1. Impact of Body Weight Loss on Survival in Patients with Advanced Gastric Cancer Receiving Second-Line Treatment.
- Author
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Mizukami, Takuro, Hamaji, Koki, Onuki, Risa, Yokomizo, Ayako, Nagashima, Yoshie, Takeda, Hiroyuki, Umemoto, Kumiko, Doi, Ayako, Arai, Hiroyuki, Hirakawa, Mami, Horie, Yoshiki, Izawa, Naoki, Ogura, Takashi, Tsuda, Takashi, Sunakawa, Yu, Shibata, Michi, Tanaka, Tsuneaki, Mikami, Shinya, and Nakajima, Takako Eguchi
- Subjects
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STOMACH tumors , *STATISTICS , *CONFIDENCE intervals , *BODY weight , *CANCER chemotherapy , *MULTIVARIATE analysis , *RETROSPECTIVE studies , *CANCER patients , *HYDROCARBONS , *ASCITES , *WEIGHT loss - Abstract
Limited information is available regarding the impact of body weight loss (BWL) in patients with advanced gastric cancer (AGC) who receive second-line chemotherapy. We retrospectively reviewed data for consecutive AGC patients who received second-line treatment with taxane-based chemotherapy at our institution between January 2014 and September 2018. We calculated variables, including percent BWL per month during chemotherapy (%BWL/m), and analyzed the correlations between BWL and other clinicopathological parameters with survival. Forty-four AGC patients were registered (median age, 67.5 years; females, n = 16 [36.3%]; severe ascites, n = 12 [27.3%]). The median overall survival was significantly shorter among patients with a %BWL/m of 1% or more, compared with patients with less weight loss (6.3 mo, vs. 12.3 mo, P = 0.038). The %BWL/m (≥1% vs. <1%) was significantly correlated with survival in a univariate analysis (HR = 2.11, P = 0.04), and the survival period was shorter for patients with severe ascites (HR = 1.92; 95% CI, 0.90–3.90) and if their %BWL/m was 1% or more (HR = 2.01; 95% CI, 0.98–4.10) in a multivariate analysis. In conclusion, BWL during second-line chemotherapy was associated with a poor prognosis among patients with AGC. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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