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Cancer Survival Analysis

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Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
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  1. Home
  2. Prevalence And Predictive Value Of Sarcopenia In Surgically Treated Cholangiocarcinoma: A Comprehensive Review And Meta-analysis.
  1. Home
  2. Prevalence And Predictive Value Of Sarcopenia In Surgically Treated Cholangiocarcinoma: A Comprehensive Review And Meta-analysis.

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Prevalence and predictive value of sarcopenia in surgically treated cholangiocarcinoma: a comprehensive review and

Jie He1,2, Yuanyuan Huang1,2, Na Huang1,2

  • 1Clinical Medical College of Chengdu Medical College, Chengdu, Sichuan, China.

Frontiers in Oncology
|April 4, 2024

View abstract on PubMed

Summary
This summary is machine-generated.

Sarcopenia, a loss of muscle mass, affects 43% of cholangiocarcinoma patients and is linked to poorer survival and more complications. Early detection and treatment of sarcopenia can improve outcomes for these cancer patients.

Keywords:
cholangiocarcinomameta-analysisprognosissarcopeniaskeletal muscle mass index

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Area of Science:

  • Oncology
  • Geriatrics
  • Metabolic Medicine

Background:

  • Sarcopenia, characterized by reduced skeletal muscle mass and function, is increasingly recognized in elderly cancer patients.
  • It is a potential adverse prognostic factor in malignant tumors, including cholangiocarcinoma.
  • This review examines sarcopenia prevalence and its impact on survival and postoperative complications in cholangiocarcinoma.

Approach:

  • A systematic review and meta-analysis of 33 articles from five databases (EMBASE, PubMed, Web of Science, Cochrane Library, CNKI).
  • Keywords included sarcopenia, cholangiocarcinoma, and prognosis.
  • Study quality was assessed using the Newcastle-Ottawa Scale (NOS).

Key Points:

  • The overall prevalence of sarcopenia in cholangiocarcinoma patients is 43%.
  • Sarcopenia is significantly correlated with poorer overall survival (OS), recurrence-free survival (RFS), and disease-free survival (DFS).
  • Sarcopenia is a negative predictive factor across different ethnicities, diagnostic methods, and tumor locations, and a risk factor for postoperative complications.
  • Conclusions:

    • Sarcopenia is significantly associated with adverse survival outcomes and increased postoperative complications in cholangiocarcinoma.
    • Prompt diagnosis and management of sarcopenia are crucial for improving patient prognosis.
    • Further research and clinical integration of sarcopenia assessment are warranted.