The Norwegian Directorate of Health recommends malnutrition screening tool (MST) for all adults

Ingvild Paur¹, Guro Berge Smedshaug², Brita Haugum², Asta Bye³, Erlend Eliassen⁴, Trine Linn Flottorp⁵, Hanne J Juul⁶, Morten Mowe⁷, Tove Nakken⁸, Stephan Ore⁹, Gry Kirsti Sirevåg¹⁰, Kari Sygnestveit¹¹, Lene Thoresen¹², Ellinor Bakke Aasen¹³, Torunn Holm Totland¹⁴, Henriette Walaas Krogh²

Affiliations

¹ Department of Non-Communicable Diseases, Division of Prevention and Public Health, Norwegian Directorate of Health, Oslo, Norway; Norwegian Advisory Unit on Disease-related Undernutrition, Oslo University Hospital, Oslo, Norway; Dept. of Clinical Services, Division of Cancer Medicine, Oslo University Hospital, Oslo, Norway. Electronic address: inpaur@ous-hf.no.
² Department of Non-Communicable Diseases, Division of Prevention and Public Health, Norwegian Directorate of Health, Oslo, Norway.
³ Department of Nursing and Health Promotion, Faculty of Health Sciences, OsloMet - Oslo Metropolitan University, Oslo, Norway; European Palliative Care Research Centre (PRC), Dept. of Oncology, Oslo University Hospital, And Institute of Clinical Medicine, University of Oslo, Oslo, Norway; Norwegian Association of Nutrition Science, Oslo, Norway.
⁴ Nygaard Nursing Home, Sandefjord Municipality, Norway; Norwegian Union of Municipal and General Employees, Oslo, Norway.
⁵ Norwegian Patient Safety Programme [I Trygge Hender 24/7], Oslo, Norway; Primary Health Service, Dept. of Home Care Services, Sandefjord Municipality, Norway.
⁶ Norwegian Advisory Unit on Disease-related Undernutrition, Oslo University Hospital, Oslo, Norway; Dept. of Clinical Services, Division of Cancer Medicine, Oslo University Hospital, Oslo, Norway.
⁷ Division of Medicine, Oslo University Hospital, Oslo, Norway; Institute of Clinical Medicine, University of Oslo, Oslo, Norway; Norwegian Medical Association, Oslo, Norway; Norwegian Society of Clinical Nutrition and Metabolism, Oslo, Norway.
⁸ User Representative, Oslo University Hospital, Oslo, Norway.
⁹ Lovisenberg Omsorg, Oslo, Norway; Norwegian Association of Old Age and Nursing Home Medicine, Oslo, Norway.
¹⁰ Norwegian Patient Safety Programme [I Trygge Hender 24/7], Oslo, Norway; Department of Home Care Services and Rehabilitation, Time Municipality, Norway.
¹¹ Norwegian Advisory Unit on Disease-related Undernutrition, Oslo University Hospital, Oslo, Norway.
¹² Norwegian Advisory Unit on Disease-related Undernutrition, Oslo University Hospital, Oslo, Norway; Oncology Clinic, St. Olav's University Hospital, Trondheim, Norway; Norwegian Association of Clinical Dietitians Affiliated with the Norwegian Association of Researchers, Oslo, Norway.
¹³ Norwegian Patient Safety Programme [I Trygge Hender 24/7], Oslo, Norway; Centre for Development of Institutional and Home Care Services, Vestfold and Telemark County, Norway; Primary Health Service, Dept. of Nursing Homes, Sandefjord Municipality, Norway; Norwegian Nurses Organization, Oslo, Norway.
¹⁴ Department of Non-Communicable Diseases, Division of Prevention and Public Health, Norwegian Directorate of Health, Oslo, Norway; Department of Physical Health and Ageing, Division of Mental and Physical Health, Norwegian Institute of Public Health, Oslo, Norway.

PMID: 36513467
DOI: 10.1016/j.clnesp.2022.09.029

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The Norwegian Directorate of Health recommends malnutrition screening tool (MST) for all adults

Ingvild Paur et al. Clin Nutr ESPEN. 2022 Dec.

Free article

. 2022 Dec:52:28-31.

doi: 10.1016/j.clnesp.2022.09.029. Epub 2022 Oct 1.

Authors

Affiliations

¹ Department of Non-Communicable Diseases, Division of Prevention and Public Health, Norwegian Directorate of Health, Oslo, Norway; Norwegian Advisory Unit on Disease-related Undernutrition, Oslo University Hospital, Oslo, Norway; Dept. of Clinical Services, Division of Cancer Medicine, Oslo University Hospital, Oslo, Norway. Electronic address: inpaur@ous-hf.no.
² Department of Non-Communicable Diseases, Division of Prevention and Public Health, Norwegian Directorate of Health, Oslo, Norway.
³ Department of Nursing and Health Promotion, Faculty of Health Sciences, OsloMet - Oslo Metropolitan University, Oslo, Norway; European Palliative Care Research Centre (PRC), Dept. of Oncology, Oslo University Hospital, And Institute of Clinical Medicine, University of Oslo, Oslo, Norway; Norwegian Association of Nutrition Science, Oslo, Norway.
⁴ Nygaard Nursing Home, Sandefjord Municipality, Norway; Norwegian Union of Municipal and General Employees, Oslo, Norway.
⁵ Norwegian Patient Safety Programme [I Trygge Hender 24/7], Oslo, Norway; Primary Health Service, Dept. of Home Care Services, Sandefjord Municipality, Norway.
⁶ Norwegian Advisory Unit on Disease-related Undernutrition, Oslo University Hospital, Oslo, Norway; Dept. of Clinical Services, Division of Cancer Medicine, Oslo University Hospital, Oslo, Norway.
⁷ Division of Medicine, Oslo University Hospital, Oslo, Norway; Institute of Clinical Medicine, University of Oslo, Oslo, Norway; Norwegian Medical Association, Oslo, Norway; Norwegian Society of Clinical Nutrition and Metabolism, Oslo, Norway.
⁸ User Representative, Oslo University Hospital, Oslo, Norway.
⁹ Lovisenberg Omsorg, Oslo, Norway; Norwegian Association of Old Age and Nursing Home Medicine, Oslo, Norway.
¹⁰ Norwegian Patient Safety Programme [I Trygge Hender 24/7], Oslo, Norway; Department of Home Care Services and Rehabilitation, Time Municipality, Norway.
¹¹ Norwegian Advisory Unit on Disease-related Undernutrition, Oslo University Hospital, Oslo, Norway.
¹² Norwegian Advisory Unit on Disease-related Undernutrition, Oslo University Hospital, Oslo, Norway; Oncology Clinic, St. Olav's University Hospital, Trondheim, Norway; Norwegian Association of Clinical Dietitians Affiliated with the Norwegian Association of Researchers, Oslo, Norway.
¹³ Norwegian Patient Safety Programme [I Trygge Hender 24/7], Oslo, Norway; Centre for Development of Institutional and Home Care Services, Vestfold and Telemark County, Norway; Primary Health Service, Dept. of Nursing Homes, Sandefjord Municipality, Norway; Norwegian Nurses Organization, Oslo, Norway.
¹⁴ Department of Non-Communicable Diseases, Division of Prevention and Public Health, Norwegian Directorate of Health, Oslo, Norway; Department of Physical Health and Ageing, Division of Mental and Physical Health, Norwegian Institute of Public Health, Oslo, Norway.

PMID: 36513467
DOI: 10.1016/j.clnesp.2022.09.029

Abstract

Background & aims: Malnutrition is underdiagnosed and undertreated in Norway. In a revision of a national guideline on malnutrition, the Norwegian Directorate of Health aimed for a harmonization and standardization of the malnutrition screening practice, including a recommendation of one malnutrition screening tool to be used among all adults in Norwegian health and care services.

Methods: A working group was appointed by the Norwegian Directorate of Health. Evidence-based practice, a pragmatic decision-making process based on a literature review, the Grading of Recommendations Assessment, Development and Evaluation (GRADE), and the DECIDE decision-making model was used as a guidance in order to convert evidence into recommendations.

Results: The criteria and properties of the four most frequently validated malnutrition screening tools were identified and ranked by the working group. The tools were prioritized in the following order: 1: Malnutrition Screening Tool (MST), 2: Malnutrition Universal Screening Tool (MUST), 3: Nutritional Risk Screening 2002 (NRS-2002), and 4: Mini-Nutritional Assessment short form (MNA).

Conclusions: The Norwegian Directorate of Health recommends use of MST for screening for malnutrition among all adults (≥18 years), across all health care settings, and diagnoses or conditions in Norway.

Keywords: Malnutrition; National guideline; Recommendation; Screening.

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Conflict of interest statement

Declaration of competing interest All authors declare no conflicts of interest.

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The Norwegian Directorate of Health recommends malnutrition screening tool (MST) for all adults

Affiliations

The Norwegian Directorate of Health recommends malnutrition screening tool (MST) for all adults

Authors

Affiliations

Abstract

Conflict of interest statement

Publication types

MeSH terms

LinkOut - more resources

Full Text Sources

Medical