{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T16:28:49Z","timestamp":1790958529660,"version":"4.1.0"},"reference-count":42,"publisher":"Cambridge University Press (CUP)","issue":"12","license":[{"start":{"date-parts":[[2019,11,18]],"date-time":"2019-11-18T00:00:00Z","timestamp":1574035200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Br J Nutr"],"published-print":{"date-parts":[[2019,12,28]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Malnutrition risk screening in cirrhotic patients is crucial, as poor nutritional status negatively affects disease prognosis and survival. Given that a variety of malnutrition screening tools is usually used in routine clinical practice, the effectiveness of eight screening tools in detecting malnutrition risk in cirrhotic patients was sought. A total of 170 patients (57\u00b71 % male, 59\u00b74 (<jats:sc>sd<\/jats:sc> 10\u00b75) years, 50\u00b76 % decompensated ones) with cirrhosis of various aetiologies were enrolled. Nutritional screening was performed using the Malnutrition Universal Screening Tool, Nutritional Risk Index, Malnutrition Screening Tool, Nutritional Risk Screening (NRS-2002), Birmingham Nutritional Risk Score, Short Nutritional Assessment Questionnaire, Royal Free Hospital Nutritional Prioritizing Tool (RFH-NPT) and Liver Disease Undernutrition Screening Tool (LDUST). Malnutrition diagnosis was defined using the Subjective Global Assessment (SGA). Data on 1-year survival were available for 145 patients. The prevalence of malnutrition risk varied according to the screening tools used, with a range of 13\u00b75\u201354\u00b71 %. RFH-NPT and LDUST were the most accurate in detecting malnutrition (AUC = 0\u00b7885 and 0\u00b7892, respectively) with a high sensitivity (97\u00b74 and 94\u00b79 %, respectively) and fair specificity (73\u00b73 and 58 %, respectively). Malnutrition according to SGA was an independent prognostic factor of within 1-year mortality (relative risk was 2\u00b717 (95 % CI 1\u00b70, 4\u00b77), <jats:italic>P<\/jats:italic> = 0\u00b7049) after adjustment for sex, age, disease aetiology and Model for End-stage Liver Disease score, whereas nutrition risk according to RFH-NPT, LDUST and NRS-2002 showed no association. RFH-NPT and LDUST were the only screening tools that proved to be accurate in detecting malnutrition in cirrhotic patients.<\/jats:p>","DOI":"10.1017\/s0007114519002277","type":"journal-article","created":{"date-parts":[[2019,9,5]],"date-time":"2019-09-05T08:54:23Z","timestamp":1567673663000},"page":"1368-1376","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":56,"title":["Evaluation of the effectiveness of eight screening tools in detecting risk of malnutrition in cirrhotic patients: the KIRRHOS study"],"prefix":"10.1017","volume":"122","author":[{"given":"Alexandra","family":"Georgiou","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georgios V.","family":"Papatheodoridis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra","family":"Alexopoulou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melanie","family":"Deutsch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ioannis","family":"Vlachogiannakos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Panagiota","family":"Ioannidou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria-Vasiliki","family":"Papageorgiou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikolaos","family":"Papadopoulos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Panagiotis","family":"Tsibouris","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adamantia","family":"Prapa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"Yannakoulia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meropi D.","family":"Kontogianni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2019,11,18]]},"reference":[{"key":"S0007114519002277_ref41","doi-asserted-by":"publisher","DOI":"10.1111\/j.1478-3231.2012.02830.x"},{"key":"S0007114519002277_ref42","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2013.04.008"},{"key":"S0007114519002277_ref40","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhep.2013.09.027"},{"key":"S0007114519002277_ref35","doi-asserted-by":"publisher","DOI":"10.1038\/oby.2004.239"},{"key":"S0007114519002277_ref34","doi-asserted-by":"publisher","DOI":"10.2147\/CEOR.S92078"},{"key":"S0007114519002277_ref33","doi-asserted-by":"publisher","DOI":"10.1007\/s10620-015-4015-z"},{"key":"S0007114519002277_ref31","doi-asserted-by":"publisher","DOI":"10.1053\/j.jrn.2011.08.005"},{"key":"S0007114519002277_ref29","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2007.10.007"},{"key":"S0007114519002277_ref28","doi-asserted-by":"publisher","DOI":"10.1002\/bimj.200410135"},{"key":"S0007114519002277_ref27","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(1950)3:1<32::AID-CNCR2820030106>3.0.CO;2-3"},{"key":"S0007114519002277_ref26","doi-asserted-by":"publisher","DOI":"10.1177\/014860718701100108"},{"key":"S0007114519002277_ref24","doi-asserted-by":"publisher","DOI":"10.1016\/S0261-5614(95)80063-8"},{"key":"S0007114519002277_ref38","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2009.05.007"},{"key":"S0007114519002277_ref23","doi-asserted-by":"publisher","DOI":"10.1016\/S0261-5614(02)00214-5"},{"key":"S0007114519002277_ref37","doi-asserted-by":"publisher","DOI":"10.2147\/DMSO.S146339"},{"key":"S0007114519002277_ref7","doi-asserted-by":"publisher","DOI":"10.1177\/0148607114522488"},{"key":"S0007114519002277_ref15","first-page":"147","article-title":"Quetelet\u2019s index (W\/H2) as a measure of fatness","volume":"9","author":"Garrow","year":"1985","journal-title":"Int Int J Obes"},{"key":"S0007114519002277_ref4","doi-asserted-by":"publisher","DOI":"10.1111\/jgh.12999"},{"key":"S0007114519002277_ref30","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2016.09.004"},{"key":"S0007114519002277_ref9","first-page":"172","article-title":"EASL clinical practice guidelines on nutrition in chronic liver disease","volume":"70","year":"2018","journal-title":"J Hepatol"},{"key":"S0007114519002277_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/S0899-9007(01)00521-4"},{"key":"S0007114519002277_ref39","doi-asserted-by":"publisher","DOI":"10.1007\/s10620-017-4504-3"},{"key":"S0007114519002277_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2018.12.022"},{"key":"S0007114519002277_ref17","first-page":"1","article-title":"Energy and protein requirements. Report of a joint FAO\/WHO\/UNU Expert Consultation","volume":"724","year":"1985","journal-title":"World Health Organ Tech Rep Ser"},{"key":"S0007114519002277_ref19","doi-asserted-by":"publisher","DOI":"10.1002\/hep.26370"},{"key":"S0007114519002277_ref25","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2004.07.015"},{"key":"S0007114519002277_ref22","doi-asserted-by":"publisher","DOI":"10.1016\/S0899-9007(99)00084-2"},{"key":"S0007114519002277_ref2","first-page":"317","article-title":"Nutritional status in cirrhosis. Italian Multicentre Cooperative Project on Nutrition in Liver Cirrhosis","volume":"21","year":"1994","journal-title":"J Hepatol"},{"key":"S0007114519002277_ref3","doi-asserted-by":"publisher","DOI":"10.1111\/hepr.12004"},{"key":"S0007114519002277_ref6","doi-asserted-by":"publisher","DOI":"10.1155\/2010\/489823"},{"key":"S0007114519002277_ref16","first-page":"A60","article-title":"Improved method for the 24-hour dietary recall for use in national surveys","volume":"13","author":"Moshfegh","year":"1999","journal-title":"FASEB J"},{"key":"S0007114519002277_ref32","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnesp.2017.10.009"},{"key":"S0007114519002277_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/S0168-8278(12)60621-7"},{"key":"S0007114519002277_ref1","doi-asserted-by":"publisher","DOI":"10.1002\/hep.29003"},{"key":"S0007114519002277_ref13","doi-asserted-by":"publisher","DOI":"10.1053\/jlts.2002.35927"},{"key":"S0007114519002277_ref8","doi-asserted-by":"publisher","DOI":"10.1002\/jpen.1440"},{"key":"S0007114519002277_ref14","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800600817"},{"key":"S0007114519002277_ref18","doi-asserted-by":"publisher","DOI":"10.1016\/S0261-5614(97)80022-2"},{"key":"S0007114519002277_ref10","doi-asserted-by":"publisher","DOI":"10.1177\/0884533615587537"},{"key":"S0007114519002277_ref20","volume-title":"Screening for Malnutrition: A Multidisciplinary Responsibility. Development and Use of the \u2018Malnutrition Universal Screening Tool\u2019 (\u2018MUST\u2019) for Adults","author":"Elia","year":"2003"},{"key":"S0007114519002277_ref36","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-132-2-200001180-00004"},{"key":"S0007114519002277_ref21","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/47.2.366"}],"container-title":["British Journal of Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0007114519002277","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,12,12]],"date-time":"2019-12-12T11:09:18Z","timestamp":1576148958000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0007114519002277\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,11,18]]},"references-count":42,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2019,12,28]]}},"alternative-id":["S0007114519002277"],"URL":"https:\/\/doi.org\/10.1017\/s0007114519002277","relation":{},"ISSN":["0007-1145","1475-2662"],"issn-type":[{"value":"0007-1145","type":"print"},{"value":"1475-2662","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,11,18]]},"assertion":[{"value":"\u00a9 The Authors 2019\u00a0","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}