Papers

International journal
Jun 4, 2021

Sarcopenia is associated with poor prognosis after chemoradiotherapy in patients with stage III non-small-cell lung cancer: a retrospective analysis.

Scientific reports
  • Kuniaki Katsui
  • ,
  • Takeshi Ogata
  • ,
  • Soichi Sugiyama
  • ,
  • Kotaro Yoshio
  • ,
  • Masahiro Kuroda
  • ,
  • Takao Hiraki
  • ,
  • Katsuyuki Kiura
  • ,
  • Yoshinobu Maeda
  • ,
  • Shinichi Toyooka
  • ,
  • Susumu Kanazawa

Volume
11
Number
1
First page
11882
Last page
11882
Language
English
Publishing type
Research paper (scientific journal)
DOI
10.1038/s41598-021-91449-z

We intended to investigate whether muscle and adipose masses were associated with prognosis among patients with stage III non-small-cell lung cancer (NSCLC) who were undergoing chemoradiotherapy (CCRT). We retrospectively explored data of patients with stage III NSCLC who underwent definitive CCRT (≥ 60 Gy) between January 2004 and March 2018 at our hospital. We examined the relationship of overall survival (OS) with body mass index (BMI), skeletal muscle index (SMI), psoas muscle index (PMI), visceral adipose tissue index (VAI), subcutaneous adipose tissue index (SAI), and visceral-to-subcutaneous adipose tissue area ratio (VSR) using log-rank tests for the univariate analysis and Cox proportional hazard models for the multivariate analysis. Overall, 16, 32, and 12 patients had stage IIIA, IIIB, and IIIC NSCLC, respectively. The total radiotherapy dose ranged from 60 Gy/30 fractions to 66 Gy/33 fractions. In the univariate analysis, the performance status (PS), BMI, and SMI were associated with OS, whereas the PMI, VAI, SAI, and VSR were not. In the multivariate analysis, the PS and SMI were associated with OS. The hazard ratios and 95% confidence intervals were 2.91 and 1.28-6.64 for PS, and 2.36 and 1.15-4.85 for SMI, respectively. The 1, 3, and 5-year OS rates were 92.1%, 59.6%, and 51.0% in patients with high SMI, and 63.6%, 53.8%, and 17.9% in patients with low SMI, respectively. The SMI correlated with prognosis in our study population, whereas adipose mass did not. Therefore, sarcopenia should be considered while predicting the OS in such patients.

Link information
DOI
https://doi.org/10.1038/s41598-021-91449-z
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/34088965
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8178326
ID information
  • DOI : 10.1038/s41598-021-91449-z
  • Pubmed ID : 34088965
  • Pubmed Central ID : PMC8178326

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