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Hypocalcemia in cancer patients: An exploratory study
José António Ferraz Gonçalves1, Telma Costa1, Joana Rema2
1Instituto Português de Oncologia, Porto, Portugal.
Porto Biomedical Journal
|January 14, 2020
Summary
Hypocalcemia, or low serum calcium, is linked to various cancers and can impact patient survival. However, it is not the sole predictor of a poor prognosis in cancer patients.
Area of Science:
- Oncology
- Endocrinology
- Clinical Medicine
Background:
- Calcium plays vital physiological roles; abnormal serum levels can have severe consequences.
- While hypercalcemia in cancer is well-studied, recent data on hypocalcemia prevalence is limited.
- Evolving cancer treatments may directly or indirectly cause hypocalcemia.
Purpose of the Study:
- To investigate the association between hypocalcemia and different cancer types.
- To assess the impact of hypocalcemia on patient survival outcomes.
Main Methods:
- Retrospective review of adult cancer patients with serum calcium <2.0 mmol/L in 2013.
- Analysis included albumin-corrected calcium levels and survival data.
Main Results:
- 829 patients were included; most common cancers were hematological (24%) and colorectal (13%).
- 33% of patients had normal albumin-corrected calcium levels.
- Median survival was significantly longer for patients with normal corrected calcium (479 days) versus low corrected calcium (62 days) (P < .001).
- Age, primary cancer type, and albumin levels were significant predictors of survival in multivariate analysis.
Conclusions:
- Hypocalcemia is associated with multiple cancer types.
- Low calcium levels alone do not determine poor prognosis; other factors are more critical.
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