{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:24:21Z","timestamp":1787840661764,"version":"build-2784847793"},"reference-count":42,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2014,1,15]],"date-time":"2014-01-15T00:00:00Z","timestamp":1389744000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2014,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To evaluate the performance of commonly applied nutrition screening tools and measures and to consider the potential costs of undiagnosed malnutrition in a case\u2010based reimbursement funding environment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A diagnostic accuracy study to compare a variety of nutrition screening techniques against primary, secondary, and comparative measures of nutritional status.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Public metropolitan hospital orthogeriatric unit.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Individuals with acute hip fracture admitted to the orthogeriatric unit; 150 prospective, consecutively admitted individuals were considered, with eight exclusions, yielding a sample size of 142 participants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>\n                      Screens included the Mini Nutritional Assessment\u2014Short Form, Malnutrition Screening Tool, Malnutrition Universal Screening Tool, Nutrition Risk Screen 2002, anthropometric measures, and albumin. Malnutrition was diagnosed using\n                      <jats:italic>\n                        International Statistical Classification of Diseases and Health Related Problems, Tenth Edition,\n                        <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>\n                        ustralian Modification\n                      <\/jats:italic>\n                      (ICD\u201010\u2010AM) criteria. Healthcare coders costed malnutrition\u2010related diagnostic related groups and cost\u2010weight changes for individual participants.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Malnutrition prevalence was 48%. Screening tools had only slight to moderate agreement with ICD\u201010\u2010AM diagnosis of malnutrition, and none of the screening tools tested met the a priori requirement of 80% sensitivity and 60% specificity. The estimated cost effect of poor screening tool sensitivity on a 16\u2010bed hip fracture unit ranged from AUS$46,506 to AUS$228,896 per year.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Poor screening tool sensitivity leads to undiagnosed malnutrition; tools that are quick and easy to apply are not without cost. Routine nutrition assessment should replace nutrition risk screening in hip fracture settings with a high prevalence of malnutrition reliant on case\u2010mix funding. Further pragmatic studies are urgently required to determine whether findings apply to other elderly inpatient populations with endemic malnutrition, comorbidities, and cognitive impairment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.12648","type":"journal-article","created":{"date-parts":[[2014,1,15]],"date-time":"2014-01-15T11:49:55Z","timestamp":1389786595000},"page":"237-243","source":"Crossref","is-referenced-by-count":44,"title":["Quick and Easy Is Not without Cost: Implications of Poorly Performing Nutrition Screening Tools in Hip Fracture"],"prefix":"10.1111","volume":"62","author":[{"given":"Jack J.","family":"Bell","sequence":"first","affiliation":[{"name":"Department of Nutrition and Dietetics Prince Charles Hospital Queensland Health Brisbane Queensland Australia"},{"name":"Centre for Dietetic Research School of Human Movement Studies University of Queensland Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith D.","family":"Bauer","sequence":"additional","affiliation":[{"name":"Centre for Dietetic Research School of Human Movement Studies University of Queensland Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra","family":"Capra","sequence":"additional","affiliation":[{"name":"Centre for Dietetic Research School of Human Movement Studies University of Queensland Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ranjeev C.","family":"Pulle","sequence":"additional","affiliation":[{"name":"Internal Medicine Services, Prince Charles Hospital Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,1,15]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"Australian Institute of Health and Welfare.2010.The Problem of Osteoporotic Hip Fracture in Australia. [on\u2010line]. Available athttp:\/\/www.aihw.gov.au\/publication-detail\/?id=6442468333&tab=2Accessed December 12 2012."},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.1999.tb127845.x"},{"key":"e_1_2_7_4_1","unstructured":"The George Institute.2011.Hip fracture affects more than the hip pocket[on\u2010line]. 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