2021
CT Evaluated Sarcopenia Signals: Shorter Survival for Small Cell Lung Cancer Patients
PEKAŘOVÁ, Anna, Matej PEKAŘ, Daniel DANIŠ a Zuzana NOVÁKOVÁZákladní údaje
Originální název
CT Evaluated Sarcopenia Signals: Shorter Survival for Small Cell Lung Cancer Patients
Autoři
PEKAŘOVÁ, Anna (203 Česká republika, domácí), Matej PEKAŘ (703 Slovensko, garant, domácí), Daniel DANIŠ (703 Slovensko) a Zuzana NOVÁKOVÁ (203 Česká republika, domácí)
Vydání
Physiological Research, Praha, Institute of Physiology, Academy of Sci, 2021, 0862-8408
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30203 Respiratory systems
Stát vydavatele
Česká republika
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Impakt faktor
Impact factor: 2.139
Kód RIV
RIV/00216224:14110/21:00123367
Organizační jednotka
Lékařská fakulta
UT WoS
000755158200012
Klíčová slova anglicky
small cell lung cancer; survival; sarcopenia; psoas muscle density; abdominal muscle area
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 17. 5. 2022 12:42, Mgr. Tereza Miškechová
Anotace
V originále
Sarcopenia is an independent risk factor for morbidity and mortality in patients suffering from small cell lung cancer (SCLC), however, a universal indicator of sarcopenia usable in clinical practice is still missing. A novel indicator for describing the severity of cancer could be helpful in tailoring the anti-tumor therapy. The aim of this study was to evaluate the computed tomography (CT) scans of total muscle area and radiation attenuation in patients suffering from small cell lung cancer. We used staging CT scans performed at the time of diagnosis to measure total muscle area (TMA) and average psoas density (PD) at level of the 3rd lumbar vertebra. TMA and PD were statistically evaluated in association with overall survival and disease staging. We used Mann-Whitney test and Spearman ' s correlation coefficient for statistical testing and p-value under 0.05 was considered statistically significant. Retrospectively we examined 47 patients suffering from SCLC (mean age 65.05 +/- 7.3 years, BMI 23.97 +/- 4.4 kg/m(2) , BSA 1.77 +/- 0.2 m(2) , 30-day mortality was 4.3 % with 10 months median survival). As sarcopenia was pointed TMA under 55 and 39 cm(2)/m(2) for men and women respectively. The sarcopenic patients had significantly shorter median survival (7 vs. 11 months, p=0.05). We observed a significant relationship between survival and performance status (Spearman ' s correlation, R=-0.39, p=0.05). The patients were divided into two groups according to the extensive (ED, n=34) or limited (LD, n=13) form of the disease. We observed significant difference in PD (42.49 +/- 6.1 vs. 47.67 +/- 4.5 HU, p=0.006) between ED vs. LD groups.
Návaznosti
MUNI/A/1246/2020, interní kód MU |
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