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Nutritional status and survival of 8247 cancer patients with or without diabetes mellitus-results from a prospective cohort study.


ABSTRACT: BACKGROUND:The number of cancer patients with diabetes mellitus (DM) is steadily rising. Little is known about the nutritional status of this population. This study characterized the nutritional status and survival of cancer patients with diabetes compared with those without diabetes. METHODS:A total of 8247 cancer patients were prospectively enrolled from 72 hospitals in China and followed until August 2019. A global estimation of the nutritional status was performed for each participant using standardized tools. The outcomes were cancer-specific survival (CSS) and overall survival (OS). RESULTS:The incidence of diabetes was 7.6% in the whole population. In comparison with the non-DM group, the DM group had greater body weight, but a similar fat-free mass, a lower handgrip strength and a decreased Karnofsky performance score. A higher proportion of patients with diabetes were overweight/obese as indicated by BMI. The percentage of patients who were at risk of malnutrition (evaluated by PG-SGA) was higher in the DM group (score ? 4, 56.7% vs 52.9%). Patients with DM showed a worse CSS (4-year CSS, 62% vs 73%) and OS (4-year OS 39% vs 52%). Diabetes was associated with an increased risk of both cancer-specific (hazard ratio (HR) = 1.282, 95% confidence interval (CI) 1.070-1.536) and overall (HR = 1.206, 95% CI 1.040-1.399) mortality. CONCLUSIONS:Cancer patients with diabetes had a larger body mass but lower muscle strength, poorer performance status and higher incidence of malnourishment. Diabetes was associated with compromised survival. Tailored nutritional intervention is necessary for this subpopulation of patients.

SUBMITTER: Cong M 

PROVIDER: S-EPMC7571830 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature

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Nutritional status and survival of 8247 cancer patients with or without diabetes mellitus-results from a prospective cohort study.

Cong Minghua M   Zhu Wenjie W   Wang Chang C   Fu Zhenming Z   Song Chunhua C   Dai Zhong Z   Yao Keqing K   Guo Zengqing Z   Lin Yuan Y   Shi Yingying Y   Hu Wen W   Ba Yi Y   Li Suyi S   Li Zengning Z   Wang Kunhua K   Wu Jing J   He Ying Y   Yang Jiajun J   Xie Conghua C   Song Xinxia X   Chen Gongyan G   Ma Wenjun W   Luo Suxia S   Chen Zihua Z   Ma Hu H   Zhou Chunling C   Wang Wei W   Luo Qi Q   Shi Yongmei Y   Qi Yumei Y   Jiang Haiping H   Guan Wenxian W   Chen Junqiang J   Chen Jiaxin J   Fang Yu Y   Zhou Lan L   Feng Yongdong Y   Tan Rongshao R   Li Tao T   Ou Junwen J   Zhao Qingchuan Q   Wu Jianxiong J   Deng Li L   Lin Xin X   Yang Liuqing L   Xu Hongxia H   Li Wei W   Yu Lei L   Shi Hanping H  

Cancer medicine 20200819 20


<h4>Background</h4>The number of cancer patients with diabetes mellitus (DM) is steadily rising. Little is known about the nutritional status of this population. This study characterized the nutritional status and survival of cancer patients with diabetes compared with those without diabetes.<h4>Methods</h4>A total of 8247 cancer patients were prospectively enrolled from 72 hospitals in China and followed until August 2019. A global estimation of the nutritional status was performed for each par  ...[more]

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