Article ; Online: Prognostic Impact of Adiposity in Hematological Malignancies: A Systematic Review and Meta-analysis.
Clinical lymphoma, myeloma & leukemia
2022 Volume 22, Issue 10, Page(s) 726–734
Abstract: It has been proposed that direct measurement of adiposity has a greater accuracy as a prognostic factor in various malignancies than anthropometric measures such as BMI. We evaluated the association of visceral and subcutaneous adiposity with outcomes in ...
Abstract | It has been proposed that direct measurement of adiposity has a greater accuracy as a prognostic factor in various malignancies than anthropometric measures such as BMI. We evaluated the association of visceral and subcutaneous adiposity with outcomes in patients with hematological malignancies with a systematic review and meta-analysis. This systematic review included patients with hematological malignancies who had the analysis of overall mortality and progression-free survival according to their adiposity status. We identified 3137 articles, of which we included seven studies. Patients with visceral low visceral adiposity had 2 times greater mortality risk (HR 2.02, P = .0004) and 80% higher risk of death or disease progression (HR 2.98, P = 0.0002), than patients with normal visceral obesity. Patients classified with subcutaneous adipopenia had almost 3 times greater mortality risk. In conclusion, hematological malignancy patients having low adiposity (subcutaneous or visceral) have worse outcomes. |
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MeSH term(s) | Adiposity ; Body Mass Index ; Hematologic Neoplasms/complications ; Hematologic Neoplasms/diagnosis ; Hematologic Neoplasms/pathology ; Humans ; Intra-Abdominal Fat/pathology ; Obesity/complications ; Prognosis |
Language | English |
Publishing date | 2022-05-29 |
Publishing country | United States |
Document type | Journal Article ; Meta-Analysis ; Review ; Systematic Review ; Research Support, Non-U.S. Gov't |
ZDB-ID | 2540992-X |
ISSN | 2152-2669 ; 2152-2650 |
ISSN (online) | 2152-2669 |
ISSN | 2152-2650 |
DOI | 10.1016/j.clml.2022.05.008 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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