1Department of Nutrition and Food Hygiene School of Public Health Institute of Nutrition Fudan University Shanghai 200030
China
2Department of Basic Medicine Shanghai Medical College of Fudan University Shanghai 200032 China
3Department of
Nutrition Affiliated to Fudan University Shanghai Cancer Center Shanghai 200032 China
4College of Food Science and Technology
Yunnan Agricultural University Kunming 650201 Yunnan China
5Department of Epidemiology College of Public Health Zhengzhou
University Zhengzhou 450052 Henan China
6Department of Hematology and Oncology Faculty of Pediatrics the Chinese People′s
Liberation Army General Hospital Beijing 100007 China
Abstract：Malnutrition significantly reduces the living quality of pediatric cancer patients and increases the risk of postoperative
infections. Addressing this issue through early nutritional screening and intervention for children at risk of malnutrition is crucial to
prevent malnutrition and its associated complications. In China the prevalence of malnutrition among pediatric cancer patients is
relatively high and multiple factors such as tumor type stage and the individual variability of treatment regimens increase the
complexity of determining whether a child with cancer is malnourished. Currently most studies use scales from other countries making
it difficult to standardize and compare results across different scales. Therefore there is an urgent need to develop a set of targeted
nutritional screening scales that are applicable to Chinese pediatric cancer patients. This paper compares the similarities and differences
between the current domestic and international pediatric nutritional screening scales regarding their screening purpose populations
content scoring criteria applications limitations and effectiveness. This paper further summarizes the advantages and disadvantages
of each scale proposes improvements to existing scales and offers recommendations for developing a nutritional screening scale tailored
for pediatric cancer patients in China aimed at advancing the establishment and application of nutritional screening scales for pediatric
cancer patients in the country.
