Public comments - How should nutritional status be assessed

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Use a validated nutrition assessment tool (e.g. scored Patient Generated–Subjective Global Assessment or Subjective Global Assessment) to assess nutritional status.

In this recent review by MUELLER C et al JPEN J Parenter Enteral Nutr January 11, 2011 vol. 35 no. 1 16-24 Evidence Grade E was cited.

http://pen.sagepub.com/content/35/1/16.full#T4

DAVID LIBERALI Clinical Nutrition Support Dietitian

Clinical Nutrition & Food Services

The Queen Elizabeth Hospital

ADELAIDE ,SOUTH AUSTRALIA.

Ext 27073 Pager 47812

203.26.122.1213:04, 14 April 2011

Thank you for highlighting this reference. The authors have reviewed the article and conclude the following: 1) the methodology of grading the evidence (levels and grades) is different to the NHMRC methodology used here, 2) some of the key references in this area were missing from this article, 3) they have used criteria related to intervention and perhaps not diagnostic accuracy for screening, 4) the grade E recommendation in this paper is in relation to whether nutritional status should be assessed when identified at risk, rather than the recommendation here which is in regards to which tool should be used to assess nutritional status.

Therefore no changes have been made to the recommendations here.

Teresa Brown, on behalf of the authors

121.222.120.12808:42, 17 June 2011