Preoperative nutritional status assessment predicts postoperative outcomes in patients with surgically resected non-small cell lung cancer

Ramos, Ricard; Nadal, Ernest; Peiró, Inmaculada; Masuet-Aumatell, Cristina; Macía, Iván; Rivas, Francisco; Rosado, Gabriela; Rodriguez, P. De Pablos; Ureña, Anna; Padrones, Susana; Aso, Samantha; Déniz, Carlos; Navarro, Arturo; Escobar, Ignacio

doi:10.1016/j.ejso.2018.03.026

Cited by 41 publications

(35 citation statements)

References 22 publications

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“…In recent years, studies using nutritional status to predict the prognosis of lung cancer treatment have been reported to be useful in predicting prognosis (29)(30)(31)(32)(33)(34)(35)(36)(37)(38). For example, there are studies on the correlation between body weight loss rate and prognosis and on preoperative body mass index or prealbumin levels for predicting prognosis (36)(37)(38).…”

Section: Discussionmentioning

confidence: 99%

“…For example, there are studies on the correlation between body weight loss rate and prognosis and on preoperative body mass index or prealbumin levels for predicting prognosis (36)(37)(38). There are also reports of nutritional indicators; among them, PNI is reported to be a simple and useful indicator (29)(30)(31)(32)(33)(34)(35). However, no reports have shown that prognosis after recurrence has been improved by preventing a decrease in physical fitness or malnutrition.…”

Section: Discussionmentioning

confidence: 99%

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Combination of Juzentaihoto and chemotherapy improves the prognosis of patients with postoperative recurrence of non‑small cell lung cancer

Kawai

Saito

2020

mol clin onc

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Kampo medicines have been used to reduce chemotherapy-induced adverse events. However, whether Kampo medicine can improve the prognosis of cancer remains unclear. The present study aimed to clarify the effect of Juzentaihoto (TJ-48) on patients with postoperative recurrence of non-small cell lung cancer. In total, 45 patients with postoperative recurrent non-small cell lung cancer scheduled for first-line chemotherapy were enrolled in the present study. Differences in progression-free survival between the chemotherapy combined with TJ-48 and chemotherapy only groups were analyzed. Body weight change and prognostic nutritional index were also evaluated to examine whether these factors were influenced by TJ-48 administration. Multivariate analysis was performed to detect independent prognostic factors. A significant increase was observed in progression-free survival in the chemotherapy plus TJ-48 group compared with in the chemotherapy alone group (P<0.001). Significant decreases in body weight and prognostic nutritional index score were observed in the chemotherapy alone group (P<0.01 and P<0.05, respectively); however, these decreases were not observed in the chemotherapy plus TJ-48 group. Multivariate analysis revealed that TJ-48 administration with chemotherapy was an independent prognostic factor. In conclusion, TJ-48 combined with chemotherapy may improve the progression-free survival of patients with postoperative recurrence of non-small cell lung cancer by preventing nutritional disorders.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Combination of Juzentaihoto and chemotherapy improves the prognosis of patients with postoperative recurrence of non‑small cell lung cancer

Kawai

Saito

2020

mol clin onc

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“…Several studies have shown that preoperative weight loss and malnutrition status are independent risk factors for postoperative complications after thoracic surgery (Harpole Jr et al 1999;Jagoe et al 2001;Matsuoka et al 2013b;Ramos et al 2018;Watanabe et al 2018). In a recent study involving 219 patients who had undergone major resection for lung cancer, patients with low scores on the Nutritional Risk Index (NRI) had significantly higher rates of postoperative complications (particularly pneumonia), longer chest drainage time, and longer LOS than non-malnourished patients (Ramos et al 2018). A further study, involving 131 elderly (≥ 75 years) patients undergoing surgery for lung cancer, found significantly shorter 5-year cancer-specific survival in malnourished patients, compared with non-malnourished patients (47.8% vs. 76.2%, respectively, P = 0.017) (Watanabe et al 2018).…”

Section: Fair Bmentioning

confidence: 99%

Recommendations from the Italian intersociety consensus on Perioperative Anesthesia Care in Thoracic surgery (PACTS) part 1: preadmission and preoperative care

et al. 2020

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Introduction Anesthetic care in patients undergoing thoracic surgery presents specific challenges that necessitate standardized, multidisciplionary, and continuously updated guidelines for perioperative care. Methods A multidisciplinary expert group, the Perioperative Anesthesia in Thoracic Surgery (PACTS) group, comprising 24 members from 19 Italian centers, was established to develop recommendations for anesthesia practice in patients undergoing thoracic surgery (specifically lung resection for cancer). The project focused on preoperative patient assessment and preparation, intraoperative management (surgical and anesthesiologic care), and postoperative care and discharge. A series of clinical questions was developed, and PubMed and Embase literature searches were performed to inform discussions around these areas, leading to the development of 69 recommendations. The quality of evidence and strength of recommendations were graded using the United States Preventative Services Task Force criteria. Results Recommendations for preoperative care focus on risk assessment, patient preparation (prehabilitation), and the choice of procedure (open thoracotomy vs. video-assisted thoracic surgery). Conclusions These recommendations should help pulmonologists to improve preoperative management in thoracic surgery patients. Further refinement of the recommendations can be anticipated as the literature continues to evolve.

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“…30 Conventional measurements in terms of body mass index (BMI) or waist-to-hip ratio were identified as important parameters for detection of malnutrition and on the other side being closely connected with clinically relevant endpoints in numerous studies. [31][32][33] Bioelectrical impedance analyses were shown to be solidly connected with nutritional status, however, of controversial connects with composited prognostic endpoints. 34 Assessment of body composition is made using skinfold caliper, a convenient tool with solid accuracy.…”

Section: Clinical Assessment Of Nutritional Riskmentioning

confidence: 99%

Nutritional Considerations of Cardiovascular Diseases and Treatments

Boban

Bulj

Zeljković³

et al. 2019

Nutr Metab Insights

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Nutritional considerations of many chronic diseases are not fully understood or taken into consideration in everyday clinical practice. Therefore, it is not surprising that high proportion of hospitalized patients with cardiovascular diseases remains underdiagnosed with malnutrition. Malnourished patients have increased risk of poor clinical outcomes, complications rate, prolonged hospital stay, more frequent rehospitalizations, and lower quality of life. The purpose of this review is to recapitulate recent data on nutritional considerations in cardiovascular medicine.

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Preoperative nutritional status assessment predicts postoperative outcomes in patients with surgically resected non-small cell lung cancer

Cited by 41 publications

References 22 publications

Combination of Juzentaihoto and chemotherapy improves the prognosis of patients with postoperative recurrence of non‑small cell lung cancer

Combination of Juzentaihoto and chemotherapy improves the prognosis of patients with postoperative recurrence of non‑small cell lung cancer

Recommendations from the Italian intersociety consensus on Perioperative Anesthesia Care in Thoracic surgery (PACTS) part 1: preadmission and preoperative care

Nutritional Considerations of Cardiovascular Diseases and Treatments

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