Is sarcopenia effective on survival in patients with metastatic gastric cancer?

doi:10.4251/wjgo.v16.i5.1861

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May 15, 2024 (publication date) through Jul 21, 2024

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World Journal of Gastrointestinal Oncology

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1948-5204

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastrointest Oncol. May 15, 2024; 16(5): 1861-1868
Published online May 15, 2024. doi: 10.4251/wjgo.v16.i5.1861

Table 1 Clinicopathologic characteristics of patients, n (%)

Patient characteristics	Sarcopenic	Non-sarcopenic	P value
Sex
Female	7 (24.1)	21 (23.6)	0.567
Male	22 (75.9)	68 (76.4)	N/A
Age in yr
< 65	12 (41.4)	48 (53.9)	0.288
≥ 65	17 (58.6)	41 (46.1)	N/A
PS score in points			0.197
0 or 1	19 (65.5)	69 (77.5)	N/A
2 or 3	10 (34.5)	20 (22.5)	N/A
Differentiation			0.823
Moderate or well	11 (44.0)	29 (41.4)	N/A
Poor	14 (56.0)	41 (58.6)	N/A
Smoking history			0.193
Yes	19 (65.5)	46 (51.7)	N/A
No	10 (34.5)	43 (48.3)	N/A
Number of metastatic sites			0.513
< 2	19 (65.5)	64 (71.9)	N/A
≥ 2	10 (34.5)	25 (28.1)	N/A
CEA level			0.295
< 5	10 (35.7)	40 (47.1)	N/A
≥ 5	18 (64.3)	45 (52.9)	N/A
BMI in kg/m²			0.427
Underweight, < 18.5	1 (3.4)	10 (11.2)	N/A
Normal, 18.5-24.9	18 (62.1)	47 (52.8)	N/A
Overweight, 25.0-29.9	7 (24.1)	27 (30.3)	N/A
Obese, > 30.0	3 (10.3)	5 (5.6)	N/A

BMI: Body mass index; CEA: Carcinoembryonic antigen; N/A: Not applicable; PS: Performance status.

Table 2 Univariate and multivariate analysis of clinicopathologic characteristics on survival

Clinicopathologic characteristics	Univariate analyses, HR (95%CI)	P value	Multivariate analyses, HR (95%CI)	P value
Age in yr, < 65 vs ≥ 65	1.366 (0.942-1.979)	0.100	N/A	N/A
Sex, female vs male	0.963 (0.776-1.196)	0.735	N/A	N/A
PS score in points, 0 or 1 vs 2 or 3	1.142 (0.745-1.753)	0.542	N/A	N/A
Differentiation, moderate or well vs poor	0.947 (0.622-1.441)	0.800	N/A	N/A
Number of metastases, < 2 vs ≥ 2	1.416 (0.947-2.118)	0.090	N/A	N/A
CEA level, < 5 vs ≥ 5	1.707 (1.144-2.548)	0.009	1.650 (1.102-2.469)	0.015
Smoking history, yes vs no	0.956 (0.794-1.151)	0.634	N/A	N/A
Presence of sarcopenia, yes vs no	9.512 (5.489-16.484)	0.000	9.542 (5.398-16.867)	0.000
BMI in kg/m²: underweight, < 18.5; normal, 18.5-24.9; overweight, 25.0-29.9; obese, > 30.0	0.914 (0.722-1.157)	0.456	N/A	N/A

BMI: Body mass index; CEA: Carcinoembryonic antigen; CI: Confidence interval; N/A: Not applicable; HR: Hazard ratio; PS: Performance status.

Citation: Dogan O, Sahinli H, Duzkopru Y, Akdag T, Kocanoglu A. Is sarcopenia effective on survival in patients with metastatic gastric cancer? World J Gastrointest Oncol 2024; 16(5): 1861-1868
URL: https://www.wjgnet.com/1948-5204/full/v16/i5/1861.htm
DOI: https://dx.doi.org/10.4251/wjgo.v16.i5.1861