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Association of nutritional status-related indices and chemotherapy-induced adverse events in gastric cancer patients
Malnutrition in gastrectomized patients receiving chemotherapy is associated with the susceptibility to chemotherapy-related adverse events. This study evaluated pre-operative nutritional status-related indices associated with adverse events in post-operation gastric cancer patients receiving chemot...
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| Published in: | BMC cancer 2016-11, Vol.16 (1), p.900-900, Article 900 |
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| container_title | BMC cancer |
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| creator | Seo, Seung Hee Kim, Sung-Eun Kang, Yoon-Koo Ryoo, Baek-Yeol Ryu, Min-Hee Jeong, Jae Ho Kang, Shin Sook Yang, Mihi Lee, Jung Eun Sung, Mi-Kyung |
| description | Malnutrition in gastrectomized patients receiving chemotherapy is associated with the susceptibility to chemotherapy-related adverse events. This study evaluated pre-operative nutritional status-related indices associated with adverse events in post-operation gastric cancer patients receiving chemotherapy.
Medical records of 234 gastrectomized patients under adjuvant tegafur/gimeracil/oteracil chemotherapy with extended lymph node dissection were analyzed. Nutritional status assessment included Patient-Generated Subjective Global Assessment (PG-SGA), body weight, body mass index, serum albumin concentration, and Nutrition Risk Index (NRI). Chemotherapy-originated adverse events were determined using Common Terminology Criteria for Adverse Events.
PG-SGA indicated 59% of the patients were malnourished, and 27.8% of the patients revealed serious malnutrition with PG-SGA score of ≥9. Fifteen % of patients lost ≥10% of the initial body weight, 14.5% of the patients had hypoalbuminemia ( |
| doi_str_mv | 10.1186/s12885-016-2934-5 |
| format | article |
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Medical records of 234 gastrectomized patients under adjuvant tegafur/gimeracil/oteracil chemotherapy with extended lymph node dissection were analyzed. Nutritional status assessment included Patient-Generated Subjective Global Assessment (PG-SGA), body weight, body mass index, serum albumin concentration, and Nutrition Risk Index (NRI). Chemotherapy-originated adverse events were determined using Common Terminology Criteria for Adverse Events.
PG-SGA indicated 59% of the patients were malnourished, and 27.8% of the patients revealed serious malnutrition with PG-SGA score of ≥9. Fifteen % of patients lost ≥10% of the initial body weight, 14.5% of the patients had hypoalbuminemia (<3.5 g/dL), and 66.2% had NRI score less than 97.5 indicating moderate to severe malnutrition. Hematological adverse events were present in 94% (≥grade 1) and 16.2% (≥grade 3). Non-hematological adverse events occurred in 95.7% (≥grade1) and 16.7% (≥grade 3) of the patients. PG-SGA and NRI score was not associated with treatment-induced adverse events. Multivariate analyses indicated that female, low body mass index, and hypoalbuminemia were independent risk factors for grade 3/4 hematological adverse events. Age was an independent risk factor for grade 3/4 non-hematological adverse events. Neutropenia was the most frequently occurring adverse event, and associated risk factors were female, total gastrectomy, and hypoalbuminemia.
Hypoalbuminemia, not PG-SGA or NRI may predict chemotherapy-induced adverse events in gastrectomized cancer patients.</description><identifier>ISSN: 1471-2407</identifier><identifier>EISSN: 1471-2407</identifier><identifier>DOI: 10.1186/s12885-016-2934-5</identifier><identifier>PMID: 27863481</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Adult ; Aged ; Analysis ; Body Mass Index ; Cancer ; Cancer patients ; Cancer therapies ; Care and treatment ; Chemotherapy ; Complications and side effects ; Constipation - etiology ; Drug dosages ; Drug-Related Side Effects and Adverse Reactions - diagnosis ; Drug-Related Side Effects and Adverse Reactions - etiology ; Febrile Neutropenia - etiology ; Female ; Gastrectomy - adverse effects ; Gastrectomy - methods ; Gastric cancer ; Gastrointestinal surgery ; Health aspects ; Hematology ; Humans ; Hypoalbuminemia - complications ; Logistic Models ; Male ; Malnutrition ; Malnutrition - complications ; Middle Aged ; Multivariate Analysis ; Nutrition ; Nutrition Assessment ; Nutritional Status ; Parenteral nutrition ; Patients ; Postoperative Period ; Preoperative Period ; Retrospective Studies ; Risk Factors ; Sex Factors ; Stomach cancer ; Stomach Neoplasms - drug therapy ; Stomach Neoplasms - surgery ; Vomiting - etiology</subject><ispartof>BMC cancer, 2016-11, Vol.16 (1), p.900-900, Article 900</ispartof><rights>COPYRIGHT 2016 BioMed Central Ltd.</rights><rights>Copyright BioMed Central 2016</rights><rights>The Author(s). 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c625t-270a90dff68bf8809eade60436c96d3d6bc579ea7ec8820cb05a609edcdab36b3</citedby><cites>FETCH-LOGICAL-c625t-270a90dff68bf8809eade60436c96d3d6bc579ea7ec8820cb05a609edcdab36b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5116147/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1845312387?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27863481$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Seo, Seung Hee</creatorcontrib><creatorcontrib>Kim, Sung-Eun</creatorcontrib><creatorcontrib>Kang, Yoon-Koo</creatorcontrib><creatorcontrib>Ryoo, Baek-Yeol</creatorcontrib><creatorcontrib>Ryu, Min-Hee</creatorcontrib><creatorcontrib>Jeong, Jae Ho</creatorcontrib><creatorcontrib>Kang, Shin Sook</creatorcontrib><creatorcontrib>Yang, Mihi</creatorcontrib><creatorcontrib>Lee, Jung Eun</creatorcontrib><creatorcontrib>Sung, Mi-Kyung</creatorcontrib><title>Association of nutritional status-related indices and chemotherapy-induced adverse events in gastric cancer patients</title><title>BMC cancer</title><addtitle>BMC Cancer</addtitle><description>Malnutrition in gastrectomized patients receiving chemotherapy is associated with the susceptibility to chemotherapy-related adverse events. This study evaluated pre-operative nutritional status-related indices associated with adverse events in post-operation gastric cancer patients receiving chemotherapy.
Medical records of 234 gastrectomized patients under adjuvant tegafur/gimeracil/oteracil chemotherapy with extended lymph node dissection were analyzed. Nutritional status assessment included Patient-Generated Subjective Global Assessment (PG-SGA), body weight, body mass index, serum albumin concentration, and Nutrition Risk Index (NRI). Chemotherapy-originated adverse events were determined using Common Terminology Criteria for Adverse Events.
PG-SGA indicated 59% of the patients were malnourished, and 27.8% of the patients revealed serious malnutrition with PG-SGA score of ≥9. Fifteen % of patients lost ≥10% of the initial body weight, 14.5% of the patients had hypoalbuminemia (<3.5 g/dL), and 66.2% had NRI score less than 97.5 indicating moderate to severe malnutrition. Hematological adverse events were present in 94% (≥grade 1) and 16.2% (≥grade 3). Non-hematological adverse events occurred in 95.7% (≥grade1) and 16.7% (≥grade 3) of the patients. PG-SGA and NRI score was not associated with treatment-induced adverse events. Multivariate analyses indicated that female, low body mass index, and hypoalbuminemia were independent risk factors for grade 3/4 hematological adverse events. Age was an independent risk factor for grade 3/4 non-hematological adverse events. Neutropenia was the most frequently occurring adverse event, and associated risk factors were female, total gastrectomy, and hypoalbuminemia.
Hypoalbuminemia, not PG-SGA or NRI may predict chemotherapy-induced adverse events in gastrectomized cancer patients.</description><subject>Adult</subject><subject>Aged</subject><subject>Analysis</subject><subject>Body Mass Index</subject><subject>Cancer</subject><subject>Cancer patients</subject><subject>Cancer therapies</subject><subject>Care and treatment</subject><subject>Chemotherapy</subject><subject>Complications and side effects</subject><subject>Constipation - etiology</subject><subject>Drug dosages</subject><subject>Drug-Related Side Effects and Adverse Reactions - diagnosis</subject><subject>Drug-Related Side Effects and Adverse Reactions - etiology</subject><subject>Febrile Neutropenia - etiology</subject><subject>Female</subject><subject>Gastrectomy - adverse effects</subject><subject>Gastrectomy - methods</subject><subject>Gastric cancer</subject><subject>Gastrointestinal surgery</subject><subject>Health aspects</subject><subject>Hematology</subject><subject>Humans</subject><subject>Hypoalbuminemia - complications</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Malnutrition</subject><subject>Malnutrition - complications</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Nutrition</subject><subject>Nutrition Assessment</subject><subject>Nutritional Status</subject><subject>Parenteral nutrition</subject><subject>Patients</subject><subject>Postoperative Period</subject><subject>Preoperative Period</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Sex Factors</subject><subject>Stomach cancer</subject><subject>Stomach Neoplasms - drug therapy</subject><subject>Stomach Neoplasms - surgery</subject><subject>Vomiting - etiology</subject><issn>1471-2407</issn><issn>1471-2407</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><recordid>eNptkl2L1DAUhoso7rr6A7yRgiB60TVJ2yS9EYbFj4UFwY_rcJqczmTpNGNOOrj_3tRZ1x2RXqQ553nfAydvUTzn7JxzLd8SF1q3FeOyEl3dVO2D4pQ3ileiYerhvf-T4gnRNWNcaaYfFydCaVk3mp8WaUUUrIfkw1SGoZzmFP1ygbGkBGmmKuIICV3pJ-ctUgmTK-0GtyFtMMLupsqN2WYA3B4jYYl7nBJlvlwDZTtbWpgsxnKXxyytp8WjAUbCZ7fnWfH9w_tvF5-qq88fLy9WV5WVok2VUAw65oZB6n7QmnUIDiVramk76Wone9uqXFRotRbM9qwFmSlnHfS17Ouz4t3Bdzf321zOsyOMZhf9FuKNCeDNcWfyG7MOe9NyLvPyssHrW4MYfsxIyWw9WRxHmDDMZLhuuOoapkVGX_6DXoc55jX-ptqai1qrv9QaRjR-GkKeaxdTs2oUU4KJusvU-X-o_DncehsmHHyuHwneHAkyk_BnWsNMZC6_fjlmX91jNwhj2lAY5-XR6RjkB9DGQBRxuFscZ2bJnznkz-T8mSV_ps2aF_c3fqf4E7j6F7841qQ</recordid><startdate>20161118</startdate><enddate>20161118</enddate><creator>Seo, Seung Hee</creator><creator>Kim, Sung-Eun</creator><creator>Kang, Yoon-Koo</creator><creator>Ryoo, Baek-Yeol</creator><creator>Ryu, Min-Hee</creator><creator>Jeong, Jae Ho</creator><creator>Kang, Shin Sook</creator><creator>Yang, Mihi</creator><creator>Lee, Jung Eun</creator><creator>Sung, Mi-Kyung</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ISR</scope><scope>3V.</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20161118</creationdate><title>Association of nutritional status-related indices and chemotherapy-induced adverse events in gastric cancer patients</title><author>Seo, Seung Hee ; Kim, Sung-Eun ; Kang, Yoon-Koo ; Ryoo, Baek-Yeol ; Ryu, Min-Hee ; Jeong, Jae Ho ; Kang, Shin Sook ; Yang, Mihi ; Lee, Jung Eun ; Sung, Mi-Kyung</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c625t-270a90dff68bf8809eade60436c96d3d6bc579ea7ec8820cb05a609edcdab36b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Analysis</topic><topic>Body Mass Index</topic><topic>Cancer</topic><topic>Cancer patients</topic><topic>Cancer therapies</topic><topic>Care and treatment</topic><topic>Chemotherapy</topic><topic>Complications and side effects</topic><topic>Constipation - etiology</topic><topic>Drug dosages</topic><topic>Drug-Related Side Effects and Adverse Reactions - diagnosis</topic><topic>Drug-Related Side Effects and Adverse Reactions - etiology</topic><topic>Febrile Neutropenia - etiology</topic><topic>Female</topic><topic>Gastrectomy - adverse effects</topic><topic>Gastrectomy - methods</topic><topic>Gastric cancer</topic><topic>Gastrointestinal surgery</topic><topic>Health aspects</topic><topic>Hematology</topic><topic>Humans</topic><topic>Hypoalbuminemia - complications</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Malnutrition</topic><topic>Malnutrition - complications</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>Nutrition</topic><topic>Nutrition Assessment</topic><topic>Nutritional Status</topic><topic>Parenteral nutrition</topic><topic>Patients</topic><topic>Postoperative Period</topic><topic>Preoperative Period</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Sex Factors</topic><topic>Stomach cancer</topic><topic>Stomach Neoplasms - drug therapy</topic><topic>Stomach Neoplasms - surgery</topic><topic>Vomiting - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Seo, Seung Hee</creatorcontrib><creatorcontrib>Kim, Sung-Eun</creatorcontrib><creatorcontrib>Kang, Yoon-Koo</creatorcontrib><creatorcontrib>Ryoo, Baek-Yeol</creatorcontrib><creatorcontrib>Ryu, Min-Hee</creatorcontrib><creatorcontrib>Jeong, Jae Ho</creatorcontrib><creatorcontrib>Kang, Shin Sook</creatorcontrib><creatorcontrib>Yang, Mihi</creatorcontrib><creatorcontrib>Lee, Jung Eun</creatorcontrib><creatorcontrib>Sung, Mi-Kyung</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Science (Gale in Context)</collection><collection>ProQuest Central (Corporate)</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>ProQuest_Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest Publicly Available Content database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMC cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Seo, Seung Hee</au><au>Kim, Sung-Eun</au><au>Kang, Yoon-Koo</au><au>Ryoo, Baek-Yeol</au><au>Ryu, Min-Hee</au><au>Jeong, Jae Ho</au><au>Kang, Shin Sook</au><au>Yang, Mihi</au><au>Lee, Jung Eun</au><au>Sung, Mi-Kyung</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association of nutritional status-related indices and chemotherapy-induced adverse events in gastric cancer patients</atitle><jtitle>BMC cancer</jtitle><addtitle>BMC Cancer</addtitle><date>2016-11-18</date><risdate>2016</risdate><volume>16</volume><issue>1</issue><spage>900</spage><epage>900</epage><pages>900-900</pages><artnum>900</artnum><issn>1471-2407</issn><eissn>1471-2407</eissn><abstract>Malnutrition in gastrectomized patients receiving chemotherapy is associated with the susceptibility to chemotherapy-related adverse events. This study evaluated pre-operative nutritional status-related indices associated with adverse events in post-operation gastric cancer patients receiving chemotherapy.
Medical records of 234 gastrectomized patients under adjuvant tegafur/gimeracil/oteracil chemotherapy with extended lymph node dissection were analyzed. Nutritional status assessment included Patient-Generated Subjective Global Assessment (PG-SGA), body weight, body mass index, serum albumin concentration, and Nutrition Risk Index (NRI). Chemotherapy-originated adverse events were determined using Common Terminology Criteria for Adverse Events.
PG-SGA indicated 59% of the patients were malnourished, and 27.8% of the patients revealed serious malnutrition with PG-SGA score of ≥9. Fifteen % of patients lost ≥10% of the initial body weight, 14.5% of the patients had hypoalbuminemia (<3.5 g/dL), and 66.2% had NRI score less than 97.5 indicating moderate to severe malnutrition. Hematological adverse events were present in 94% (≥grade 1) and 16.2% (≥grade 3). Non-hematological adverse events occurred in 95.7% (≥grade1) and 16.7% (≥grade 3) of the patients. PG-SGA and NRI score was not associated with treatment-induced adverse events. Multivariate analyses indicated that female, low body mass index, and hypoalbuminemia were independent risk factors for grade 3/4 hematological adverse events. Age was an independent risk factor for grade 3/4 non-hematological adverse events. Neutropenia was the most frequently occurring adverse event, and associated risk factors were female, total gastrectomy, and hypoalbuminemia.
Hypoalbuminemia, not PG-SGA or NRI may predict chemotherapy-induced adverse events in gastrectomized cancer patients.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>27863481</pmid><doi>10.1186/s12885-016-2934-5</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | BMC cancer, 2016-11, Vol.16 (1), p.900-900, Article 900 |
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| language | eng |
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| source | NCBI_PubMed Central（免费）; ProQuest Publicly Available Content database |
| subjects | Adult Aged Analysis Body Mass Index Cancer Cancer patients Cancer therapies Care and treatment Chemotherapy Complications and side effects Constipation - etiology Drug dosages Drug-Related Side Effects and Adverse Reactions - diagnosis Drug-Related Side Effects and Adverse Reactions - etiology Febrile Neutropenia - etiology Female Gastrectomy - adverse effects Gastrectomy - methods Gastric cancer Gastrointestinal surgery Health aspects Hematology Humans Hypoalbuminemia - complications Logistic Models Male Malnutrition Malnutrition - complications Middle Aged Multivariate Analysis Nutrition Nutrition Assessment Nutritional Status Parenteral nutrition Patients Postoperative Period Preoperative Period Retrospective Studies Risk Factors Sex Factors Stomach cancer Stomach Neoplasms - drug therapy Stomach Neoplasms - surgery Vomiting - etiology |
| title | Association of nutritional status-related indices and chemotherapy-induced adverse events in gastric cancer patients |
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