• 1
    PROM Introduction/Submission

    Patient receives introductory information about the MST PROM, completes form, and proceeds to next stage upon submission.

  • 2
    PROM Reminder/Results

    Thank you sent to patient upon MST form submission. Reminder is sent after 3 days of no submission. Results explanation factsheet provided to the patient to provide context.

Pathway details
  • Code: QST-MST
  • Name: Malnutrition Screening Tool (MST) pathway
  • Author: Liquid State Team
  • Version: 1.00
  • Reviewed: 03/2025
Pathway inclusions
2 pathway stages
2 documents
1 questionnaires
1 reminders
1 messages
PROM Scorecard
PROM score calculations
PROM Cut Points
Export of PROM data
About

This is a two-stage pathway that streamlines the delivery, reminders, scoring, analysis, and data export of the Malnutrition Screening Tool (MST) for clinicians and researchers.

This pathway is designed to enable clinicians and researchers to

  • deliver the MST PROM to their patients quickly and easily,
  • provide patients with contextual information about the MST PROM,
  • automatically remind patients to submit the MST PROM,
  • collect the results of the submitted MST PROM,
  • calculate the MST PROM Score based on the answers submitted,
  • allocate MST PROM Cut Points based on the score calculations,
  • display survey results, Score and Cut Points, and
  • provide an export of deidentified MST PROM data for research purposes.
Intended Population

Hospitalised, outpatient, and institutionalised adults, including cancer patients and elderly individuals.

Method of use

Typically the pathway is given to patients for diagnostic or baselining purposes, as part of the ongoing provision of care or to help measure treatment outcomes.

PROM details
PROM included
  • Malnutrition Screening Tool (MST)
Description

The Malnutrition Screening Tool (MST) is a quick, simple tool with two questions assessing weight loss and appetite.

Type

Screening tool for identifying malnutrition risk.

Advantages

Simple, quick, low-cost, no physical measurements required, validated across multiple settings.

Disadvantages

Limited accuracy in untrained users; sensitivity may vary across populations and settings.

Evidence

Validated against Subjective Global Assessment (SGA) with good sensitivity and specificity; widely used in hospitals and aged care.

Reliability

High inter-rater reliability (93–97%) and test-retest reliability; patient-led MST also shows strong reliability.

Reference population

Developed for acute hospital patients but validated in aged care, oncology, and rehabilitation settings.

Scoring

Scores range from 0 to 5 based on responses to two questions about weight loss and appetite.

Cut Points

A score of ≥2 indicates malnutrition risk, warranting further nutritional assessment or intervention.

Terms of Use

Freely available for clinical use; requires citation of original study when used in publications.

Copyright owner

©1999 Ferguson et al.; permission granted by Elsevier for reproduction in some resources. Confirm before use.

References
  • Ferguson M et al., Nutrition (1999); multiple validations in peer-reviewed publications.

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