{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T10:55:55Z","timestamp":1792839355741,"version":"4.5.0"},"reference-count":50,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2017,2,6]],"date-time":"2017-02-06T00:00:00Z","timestamp":1486339200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1"},{"start":{"date-parts":[[2017,2,6]],"date-time":"2017-02-06T00:00:00Z","timestamp":1486339200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Hepatology"],"published-print":{"date-parts":[[2017,3]]},"abstract":"<jats:p>Malnutrition is one of the most common complications of cirrhosis, associated with an increased risk of morbidity and mortality. As a potentially modifiable condition, it is of particular importance to identify malnourished patients so that nutritional therapy can be instituted. Nutrition screening and assessment are infrequently performed in patients with cirrhosis. The reasons for this are multifactorial, including the absence of a validated \u201crapid\u201d screening tool, multiple definitions of what constitutes malnutrition, and challenges with interpreting body composition and laboratory results in the setting of volume overload and liver dysfunction. This article summarizes the clinically relevant evidence and presents key issues, tools, and clinical options that are applicable to patients with cirrhosis. The definition, etiology, and clinically relevant outcomes associated with malnutrition are reviewed. Rapid nutritional screening is differentiated from more detailed nutritional assessment. Nutritional assessment in special populations, including women and the obese, and the role of inflammation are discussed. Multicenter studies using a common nutritional screening\/assessment strategy are the next steps to fast\u2010track adoption and implementation of nutrition\u2010related evaluations into routine clinical practice. (H<jats:sc>epatology<\/jats:sc> 2017;65:1044\u20101057).<\/jats:p>","DOI":"10.1002\/hep.29003","type":"journal-article","created":{"date-parts":[[2016,12,28]],"date-time":"2016-12-28T00:09:01Z","timestamp":1482883741000},"page":"1044-1057","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":256,"title":["A practical approach to nutritional screening and assessment in cirrhosis"],"prefix":"10.1097","volume":"65","author":[{"given":"Puneeta","family":"Tandon","sequence":"first","affiliation":[{"name":"Cirrhosis Care Clinic and CEGIIR,University of Alberta,Edmonton,AB,Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maitreyi","family":"Raman","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Department of Medicine,University of Calgary,Calgary,AB,Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marina","family":"Mourtzakis","sequence":"additional","affiliation":[{"name":"Department of Kinesiology,University of Waterloo,Waterloo,ON,Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuela","family":"Merli","sequence":"additional","affiliation":[{"name":"Gastroenterology, Department of Clinical Medicine,Sapienza University of Rome,Rome,Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2017,2,6]]},"reference":[{"key":"hep29003-bib-0001-20241017","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1002\/hep.26370","article-title":"The nutritional management of hepatic encephalopathy in patients with cirrhosis: International Society for Hepatic Encephalopathy and Nitrogen Metabolism Consensus","volume":"58","year":"2013","journal-title":"Hepatology"},{"key":"hep29003-bib-0002-20241017","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1111\/j.1365-2036.2006.03003.x","article-title":"Nutritional status and prognosis in cirrhotic patients","volume":"24","year":"2006","journal-title":"Aliment Pharmacol Ther"},{"key":"hep29003-bib-0003-20241017","doi-asserted-by":"crossref","first-page":"1041","DOI":"10.1002\/hep.510230516","article-title":"Does malnutrition affect survival in cirrhosis? 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