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A Study of the Nutritional Status of Pediatric Cancer Patients

A Study of the Nutritional Status of Pediatric Cancer Patients Abstract • The records of 455 children were reviewed to investigate the relationship of nutritional status at time of first referral to various measurements of disease and survival. Initial symptoms of weight loss, anorexia, fatigue, and early satiety were all directly correlated. Serum albumin level and nutritional status were not directly correlated. Likewise, there was no direct relationship between performance status and nutritional status. However, higher values of serum albumin were associated with better performance status. Nutritional status was directly related to freedom from relapse among children with solid tumors whether they had localized or nonlocalized disease. In addition, improved survival was related to good nutritional status for children with localized disease, whereas those with advanced disease had a poorer survival regardless of their nutritional status. Nutritional status appears to have prognostic implications among children with cancer. (Am J Dis Child 1981;135:1107-1112) References 1. Breslow N: A generalized Kruskal-Wallis test for comparing K samples subject to unequal patterns of censorship . Biometrika 1970;47:579-594.Crossref 2. Kaplan EL, Meier P: Nonparametric estimation in incomplete observations . J Am Stat Assist 1958;53:457-481.Crossref 3. Mantel N: Chi-square tests with one degree of freedom: Extensions of the Mantel-Haenszel procedure . J Am Stat Assist 1963;58:690-700. 4. Health Examination Survey Data from the National Center for Health Statistics. Monthly Vital Stat Rep Suppl 1976;25( (3) ):1-19. 5. Waterlow JC: Classification and definition of protein-calorie malnutrition . Br Med J 1972;3:566-569.Crossref 6. Teitell BC, vanEys J, Herson J: Comparison of techniques of assessing malnutrition in children with cancer . JPEN 1979;3:514. 7. VanEys J, Copeland EM, Cangir A, et al: A randomized controlled clinical trial of hyperalimentation in children with metastatic malignancies . Med Pediatr Oncol 1980;8:63-73.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

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References (7)

Publisher
American Medical Association
Copyright
Copyright © 1981 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1981.02130360015007
Publisher site
See Article on Publisher Site

Abstract

Abstract • The records of 455 children were reviewed to investigate the relationship of nutritional status at time of first referral to various measurements of disease and survival. Initial symptoms of weight loss, anorexia, fatigue, and early satiety were all directly correlated. Serum albumin level and nutritional status were not directly correlated. Likewise, there was no direct relationship between performance status and nutritional status. However, higher values of serum albumin were associated with better performance status. Nutritional status was directly related to freedom from relapse among children with solid tumors whether they had localized or nonlocalized disease. In addition, improved survival was related to good nutritional status for children with localized disease, whereas those with advanced disease had a poorer survival regardless of their nutritional status. Nutritional status appears to have prognostic implications among children with cancer. (Am J Dis Child 1981;135:1107-1112) References 1. Breslow N: A generalized Kruskal-Wallis test for comparing K samples subject to unequal patterns of censorship . Biometrika 1970;47:579-594.Crossref 2. Kaplan EL, Meier P: Nonparametric estimation in incomplete observations . J Am Stat Assist 1958;53:457-481.Crossref 3. Mantel N: Chi-square tests with one degree of freedom: Extensions of the Mantel-Haenszel procedure . J Am Stat Assist 1963;58:690-700. 4. Health Examination Survey Data from the National Center for Health Statistics. Monthly Vital Stat Rep Suppl 1976;25( (3) ):1-19. 5. Waterlow JC: Classification and definition of protein-calorie malnutrition . Br Med J 1972;3:566-569.Crossref 6. Teitell BC, vanEys J, Herson J: Comparison of techniques of assessing malnutrition in children with cancer . JPEN 1979;3:514. 7. VanEys J, Copeland EM, Cangir A, et al: A randomized controlled clinical trial of hyperalimentation in children with metastatic malignancies . Med Pediatr Oncol 1980;8:63-73.Crossref

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Dec 1, 1981

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