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Prognostic value of cachexia defined by the Asian Working Group for Cachexia criteria in patients with gastric cancer

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Journal of Nutritional Oncology 2024年第2期9卷 63-71,I0001页

作者： Hai-Lun Xie Li-Shuang Wei Shu-Yao Wang Chang-Hong Xu Guo-Tian Ruan He-Yang Zhang Han-Ping Shi Jun-Qiang Chen Department of Gastrointestinal Gland Surgery The First Affiliated Hospital of Guangxi Medical UniversityNanning 530021GuangxiChina Department of General Surgery Beijing Friendship HospitalCapital Medical UniversityBeijing 100050China Department of Gastroenterology Beijing Friendship HospitalCapital Medical UniversityBeijing 100050China Center of Cancer Nutrition and Metabolism Beijing Shijitan HospitalCapital Medical UniversityBeijing 100038China Guangxi Key Laboratory of Enhanced Recovery after Surgery for Gastrointestinal Cancer The First Affiliated Hospital of Guangxi Medical UniversityNanning 530021GuangxiChina Guangxi Clinical Research Center for Enhanced Recovery after Surgery The First Affiliated Hospital of GuangxiMedical UniversityNanning 530021GuangxiChina and 7Guangxi Zhuang Autonomous Region Engineering Research Center for Artificial Intelligence Analysis of Multimodal Tumor Images The First Affiliated Hospital of Guangxi Medical UniversityNanning 530021GuangxiChina

Background:The Asian Working Group for Cachexia(AWGC)criteria are newly proposed diagnostic standards specifically designed for Asian *** research focused on validating the predictive value of the AWGC criteria for assessing the prognosis and medical burden of patients with gastric ***:Cox proportional hazards analysis was conducted to evaluate the association between cachexia and overall *** regression analysis was used to assess whether there was an independent association between cachexia and the 90-day mortality,the length of stay and the quality of ***’s concordance index was utilized to demonstrate the discriminative ability of different diagnostic criteria for ***:AWGC-defined cachexia was an independent risk factor for a reduced overall survival in patients(HR=1.397,95%CI=1.209–1.615,P90-day mortality(OR=2.142,95%CI=1.397–3.282,P<0.001)and prolonged hospitalization(OR=1.958,95%CI=1.587–2.416,P<0.001)in patients with gastric cancer,whereas cachexia defined by the Fearon criteria was *** with AWGC-defined cachexia exhibited significant reductions in physical function,role function,emotional function,cognitive function,social functioning,and overall quality-of-life ***,cachectic patients showed higher levels of fatigue,nausea and vomiting,pain,dyspnea,sleep disturbance,appetite loss,constipation,and financial difficulties.A multivariate logistic regression showed that patients with AWGC-defined cachexia had a 126.1%increased risk of impaired quality of life(OR=2.261,95%CI=1.859–2.749,P<0.001).Conclusions:The AWGC criteria are an

关键词： Cachexia AWGC criteria Survival 90-day mortality Gastric cancer

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