Body mass index above 24 is beneficial for the 6-month survival rate in hepatocellular carcinoma patients with extrahepatic metastases

被引:5
作者
Chang, Yueh-Shih [1 ]
Huang, Jen-Seng [1 ]
Yen, Cho-Li [2 ]
Chien, Rong-Nan [2 ]
Wang, Cheng-Hsu [1 ]
Lai, Chien-Hong [1 ]
Wu, Tsung-Han [1 ]
Lan, Yii-Jeng [1 ]
Yeh, Kun-Yun [1 ]
机构
[1] Keelung & Chang Gung Univ, Chang Gung Mem Hosp, Dept Internal Med, Div Hematooncol, Keelung, Taiwan
[2] Keelung Chang Gung Mem Hosp, Dept Internal Med, Div Hepatogastroenterol, Liver Res Unit, Keelung, Taiwan
关键词
hepatocellular carcinoma; body mass index; 6-month survival; metastasis; extrahepatic; NONALCOHOLIC FATTY LIVER; CLINICAL-FEATURES; OBESITY; DISEASE; IMPACT; RISK;
D O I
10.6133/apjcn.062016.03
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 [营养与食品卫生学];
摘要
Background and Objectives: To investigate the effect of overweight status on the 6-month survival rate in patients with extrahepatic hepatocellular carcinoma (HCC). Methods and Study Design: We retrospectively analyzed the records of 51 patients with hepatocellular carcinoma and extrahepatic metastases between 2007 and 2010 before treatment. The associations among overweight status (body mass index [BMI] >24 kg/m(2)), demographic variables, and survival outcome were analyzed by univariate and multivariate analysis. Results: BMI>24 kg/m(2) was significantly associated with the 6-month survival rate (p=0.042). Gender (p=0.149), Child Pugh classification (p=0.149), Okuda staging (p=0.093), and albumin concentration >3.5 mg/dL (p=0.082) showed marginal survival benefits in univariate analysis. Multivariate analysis confirmed that BMI >24 kg/m(2) was an independent prognostic factor for the 6-month survival rate (p=0.03). Conclusions: BMI >24 kg/m(2) was associated with an improved 6-month survival rate in patients with extrahepatic metastatic hepatocellular carcinoma.
引用
收藏
页码:637 / 641
页数:5
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