutrition risk in adults across care settings, medical conditions and ages. Inter-rater reliability of the tool was not reported.
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Grade: II
- Grade I means there is Good/Strong evidence supporting the statement;
- Grade II is Fair;
- Grade III is Limited/Weak;
- Grade IV is Expert Opinion Only;
- Grade V is Not Assignable.
- High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
- Moderate (B) means we are moderately confident in the effect estimate;
- Low (C) means our confidence in the effect estimate is limited;
- Very Low (D) means we have very little confidence in the effect estimate.
- Ungraded means a grade is not assignable.
-
Evidence Summary: What is the validity and reliability of NRS-2002 for identifying malnutrition risk in adults across care settings, acute and chronic medical conditions and ages?
- Detail
- Quality Rating Summary
For a summary of the Quality Rating results, click here.
- Worksheets
- Almeida A, Correia M, Camilo M, Ravasco P. Nutritional risk screening in surgery: valid, feasible, easy!. Clinical Nutrition (Edinburgh, Scotland). 2012; 31:206-211.
- Bauer JM, Vogl T, Wicklein S, Trögner J, Mühlberg W, Sieber CC.. Comparison of the Mini Nutritional Assessment, Subjective Global Assessment, and Nutritional Risk Screening (NRS 2002) for nutritional screening and assessment in geriatric hospital patients. Zeitschrift fur Gerontologie und Geriatrie. 2005; 38:322-327
- Borek P, Chmielewski M, Malgorzewicz S, Slizien DA. Analysis of Outcomes of the NRS 2002 in Patients Hospitalized in Nephrology Wards. Nutrients. 2017; 9:287-294.
- Cunha C, Sampaio E, Varjão M, Factum C, Ramos L, Barreto-Medeiros J. Nutritional assessment in surgical oncology patients: a comparative analysis between methods. Nutrición Hospitalaria. 2015; 31:916-921.
- Donini LM, Poggiogalle E, Molfino A, Rosano A, Lenzi A, Rossi Fanelli F, Muscaritoli M. Mini-Nutritional Assessment, Malnutrition, Universal Screening Tool, and Nutrition Risk Screening Tool for the Nutritional Evaluation of Older Nursing Home Residents. Journal of the American Medical Directors Association. 2016; 17:959.e11-959.e18.
- Goost H, Vidakovic E, Deborre C, Randau T, Wirtz D, Burger C, Koch E, Kabir K. Malnutrition in geriatric trauma patients: Screening methods in comparison. Technology and Health Care: Official Journal of the European Society for Engineering and Medicine. 2016; 24:225-239.
- Karateke F, Ikiz G, Kuvvetli A, Menekse E, Das K, Ozyazici S, Atalay B, Ozdogan M. Evaluation of nutritional risk screening-2002 and subjective global assessment for general surgery patients: a prospective study. JPMA: The Journal of the Pakistan Medical Association. 2013; 63:1,405-1,408.
- Kyle UG, Kossovsky MP, Karsegard VL, Pichard C. Comparison of tools for nutritional assessment and screening at hospital admission: a population study. Clinical Nutrition (Edinburgh, Scotland). 2006; 25:409-417.
- Lomivorotov VV, Efremov SM, Boboshko VA, Nikolaev DA, Vedernikov PE, Lomivorotov VN, Karaskov AM. Evaluation of nutritional screening tools for patients scheduled for cardiac surgery. Nutrition (Burbank, Los Angeles County, Calif.) 2013; 29:436-442
- Mourão F, Amado D, Ravasco P, Vidal PM, Camilo ME. Nutritional risk and status assessment in surgical patients: a challenge amidst plenty. Nutricion Hospitalaria. 2004; 19:83-88.
- Neelemaat F, Meijers J, Kruizenga H, van Ballegooijen H, van Bokhorst-de van der Schueren M. Comparison of five malnutrition screening tools in one hospital inpatient sample. Journal of Clinical Nursing 2011; 20:2144-2152
- Olivares J, Ayala L, Salas-Salvadó J, Muñiz MJ, Gamundí A, Martínez-Indart L, Masmiquel LL. Assessment of risk factors and test performance on malnutrition prevalence at admission using four different screening tools. Nutricion Hospitalaria. 2014; 29:674-680.
- Orell-Kotikangas H, Österlund P, Saarilahti K, Ravasco P, Schwab U, Mäkitie A. NRS-2002 for pre-treatment nutritional risk screening and nutritional status assessment in head and neck cancer patients. Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer. 2015; 23:1,495-1,502.
- Ozkalkanli MY, Ozkalkanli DT, Katircioglu K, Savaci S. Comparison of tools for nutrition assessment and screening for predicting the development of complications in orthopedic surgery. Nutrition in Clinical Practice: Official Publication of the American Society for Parenteral and Enteral Nutrition. 2009; 24:274-280
- Velasco C, García E, Rodríguez V, Frias L, Garriga R, Alvarez J, García-Peris P, León M. Comparson of four nutritional screening tools to detect nutritional risk in hospitalized patients: a multicentre study. European Journal of Clinical Nutrition. 2011; 65:269-274.
- Westergren A, Norberg E, Hagell P. Diagnostic performance of the Minimal Eating Observation and Nutrition Form - Version II (MEONF-II) and Nutritional Risk Screening 2002 (NRS 2002) among hospital inpatients - a cross-sectional study. BMC Nursing. 2011; 10:24
- Young AM, Kidston S, Banks MD, Mudge AM, Isenring EA. Malnutrition screening tools: comparison against two validated nutrition assessment methods in older medical inpatients. Nutrition (Burbank, Los Angeles County, Calif.). 2013; 29:101-106.
- Detail
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Search Plan and Results: NSCRA: Validity and Reliability of Nutrition Screening Tools (2017)
What is the validity and reliability of Short Nutritional Assessment Questionnaire (SNAQ) for identifying malnutrition risk in adults across care settings, acute and chronic medical conditions and ages?-
Conclusion
The Short Nutritional Assessment Questionnaire (SNAQ) exhibited a moderate degree of validity and a moderate degree of inter-rater reliability in identifying malnutrition risk in adults across care settings, medical conditions and ages. Agreement of the tool was not reported.
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Grade: II
- Grade I means there is Good/Strong evidence supporting the statement;
- Grade II is Fair;
- Grade III is Limited/Weak;
- Grade IV is Expert Opinion Only;
- Grade V is Not Assignable.
- High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
- Moderate (B) means we are moderately confident in the effect estimate;
- Low (C) means our confidence in the effect estimate is limited;
- Very Low (D) means we have very little confidence in the effect estimate.
- Ungraded means a grade is not assignable.
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Evidence Summary: What is the validity and reliability of SNAQ for identifying malnutrition risk in adults across care settings, acute and chronic medical conditions and ages?
- Detail
- Quality Rating Summary
For a summary of the Quality Rating results, click here.
- Worksheets
- Hertroijs D, Wijnen C, Leistra E, Visser M, van der Heijden E, Kruizenga H. Rehabilitation patients: undernourished and obese?. Journal of Rehabilitation Medicine. 2012; 44:696-701
- Kruizenga HM, Seidell JC, de Vet HC, Wierdsma NJ, van Bokhorst-de van der Schueren MA. Development and validation of a hospital screening tool for malnutrition: the short nutritional assessment questionnaire (SNAQ). Clinical Nutrition (Edinburgh, Scotland) 2005; 24:75-82
- Leistra E, Langius JA, Evers AM, van Bokhorst-de van der Schueren MA, Visser M, de Vet HC, Kruizenga HM. Validity of nutritional screening with MUST and SNAQ in hospital outpatients. European Journal of Clinical Nutrition. 2013; 67:738-742
- Lomivorotov VV, Efremov SM, Boboshko VA, Nikolaev DA, Vedernikov PE, Lomivorotov VN, Karaskov AM. Evaluation of nutritional screening tools for patients scheduled for cardiac surgery. Nutrition (Burbank, Los Angeles County, Calif.) 2013; 29:436-442
- Neelemaat F, Kruizenga HM, de Vet HC, Seidell JC, Butterman M, van Bokhorst-de van der Schueren MA. Screening malnutrition in hospital outpatients. Can the SNAQ malnutrition screening tool also be applied to this population?. Clinical Nutrition (Edinburgh, Scotland). 2008; 27:439-446
- Neelemaat F, Meijers J, Kruizenga H, van Ballegooijen H, van Bokhorst-de van der Schueren M. Comparison of five malnutrition screening tools in one hospital inpatient sample. Journal of Clinical Nursing 2011; 20:2144-2152
- Young AM, Kidston S, Banks MD, Mudge AM, Isenring EA. Malnutrition screening tools: comparison against two validated nutrition assessment methods in older medical inpatients. Nutrition (Burbank, Los Angeles County, Calif.). 2013; 29:101-106.
- Detail
-
Search Plan and Results: NSCRA: Validity and Reliability of Nutrition Screening Tools (2017)
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Conclusion