Publications of the NIED Study

Welcome to the SGA/MIS Homepage!

”Subjective Global Assessment” of Nutrition
(SGA)
and
”Malnutrition-Inflammation Score”
(MIS)

To evaluate and risk-stratify
dialysis patients

For Renal Dietitians and Nephrologists
and all Dialysis Patient Care Providers

The SGA and its updated versions, such as the DMS and MIS, are useful nutritional assessment tools for the evaluation and risk-stratification of nutritional and inflammatory status in dialysis patients, including maintenance hemodialysis and chronic peritoneal dialysis patients.

The NIED Study, a 5-year NIH/NIDDK funded cohort study (2001-2006), strives to validate different versions of the SGA and to develop the most useful version of these tools with the strongest associations with clinical outcome including mortality, hospitalization, and quality of life (QoL) in maintenance dialysis patients.

This website provides resources to that end including links to the SGA and MIS forms, instructions, relevant studies, and more.

Subjective Global Assessment (conventional SGA)

SGA form (htm format)

SGA form (MS Word format)

SGA form (pdf format)

INSTRUCTIONS as to how to perform the SGA (pdf format)

SGA article in AJKD (htm format)

SGA article in AJKD (pdf format)

Malnutrition-Inflammation Score (MIS)
MIS form (htm format)

MIS form (MS Word format)

MIS article in AJKD (htm format)

MIS article in AJKD (pdf format)

The MIS is a fully quantitative version of the SGA, which includes all 7 original components of the SGA plus 3 new components (BMI, albumin, and TIBC). The MIS appears to be an optimal, practical and user-friendly assessment tool for the evaluation of nutritional and inflammatory status in dialysis patients. At least 2 validation studies have shown that the MIS is superior to the conventional SGA and other nutritional and inflammatory markers in predicting mortality and hospitalization in dialysis patients, while the MIS maintains strong associations with almost all conventional indices of nutritional status and inflammation.

© MIS investigators, 2001-2006

Dialysis-Malnutrition Score (DMS)

Malnutrition Score

DMS article in NDT (abstract in htm format)
DMS article in NDT (full pdf format)

Announcements:

First SGA Consensus Conference
(SGA in Dialysis Patients)
November 7-9, 2003, Cleveland, Ohio

To obtain information and reprints of the proceedings of the conference, contact:
Ms. Alison Steiber, MS, RD, LD
Case Western Reserve University, Dept. of Nutrition
10900 Euclid Avenue - Dental 201
Cleveland, OH 44106-4906
Tel: 216/368-2440
Fax: 216/368-6644 (fax)
Email: als25@cwru.edu

What is “MICS”?

Malnutrition-Inflammation Complex Syndrome
(MICS)

MICS review article in AJKD (htm format)

MICS review article in AJKD (pdf format)

MICS leading to EPO Resistance

MICS and anemia article in AJKD (htm format)

MICS and anemia article in AJKD (pdf format)

What is REVERSE EPIDEMIOLOGY?
Reverse Epidemiology Website

The Phenomenon of REVERSE EPIDEMIOLOGY:
Reverse Epidemiology article in KI (htm format)

Reverse Epidemiology article in KI (pdf format)

Other Relevant Links

The NIED Study, a 5-year NIH/NIDDK funded cohort study (2001-2006), strives to validate different versions of the SGA and to develop the most useful SGA version with the strongest associations with clinical outcome including mortality, hospitalization, and quality of life (QoL) in dialysis patients.

NIED Study Home Page
Nutritional and Inflammatory Evaluation in Dialysis Study

Publications of the NIED Study

www.nephrology.rei.edu/niedpub.htm

NIED Study’s Principal Investigator

http://www.rei.edu/researchers/kkalantar.htm

www.kalantar.com

List of publications of the PI in PubMed

Quality of Life SF36 questionnaire and scoring program:

Home page of Quality of Life (QoL)

The Phenomenon of REVERSE EPIDEMIOLOGY:

Reverse Epidemiology Website

NIED Study Contacts: