2020
DOI: 10.1371/journal.pone.0228360
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Association of subcutaneous and visceral adipose tissue with overall survival in Taiwanese patients with bone metastases – results from a retrospective analysis of consecutively collected data

Abstract: Background Growing evidence indicates that measures of body composition may be related to clinical outcomes in patients with malignancies. The aim of this study was to investigate whether measures of regional adiposity-including subcutaneous adipose tissue index (SATI) and visceral adipose tissue index (VATI)-can be associated with overall survival (OS) in Taiwanese patients with bone metastases. Methods This is a retrospective analysis of prospectively collected data. We examined 1280 patients with bone metas… Show more

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Cited by 7 publications
(3 citation statements)
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“…Furthermore, a recent study substantiated that lower SFI independently predicted poor overall survival in hepatocellular carcinoma [ 50 ]. Another study proposed that patients with bone metastases exhibiting elevated SFI and VFI demonstrated superior overall survival [ 51 ]. However, Bradshaw et al observed that, among women with non-metastatic breast cancer, increased SAT was associated with shorter survival [ 16 ].…”
Section: Discussionmentioning
confidence: 99%
“…Furthermore, a recent study substantiated that lower SFI independently predicted poor overall survival in hepatocellular carcinoma [ 50 ]. Another study proposed that patients with bone metastases exhibiting elevated SFI and VFI demonstrated superior overall survival [ 51 ]. However, Bradshaw et al observed that, among women with non-metastatic breast cancer, increased SAT was associated with shorter survival [ 16 ].…”
Section: Discussionmentioning
confidence: 99%
“…Prior studies investigating the prognostic relevance of subcutaneous adiposity in cancer patients have yielded inconsistent results, which appear to differ by tumor type and stage, possibly consistent with adiposity being a risk factor for some cancers (e.g., breast cancer). In patients diagnosed with hepatocellular carcinoma [27] or bone metastases [28], high SAT was associated with better survival. In a large retrospective Canadian study, including n = 1,473 stage I-IV gastrointestinal and lung cancer patients, and n = 273 patients diagnosed with metastatic renal cell carcinoma, high SAT was an independent prognostic factor, predicting reduction in mortality [29].…”
Section: Introductionmentioning
confidence: 91%
“…While some studies showed an association between obesity and a poor survival rate (Meyerhardt et al, 2003;Kasenda et al, 2014), others have reported obesity to be associated with lower mortality rates (Martin et al, 2013;Schlesinger et al, 2014;Ebadi et al, 2017). Estimating the VAT index (VATI) and the SAT index (SATI) as adiposity markers, SAT appears to correlate with a reduction in mortality risk for gastrointestinal, respiratory cancer, and renal carcinoma patients (Ebadi et al, 2017) and an increased survival rate among patients with bone metastases, thus demonstrating the prognostic value of AT distribution (Chuang et al, 2020). In colorectal tumor patients, low SATI and VATI are associated with an increased risk of dying, as did high SAT and VAT density, where high VAT density was the main predictor of a poor survival rate in metastatic colorectal tumor patients (Charette et al, 2019).…”
Section: Adiposity Parameters In Tumor Patientsmentioning
confidence: 99%