University of Groningen Assessment of malnutrition in patients with head and neck cancer: a multidimensional approach Sealy, Martine Jane

Assessment of malnutrition in patients with head and neck cancer: a multidimensional

approach

Sealy, Martine Jane

IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it. Please check the document version below.

Document Version

Publisher's PDF, also known as Version of record

Publication date: 2019

Link to publication in University of Groningen/UMCG research database

Citation for published version (APA):

Sealy, M. J. (2019). Assessment of malnutrition in patients with head and neck cancer: a multidimensional approach.

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3

 DGDSWHGIRUWKLVVWXG\,QGLFHVIRULWHPFRPSUHKHQVLELOLW\,&,_{DQGLWHPGLIILFXOW\,',} ZHUHFDOFXODWHGDQGDYHUDJHGLQWRVFDOHFRPSUHKHQVLELOLW\LQGLFHV6&,DQGVFDOHGLIILFXOW\ LQGLFHV6', 7KHIROORZLQJSURFHGXUHZDVXVHGWRFDOFXODWHDOOLWHPDQGVFDOHLQGLFHV$IRXUSRLQW VFDOH   YHU\ LUUHOHYDQWYHU\ XQFOHDUYHU\ GLIILFXOW   LUUHOHYDQW XQFOHDUGLIILFXOW  UHOHYDQWFOHDUHDV\  YHU\ UHOHYDQWYHU\ FOHDUYHU\ HDV\ ZDV LPSOHPHQWHG WR DYRLG KDYLQJDQHXWUDODQGDPELYDOHQWPLGSRLQWDQGWRGLFKRWRPL]HWKHUHVXOWVRIHDFKLWHP_7KLV HQDEOHG XV WR GHFLGH ZKHWKHU FRQWHQW YDOLGLW\ FRPSUHKHQVLELOLW\ DQG NQRZOHGJH FRXOG EH FRQVLGHUHGSUHVHQWRUQRWIRUHDFKLWHP6FRUHVDQGZHUe considered ‘not present’, scores 3 and 4 were considered ‘present’. The ,&9,,&,DQG,',DUHSURSRUWLRQDOVFRUHVUDQJLQJ IURPFDOFXODWHGE\GLYLGLQJWKHQXPEHURIUHVSRQGHQWVWKDWFRQVLGHUHGWKHLWHPWREH ‘present’ by the total number of responGHQWV7KH6&9,ZDVFDOFXODWHGE\DYHUDJLQJWKH, &9,VFRUHVIRUWKHIXOO3*6*$6&,DQG6',RIWKHSDWLHQWJHQHUDWHGFRPSRQHQWRIWKH 3*6*$ZHUHFDOFXODWHGE\DYHUDJLQJ,&,VFRUHVDQG,',VFRUHVRI%R[HVWR6&,DQG6 ',RIWKHSURIHVVLRQDOFRPSRQHQWRIWKH3*6*$ZHUHFDOFXODWHGE\DYHUDJLQJ,&,VFRUHVDQG ,', VFRUHV RI :RUNVKHHWV  WR  7KH VFDOH LQGLFHV 6&, DQG 6', UHIOHFW RYHUDOO FRPSUHKHQVLELOLW\DQGGLIILFXOW\DVSHUFHLYHGE\SDWLHQWVIRUWKHSDWLHQWJHQHUDWHGFRPSRQHQW DQGDVSHUFHLYHGE\SURIHVVLRQDOVIRUWKHSURIHVVLRQDOFRPSRQHQW

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SUREOHPVVZDOORZLQJ SUREOHPHQPHWVOLNNHQ “problemen” implies the symptom is VHULRXVHQRXJKQRWWREHDEOHWRHDW “moeite” could imply it takes more time EXWGRHVQRWDIIHFWLQWDNH

2YHUWKHSDVWPRQWK,ZRXOG

JHQHUDOO\UDWHP\DFWLYLW\DV ,NEHRRUGHHOPLMQDFWLYLWHLWHQYDQGHDIJHORSHQPDDQGRYHUKHWDOJHPHHQ DOV

to start with “Ik (I)” fits better in Dutch use of language; generally “over het algemeen” was added 

UHVWULFWHGLQSK\VLFDOO\VWUHQXRXV DFWLYLW\EXWDPEXODWRU\DQGDEOH WRFDUU\RXWOLJKWZRUN EHSHUNWLQ]ZDUHOLFKDPHOLMNH DFWLYLWHLWPDDUQLHWEHGOHJHULJHQWRW OLFKWHDUEHLGLQVWDDW 

“ambulant” appears to difficult. ”niet bedlegerig” is clearer to theSDWLHQW FDSDEOHRIRQO\OLPLWHGVHOIFDUH FRQILQHGWREHGRUFKDLUPRUH WKDQRIZDNLQJKRXUV VOHFKWVWRWEHSHUNWH]HOIYHU]RUJLQJLQ VWDDWPHHUGDQYDQGHGDJLQ EHGRIVWRHO

“;”interpunction added to clarify “op” deleted 

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PRGHUDWHO\PDOQRXULVKHGRU

VXVSHFWHGPDOQRXULVKHG PDWLJRQGHUYRHGRIYHUGHQNLQJRQGHUYRHGLQJ “verdenkingondervoeding”ZDVFKDQJHGWR“lichtWRWmatig”LQWKHIRUZDUG WUDQVODWHGDQGLVQRZFKDQJHGEDFNDJDLQ SUHVHQFHRIQXWULWLRQLPSDFW

V\PSWRPVER[RI3*6*$ DDQZH]LJKHLGYDQV\PSWRPHQGLHGHYRHGLQJVLQQDPHYHUVWRUHQ “kunnen”GHOHWHGV\PSWRPVPXVWKDYHDFWXDOO\KLQGHUHGLQWDNHDVVWDWHGLQER[  HYLGHQFHRIPLOGWRPRGHUDWHORVV RI64IDW RUPXVFOHPDVV RU PXVFOHWRQHRQSDOSDWLRQ GXLGHOLMNPLOGHRIPDWLJHGHSOHWLHYDQ YHWPDVVDHQRIVSLHUPDVVDHQRI VSLHUWRQXVELMSDOSDWLH “en/of”DGGHGDIWHU“vetmassa”EHFDXVHLW LVGLIIHUHQWIURP“of”   

3



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SUREOHPVVZDOORZLQJ SUREOHPHQPHWVOLNNHQ “problemen” implies the symptom is VHULRXVHQRXJKQRWWREHDEOHWRHDW “moeite” could imply it takes more time EXWGRHVQRWDIIHFWLQWDNH

2YHUWKHSDVWPRQWK,ZRXOG

JHQHUDOO\UDWHP\DFWLYLW\DV ,NEHRRUGHHOPLMQDFWLYLWHLWHQYDQGHDIJHORSHQPDDQGRYHUKHWDOJHPHHQ DOV

to start with “Ik (I)” fits better in Dutch use of language; generally “over het algemeen” was added 

UHVWULFWHGLQSK\VLFDOO\VWUHQXRXV DFWLYLW\EXWDPEXODWRU\DQGDEOH WRFDUU\RXWOLJKWZRUN EHSHUNWLQ]ZDUHOLFKDPHOLMNH DFWLYLWHLWPDDUQLHWEHGOHJHULJHQWRW OLFKWHDUEHLGLQVWDDW 

“ambulant” appears to difficult. ”niet bedlegerig” is clearer to theSDWLHQW FDSDEOHRIRQO\OLPLWHGVHOIFDUH FRQILQHGWREHGRUFKDLUPRUH WKDQRIZDNLQJKRXUV VOHFKWVWRWEHSHUNWH]HOIYHU]RUJLQJLQ VWDDWPHHUGDQYDQGHGDJLQ EHGRIVWRHO

“;”interpunction added to clarify “op” deleted 

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PRGHUDWHO\PDOQRXULVKHGRU

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