Impact of combined assessment of systemic inflammation and presarcopenia on survival for surgically resected esophageal cancer - 08/12/20
, Hideyuki Saito a, Yasunari Ubukata a, Nobuhiro Nakazawa a, Kengo Kuriyama a, Keigo Hara a, Akihiko Sano a, Kyoichi Ogata a, Takehiko Yokobori b, Ken Shirabe c, Hiroshi Saeki aAbstract |
Background |
Systemic inflammation and low skeletal muscle volume (presarcopenia) have received increasing attention in many malignancies. However, their association and the combined effect on postoperative survival in esophageal cancer (EC) patients have been poorly studied.
Methods |
Eighty-nine patients with EC who underwent surgery between 2006 and 2014 were included in this study. Neutrophil-to-lymphocyte ratio (NLR) ≥3.0 was categorized as having systemic inflammation. Presarcopenia was defined as a Skeletal muscle index (SMI) less than 52.4 cm2/m2 for men and less than 38.5 cm2/m2 for women.
Results |
Multivariate analysis revealed that presarcopenia was an independent prognostic preoperative factor for overall survival (OS) (p = 0.004). Multivariate analysis for OS stratified by systemic inflammation revealed that presarcopenia with systemic inflammation (Hazard ratio(HR),20.70; 95% confidence interval (CI),1.34–318.90) was associated with nearly a seven-fold higher risk of death than those without systemic inflammation (HR, 2.94; 95%CI, 1.04–8.34).
Conclusions |
Systemic inflammation enhanced the effect of presarcopenia on the prognosis of EC patients. The combined assessment of those factors may have potential prognostic value for EC.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Weak inverse correlation between NLR and SMI in esophageal cancer. |
• | The overall survival rate was lower with presarcopenia than without presarcopenia. |
• | Presarcopenia was an independent prognostic factor for overall survival. |
• | Presarcopenia with systemic inflammation was associated with higher risk of death than those without systemic inflammation. |
Résumé |
Systemic inflammation enhanced the effect of presarcopenia on the prognosis of Esophageal cancer patients. The combined assessment of those factors may have potential prognostic value for those patients.
Le texte complet de cet article est disponible en PDF.Keywords : Esophageal cancer, Systemic inflammation, NLR, Skeletal muscle volume, Presarcopenia
Plan
Vol 221 - N° 1
P. 149-154 - janvier 2021 Retour au numéro
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