PEKAŘOVÁ, Anna, Matej PEKAŘ, Daniel DANIŠ and Zuzana NOVÁKOVÁ. CT Evaluated Sarcopenia Signals: Shorter Survival for Small Cell Lung Cancer Patients. Physiological Research. Praha: Institute of Physiology, Academy of Sci, 2021, vol. 70, (Suppl. 3), p. "S381"-"S386", 6 pp. ISSN 0862-8408. Available from: https://dx.doi.org/10.33549/physiolres.934816.
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Basic information
Original name CT Evaluated Sarcopenia Signals: Shorter Survival for Small Cell Lung Cancer Patients
Authors PEKAŘOVÁ, Anna (203 Czech Republic, belonging to the institution), Matej PEKAŘ (703 Slovakia, guarantor, belonging to the institution), Daniel DANIŠ (703 Slovakia) and Zuzana NOVÁKOVÁ (203 Czech Republic, belonging to the institution).
Edition Physiological Research, Praha, Institute of Physiology, Academy of Sci, 2021, 0862-8408.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30203 Respiratory systems
Country of publisher Czech Republic
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 2.139
RIV identification code RIV/00216224:14110/21:00123367
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.33549/physiolres.934816
UT WoS 000755158200012
Keywords in English small cell lung cancer; survival; sarcopenia; psoas muscle density; abdominal muscle area
Tags 14110515, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 17/5/2022 12:42.
Abstract
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.
Links
MUNI/A/1246/2020, interní kód MUName: Kardiovaskulární systém: od iontového kanálu k celotělovému modelu (Acronym: KAVASYKAMO)
Investor: Masaryk University
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