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Kekuatan genggam tangan sebagai penapis malnutrisi pada pasien kanker dibandingkan dengan patient-generated subjective global assessment = Hand grip strength as a malnutrition screening modality in cancer patients compared to patient-generated subjective global assessment

Rabbinu Rangga Pribadi; Lugyanti Sukrisman, supervisor; Purwita Wijaya Laksmi, supervisor; Murdani Abdullah, supervisor (Fakultas Kedokteran Universitas Indonesia, 2015)

 Abstrak

ABSTRAK
Latar Belakang: Malnutrisi berdampak besar pada pasien kanker sehingga harus
dievaluasi dengan Patient-Generated Subjective Global Assessment (PG-SGA),
namun memakan waktu dan membutuhkan tenaga kesehatan terlatih. Pengukuran
kekuatan genggam tangan (KGT) memiliki keuntungan lebih singkat dan mudah
dibandingkan PG-SGA, tetapi belum ada data titik potong dan akurasi diagnostik
KGT pada pasien kanker di Indonesia.
Tujuan: Mendapatkan titik potong dan akurasi diagnostik KGT sebagai penapis
malnutrisi pasien kanker rawat jalan di RSCM.
Metode: Penelitian potong lintang ini dilakukan pada pasien 18-59 tahun di
poliklinik onkologi RSCM selama 4 Mei-1 Oktober 2015. Titik potong KGT
dianalisis menggunakan kurva ROC. Akurasi diagnostik KGT dinilai dengan
menghitung sensitivitas, spesifisitas, NDP, NDN, RKP, dan RKN.
Hasil: Proporsi pasien dengan status nutrisi baik, malnutrisi sedang, dan
malnutrisi berat adalah17,4%, 64,2%, dan 18,4%. Titik potong optimal KGT
pasien kanker lelaki dan perempuan berturut-turut adalah ≤ 36,5 dan ≤ 21,5 kgf
dengan sensitivitas 92,2% dan 73,9%, spesifisitas 54,6% dan 60,9%, NDP 92,2%
dan 88,3%, NDN 54,6% dan 36,8%, RKP 2 dan 1,9, serta RKN 0,1 dan 0,4.
Simpulan: Titik potong optimal KGT pasien kanker lelaki dan perempuan
berturut-turut adalah ≤ 36,5 dan ≤ 21,5 kgf. Akurasi diagnostik KGT pasien
kanker lelaki dan perempuan sebagai penapis malnutrisi berturut-turut dinilai baik dan sedang.ABSTRACT
Background: Malnutrition has a huge impact on cancer patients and therefore it
has to be evaluated using PG-SGA, but there are limitations such as the timeconsuming
nature and the need of trained health personnels. Measurement of
HGS is faster and easier, but there is no sufficient information regarding its cutoff
point
and diagnostic
accuracy
for cancer
patients
in Indonesia.
Aim:
defining cut-off point and diagnostic accuracy of HGS as a malnutrition
screening modality for outpatient cancer population at RSCM.
Method: A cross-sectional study was conducted at RSCM oncology outpatient
clinic from May 4
th
-October 1
st
, 2015. Subjects were 18-59 years old. Cut-off
point and diagnostic accuracy of HGS were analyzed to generate sensitivity,
specificity, PPV, NPV, LR+, and LR- .
Result: The proportion of well nourished, moderately malnourished, and severely
malnourished subjects were 17.4%, 64.2%, and 18.4%, respectively. The optimal
HGS cut-off point in male and female cancer patients were ≤ 36.5 and ≤ 21.5 kgf
respectively with sensitivity 92.2% and 73.9%, specificity 54.6% and 60.9%,, PPV
92.2% and 88.3%, NPV 54.6% and 36.8%, LR+ 2 and 1.9, and LR- 0.1 and 0.4.
Conclusion: The optimal HGS cut-off point in male and female cancer patients
were ≤ 36.5 and ≤ 21.5 kgf, respectively. Diagnostic accuracy of HGS as a
malnutrition screening modality in male and female cancer patients were good and moderately good.
;Background: Malnutrition has a huge impact on cancer patients and therefore it
has to be evaluated using PG-SGA, but there are limitations such as the timeconsuming
nature and the need of trained health personnels. Measurement of
HGS is faster and easier, but there is no sufficient information regarding its cutoff
point
and diagnostic
accuracy
for cancer
patients
in Indonesia.
Aim:
defining cut-off point and diagnostic accuracy of HGS as a malnutrition
screening modality for outpatient cancer population at RSCM.
Method: A cross-sectional study was conducted at RSCM oncology outpatient
clinic from May 4
th
-October 1
st
, 2015. Subjects were 18-59 years old. Cut-off
point and diagnostic accuracy of HGS were analyzed to generate sensitivity,
specificity, PPV, NPV, LR+, and LR- .
Result: The proportion of well nourished, moderately malnourished, and severely
malnourished subjects were 17.4%, 64.2%, and 18.4%, respectively. The optimal
HGS cut-off point in male and female cancer patients were ≤ 36.5 and ≤ 21.5 kgf
respectively with sensitivity 92.2% and 73.9%, specificity 54.6% and 60.9%,, PPV
92.2% and 88.3%, NPV 54.6% and 36.8%, LR+ 2 and 1.9, and LR- 0.1 and 0.4.
Conclusion: The optimal HGS cut-off point in male and female cancer patients
were ≤ 36.5 and ≤ 21.5 kgf, respectively. Diagnostic accuracy of HGS as a
malnutrition screening modality in male and female cancer patients were good and moderately good.

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 Metadata

No. Panggil : SP-PDF
Entri utama-Nama orang :
Entri tambahan-Nama orang :
Entri tambahan-Nama badan :
Subjek :
Penerbitan : [Place of publication not identified]: Fakultas Kedokteran Universitas Indonesia, 2015
Program Studi :
Bahasa : ind
Sumber Pengatalogan : LibUI ind rda
Tipe Konten : text
Tipe Media : computer
Tipe Carrier : online resource
Deskripsi Fisik : xix, 77 pages : illustration + appendix
Naskah Ringkas :
Lembaga Pemilik : Universitas Indonesia
Lokasi : Perpustakaan UI, Lantai 3
  • Ketersediaan
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No. Panggil No. Barkod Ketersediaan
SP-PDF 16-18-023456684 TERSEDIA
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