Journal of Korean Traditional Oncology (대한암한의학회지)

Korean Association of Traditional Oncology (대한암한의학회)
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Prognostic Value of a Single Center Nutrition Screening Tool in Patients with Metastatic Cancer

전이암 환자에서 단일기관 영양검색 도구의 예후 가치

  • Yoon, Sung Soo (Department of Korean Internal Medicine, Korean Medicine Cancer Center) ;
  • Kim, Min Jin (Nutritional Support Team, Kyung Hee University Hospital at Gangdong) ;
  • Kim, Eun Hye (Department of Korean Internal Medicine, Korean Medicine Cancer Center) ;
  • Lee, Jee Young (Department of Korean Internal Medicine, Korean Medicine Cancer Center) ;
  • Yoon, Seong Woo (Department of Korean Internal Medicine, Korean Medicine Cancer Center)
  • 윤성수 (강동경희대학교병원 한방암센터 한방내과) ;
  • 김민진 (강동경희대학교병원 영양지원팀) ;
  • 김은혜 (강동경희대학교병원 한방암센터 한방내과) ;
  • 이지영 (강동경희대학교병원 한방암센터 한방내과) ;
  • 윤성우 (강동경희대학교병원 한방암센터 한방내과)
  • Received : 2019.11.11
  • Accepted : 2019.12.20
  • Published : 2019.12.30
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Abstract

Objectives : We investigated whether a single center nutrition screening tool (Kyunghee Neo Nutrition Risk Screening, KNNRS) can predict survival in patients with metastatic cancer. Methods : We retrospectively reviewed data of inpatients with metastatic cancer from April 2016 to August 2019. Data on demographic and clinical parameters were collected from electronic medical records, and overall survival was estimated using the Kaplan-Meier method. Stepwise Cox regression analysis was used to determine factors associated with survival. Patients with a KNNRS score of 0 to 3 were classified as "no-risk", 4 to 10 as "low-risk", and 11 to 20 as "high-risk". Results : Total 105 patients were included in the study. According to nutritional screening at baseline, 25 patients (23.8%, median age 57.0) were classified as ""no risk"" group; 80 patients (76.2%, median age 68.5) as "low risk" group; No patients as "high risk" group. Predictors of survival were Eastern Cooperative Oncology Group Performance Status score of 3 or 4 (hazard ratio [HR] = 1.93; 95% confidence interval [CI] = 1.21-3.10), hemoglobin less than 10 g/dL (HR = 1.97; 95% CI = 1.25-3.10) and C-reactive protein more than 1.0 mg/dL (HR = 1.95; 95% CI = 1.21-3.13). Kaplan-Meier survival analysis showed significant differences in the survival between KNNRS groups: ""no risk"" group: 6.1 ± 1.4 months (95% CI = 3.37-8.83); ""low risk"" group: 3.4 ± 0.9 months (95% CI = 1.5-5.37). Conclusions : Nutritional status according to KNNRS wasn't significant predictor of survival for patients with metastatic cancer. Improvement of KNNRS score thresholds is needed.

Keywords

References

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