Weight loss as a predictor of reduced survival in patients with lung cancer: a systematic review with meta-analysis.

Int J Obes (Lond)

Cancer Institute, The Affiliated People's Hospital, Jiangsu University, Zhenjiang, 212002, China.

Published: January 2025

AI Article Synopsis

  • A systematic review and meta-analysis were conducted to evaluate how weight loss affects survival in lung cancer patients.
  • The analysis included 15 studies with over 14,500 patients and found that a weight loss of at least 5% was linked to decreased overall and progression-free survival rates.
  • Results indicate that weight monitoring could enhance the ability to predict survival outcomes for lung cancer patients, regardless of various factors like cancer stage or type.

Article Abstract

Background: The impact of weight loss on survival outcomes remains challenging in patients with lung cancer. The objective of this systematic review with meta-analysis was to assess the association of weight loss with survival outcomes in these patients.

Methods: Two authors conducted a comprehensive literature search of PubMed, Web of Science, and Embase databases up to January 15, 2024. Observational studies that assessed the weight loss as a prognostic factor of overall survival and progression-free survival in patients with lung cancer were included this analysis. Weight loss defined by at least 5% loss of total body weight over 2 months.

Results: Fifteen studies involving 14,540 patients with lung cancer were included. Pooled adjusted hazard ratios (HR) indicated that weight loss was associated with reduced overall survival (HR 1.65; 95% confidence intervals [CI] 1.43-1.91) and progression-free survival (HR 1.40; 95% CI 1.15-1.71). Subgroup analysis showed that weight loss significantly predicted overall survival, regardless of study design, lung cancer subtypes, clinical stage of cancer, weight loss definition, or length of follow-up.

Conclusions: Weight loss is a significant predictor of overall survival and progression-free survival in patients with lung cancer. Weight monitoring has potential to improve prognostication of survival outcomes for these patients.

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Source
http://dx.doi.org/10.1038/s41366-024-01642-zDOI Listing

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