The Influence of the Perioperative Nutritional Status on the Survival Outcomes for Esophageal Cancer Patients with Neoadjuvant Chemotherapy
| Autor: | Yusuke Taniyama, Takuro Konno, Tadashi Sakurai, Hiroshi Okamoto, Makoto Hikage, Naoto Ujiie, Takeshi Naitoh, Takashi Kamei, Michiaki Unno, Kai Takaya, Chiaki Sato |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Esophageal Neoplasms medicine.medical_treatment Nutritional Status Perioperative Care 03 medical and health sciences 0302 clinical medicine Surgical oncology Internal medicine Antineoplastic Combined Chemotherapy Protocols medicine Humans Longitudinal Studies Aged Retrospective Studies Aged 80 and over Chemotherapy business.industry Nutritional status Perioperative Middle Aged Esophageal cancer Prognosis medicine.disease University hospital Neoadjuvant Therapy Survival Rate Malnutrition Nutrition Assessment Oncology Chemotherapy Adjuvant Esophagectomy 030220 oncology & carcinogenesis Female 030211 gastroenterology & hepatology Surgery business Follow-Up Studies |
| Zdroj: | Annals of Surgical Oncology. 26:4744-4753 |
| ISSN: | 1534-4681 1068-9265 |
| Popis: | Studies have shown a variety of nutritional indices to be prognostic predictors for esophageal cancer patients. However, which nutritional index should be used and when it should be measured during the perioperative period remain unclear. This study attempted to clarify the details surrounding predictive nutritional evaluation by assessing the longitudinal data of serologic indices in perioperative esophageal cancer patients. The study included 141 esophageal cancer patients who underwent neoadjuvant chemotherapy after radical esophagectomy at Tohoku University Hospital from April 2008 to December 2017. The nutritional status was retrospectively assessed during the perioperative period, and the prognostic factors related to survival were analyzed. Use of the controlling nutritional status (CONUT) score showed that malnutrition occurred only from 14 days after surgery in most cases. Use of the prognostic nutritional index (PNI) showed that the ratio of malnutrition increased gradually from presurgery to 14 days after surgery. The timing of malnutrition that affected survival was 14 days after surgery with the CONUT score and presurgery and 4 months after surgery with the PNI. A multivariable analysis of independent prognostic factors predicting survival identified malnutrition 14 days after surgery with the CONUT score and a low PNI before surgery, invasion depth of the primary lesion, and node metastasis. Malnutrition occurring during the perioperative state of esophageal cancer was shown to be a survival prognostic factor. Development of an optimal nutritional intervention is recommended for esophageal cancer patients to prevent malnutrition both before and after surgery. |
| Databáze: | OpenAIRE |
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