营养不良风险和在实体瘤诊断时的整体存活率
Tori L McFarlane1, James T Symanowski2, Declan Walsh3,4
1Department of Solid Tumor Oncology, Atrium Health Levine Cancer, Atrium Health Wake Forest Baptist Comprehensive Cancer Center, Charlotte, North Carolina, USA.
BMJ supportive & palliative care
|January 15, 2025
概括
诊断时的营养不良风险,由营养不良查工具 (MST) 评估,独立预测固体瘤门诊患者的整体存活率 (OS). 高营养不良风险 (H-MST) 与生存时间缩短有关.
科学领域:
- 在瘤学瘤学.
- 临床营养学 临床营养学
- 流行病学 流行病学
背景情况:
- 营养不良显著影响癌症患者的治疗耐受性.
- 美国固体瘤门诊患者的整体生存期 (OS) 诊断时营养不良的预后价值尚未得到充分确立.
研究的目的:
- 在一大群固体瘤门诊患者中,研究诊断时的营养不良风险和OS之间的关系.
- 确定营养不良查工具 (MST) 评分是否是OS的独立预后因素.
主要方法:
- 对3562名被诊断患有固体瘤的门诊患者进行了回顾性研究.
- 使用营养不良查工具 (MST) 来评估诊断时的营养不良风险.
- 卡普兰-梅尔和考克斯的比例危险模型分析了与性病风险相关的OS (高风险性病得分≥2与低风险性病得分).
主要成果:
- 通过MST评估的营养不良风险对OS的预后是独立的 (HR=1.51).
- 与营养不良风险较低 (L-MST) 患者相比,营养不良风险较高 (H-MST) 的患者表现出较短的OS.
- 50个月的生存率为L-MST的69%和H-MST的60%.
结论:
- 在实体瘤诊断时由MST确定的营养不良风险是OS的独立预测因素.
- 高营养不良风险与广泛的瘤门诊患者中的生存率降低有关.
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