Nutrition and Cancer-An International Journal最新文献

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Association of Chemotherapy-Induced Peripheral Neuropathy with Diet Quality Among Post-Treatment Cancer Survivors. 化疗引起的周围神经病变与癌症治疗后幸存者饮食质量的关系
IF 2 4区 医学
Nutrition and Cancer-An International Journal Pub Date : 2024-01-01 Epub Date: 2024-06-25 DOI: 10.1080/01635581.2024.2364389
Robert Knoerl, Robert Ploutz-Snyder, Liat Smener, Cindy Tofthagen, Suzanna Zick
{"title":"Association of Chemotherapy-Induced Peripheral Neuropathy with Diet Quality Among Post-Treatment Cancer Survivors.","authors":"Robert Knoerl, Robert Ploutz-Snyder, Liat Smener, Cindy Tofthagen, Suzanna Zick","doi":"10.1080/01635581.2024.2364389","DOIUrl":"10.1080/01635581.2024.2364389","url":null,"abstract":"<p><p>Nutrition is essential for peripheral nerve function, yet dietary factors associated with chronic chemotherapy-induced peripheral neuropathy (CIPN) remain poorly characterized. The purpose of this cross-sectional study was to determine differences in diet quality and macronutrients for cancer survivors with and without CIPN. Cancer survivors (e.g., ≥3 months post platinum and/or taxane-based neurotoxic chemotherapy) with (i.e., ≥1/4 PRO-CTACE™ Numbness and Tingling Severity) and without CIPN completed the VioScreen Research Graphical Food Frequency Questionnaire. The association among diet (Healthy Eating Index [HEI]), macronutrient intake (average percent caloric intake), and CIPN severity were analyzed using generalized linear regression models, adjusting for caloric intake, body mass index, age, and sex. Results revealed that for each one-point increase in diet quality, PRO-CTCAE severity decreased by -0.06 (<i>95% CI</i>: -0.10, -0.02, <i>P</i> < 0.01). Participants without CIPN reported higher diet quality than those with CIPN (HEI <i>mean:</i> 70.11 vs 68.45) (<i>OR</i> = 0.94, <i>P</i> = 0.03, <i>95% CI</i>: 0.89, 0.99). Participants with CIPN had significantly higher carbohydrate consumption than participants without CIPN (<i>OR</i> = 1.11, <i>P</i> = 0.04, <i>95% CI</i>: 1.01, 1.22). There were no significant differences in consumption of proteins or fats between groups. Further research should be pursued to discover the potential benefits of dietary interventions for CIPN management among cancers survivors.</p>","PeriodicalId":54701,"journal":{"name":"Nutrition and Cancer-An International Journal","volume":" ","pages":"717-725"},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11290979/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141452208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Natural Stilbenes: Their Role in Colorectal Cancer Prevention, DNA Methylation, and Therapy. 天然芪:它们在大肠癌预防、DNA 甲基化和治疗中的作用。
IF 2 4区 医学
Nutrition and Cancer-An International Journal Pub Date : 2024-01-01 Epub Date: 2024-07-01 DOI: 10.1080/01635581.2024.2364391
Veronika Fialková, Hana Ďúranová, Petra Borotová, Lucia Klongová, Maja Grabacka, Ivana Speváková
{"title":"Natural Stilbenes: Their Role in Colorectal Cancer Prevention, DNA Methylation, and Therapy.","authors":"Veronika Fialková, Hana Ďúranová, Petra Borotová, Lucia Klongová, Maja Grabacka, Ivana Speváková","doi":"10.1080/01635581.2024.2364391","DOIUrl":"10.1080/01635581.2024.2364391","url":null,"abstract":"<p><p>The resistance of colorectal cancer (CRC) to conventional therapeutic modalities, such as radiation therapy and chemotherapy, along with the associated side effects, significantly limits effective anticancer strategies. Numerous epigenetic investigations have unveiled that naturally occurring stilbenes can modify or reverse abnormal epigenetic alterations, particularly aberrant DNA methylation status, offering potential avenues for preventing or treating CRC. By modulating the activity of the DNA methylation machinery components, phytochemicals may influence the various stages of CRC carcinogenesis through multiple molecular mechanisms. Several epigenetic studies, especially preclinical research, have highlighted the effective DNA methylation modulatory effects of stilbenes with minimal adverse effects on organisms, particularly in combination therapies for CRC. However, the available preclinical and clinical data regarding the effects of commonly encountered stilbenes against CRC are currently limited. Therefore, additional epigenetic research is warranted to explore the preventive potential of these phytochemicals in CRC development and to validate their therapeutic application in the prevention and treatment of CRC. This review aims to provide an overview of selected bioactive stilbenes as potential chemopreventive agents for CRC with a focus on their modulatory mechanisms of action, especially in targeting alterations in DNA methylation machinery in CRC.</p>","PeriodicalId":54701,"journal":{"name":"Nutrition and Cancer-An International Journal","volume":" ","pages":"760-788"},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141477975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dietary Factors and the Risk of Colorectal Cancer: A Mendelian Randomization Study. 饮食因素与结直肠癌风险:孟德尔随机研究》。
IF 2 4区 医学
Nutrition and Cancer-An International Journal Pub Date : 2024-01-01 Epub Date: 2024-07-02 DOI: 10.1080/01635581.2024.2374042
Xingyuan Li, Shengqi Pan, Jiaqi Wang, Zewen Chang, Huan Xiong, Ke Ding, Qingchao Tang
{"title":"Dietary Factors and the Risk of Colorectal Cancer: A Mendelian Randomization Study.","authors":"Xingyuan Li, Shengqi Pan, Jiaqi Wang, Zewen Chang, Huan Xiong, Ke Ding, Qingchao Tang","doi":"10.1080/01635581.2024.2374042","DOIUrl":"10.1080/01635581.2024.2374042","url":null,"abstract":"<p><strong>Objective: </strong>To examine the causal association between 15 dietary factors and the incidence of colorectal cancer through the application of Mendelian randomization methodology.</p><p><strong>Methods: </strong>The data associated with 15 dietary factors were derived from the IEU OPEN GWAS database, and the colorectal cancer data were sourced from the FinnGen database. The Inverse Variance Weighting method was the principal research method. Sensitivity analyses were implemented to affirm the robustness of the findings. Additionally, we conducted multivariable Mendelian randomization analyses to adjust for the intake of ω-3 and ω-6 polyunsaturated fatty acids.</p><p><strong>Results: </strong>In our research, we observed suggestive causal relationships between genetically predicted water intake and the reduced risk of colorectal cancer (OR = 0.54; 95% CI= 0.31 ∼ 0.93; <i>p</i> = 0.028); genetically predicted ω-3 PUFA intake (OR = 1.17; 95% CI= 1.05 ∼ 1.30; <i>p</i> = 0.005) were suggestively associated with the increased risk of colorectal cancer. In the multivariable Mendelian randomization analysis, the effect of ω-3 PUFA intake remains significant after adjusting for the influence of ω-6 PUFA intake. Horizontal pleiotropy was not present in this study.</p><p><strong>Conclusions: </strong>There exists a suggestive causal association between increased water intake and decreased risk of colorectal cancer, while ω-3 PUFA intake are suggestive linked to the increased risk of colorectal cancer.</p>","PeriodicalId":54701,"journal":{"name":"Nutrition and Cancer-An International Journal","volume":" ","pages":"849-860"},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cancer-Related Malnutrition and the Role of Parenteral Nutrition in Cancer; A Narrative Review. 癌症相关营养不良和肠外营养在癌症中的作用;叙述性综述。
IF 2 4区 医学
Nutrition and Cancer-An International Journal Pub Date : 2024-01-01 Epub Date: 2024-07-22 DOI: 10.1080/01635581.2024.2381271
Dena Firouzabadi, Hossein Ahmadi
{"title":"Cancer-Related Malnutrition and the Role of Parenteral Nutrition in Cancer; A Narrative Review.","authors":"Dena Firouzabadi, Hossein Ahmadi","doi":"10.1080/01635581.2024.2381271","DOIUrl":"10.1080/01635581.2024.2381271","url":null,"abstract":"<p><p>The growing incidence rate of cancer and its associated morbidity and mortality prompts the need to identify factors that could improve the quality of life (QoL) and survival of a patient with cancer. Cancer-associated malnutrition is a common complication that could start at the early stages of cancer and could further develop into advanced cachexia. Response to treatment, length of hospital stay, progression of infection, and other complications of cancer including chemotherapy adverse events could all be influenced by the progression of malnutrition. Nutritional interventions may vary from oral to enteral and parenteral therapy. Parenteral nutrition (PN) therapy may benefit patients at certain stages of cancer in whom contraindications or inefficacy of other modalities of nutritional support are present. This method may seem invasive, costly, and risky but at the same time may improve certain patients' QoL and chance of survival. In trained settings with proper facilities, this method of nutritional support can benefit patients; However, the indication for starting PN must be carefully supervised considering that other nutritional support methods may be equally efficient and at the same time easier to access and apply.</p>","PeriodicalId":54701,"journal":{"name":"Nutrition and Cancer-An International Journal","volume":" ","pages":"870-884"},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141749784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correction. 更正。
IF 2 4区 医学
Nutrition and Cancer-An International Journal Pub Date : 2024-01-01 Epub Date: 2024-08-20 DOI: 10.1080/01635581.2024.2394923
{"title":"Correction.","authors":"","doi":"10.1080/01635581.2024.2394923","DOIUrl":"10.1080/01635581.2024.2394923","url":null,"abstract":"","PeriodicalId":54701,"journal":{"name":"Nutrition and Cancer-An International Journal","volume":" ","pages":"i"},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142009905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dietary Factors Differ Between Young-Onset and Older-Onset Colorectal Cancer Patients. 年轻和年长结直肠癌患者的饮食因素不同
IF 2 4区 医学
Nutrition and Cancer-An International Journal Pub Date : 2024-01-01 Epub Date: 2024-02-12 DOI: 10.1080/01635581.2024.2316934
Andrea N Burnett-Hartman, Mimi Ton, Qianchuan He, Rachel C Malen, John D Potter, Adriana M Reedy, Amanda I Phipps, Polly A Newcomb
{"title":"Dietary Factors Differ Between Young-Onset and Older-Onset Colorectal Cancer Patients.","authors":"Andrea N Burnett-Hartman, Mimi Ton, Qianchuan He, Rachel C Malen, John D Potter, Adriana M Reedy, Amanda I Phipps, Polly A Newcomb","doi":"10.1080/01635581.2024.2316934","DOIUrl":"10.1080/01635581.2024.2316934","url":null,"abstract":"<p><p>We aimed to evaluate differences in dietary factors between young-onset (diagnosed at ages <50) and older-onset colorectal cancer (CRC). CRC patients diagnosed from 1998 to 2018 reported to the Puget Sound Surveillance, Epidemiology, and End Results registry were recruited using mail and telephone. Consented patients completed questionnaires assessing demographics, medical history, and CRC risk factors, including dietary factors. We used multi-variable logistic regression to calculate adjusted odds ratios (ORs) and 95% confidence intervals (CIs) comparing dietary intake in young-onset vs. older-onset CRC. Analyses included 1,087 young- and 2,554 older-onset CRC patients. Compared to older-onset CRC, young-onset CRC patients had lower intake of vegetables (OR for highest intake vs. lowest = 0.59 CI: 0.55, 0.64) and fruit (OR for highest intake vs. lowest = 0.94 CI: 0.88, 0.99) and higher intake of processed meat (OR for highest intake vs. lowest = 1.82 CI: 1.11, 2.99) and spicy food (OR for highest intake vs. lowest = 1.69 CI: 1.09, 2.61). There was no statistically significant difference between young- and older-onset CRC patients for red meat consumption. Dietary patterns differed between young- and older-onset CRC; young-onset CRC patients had lower intake of vegetables and fruit and higher intakes of processed meat and spicy food.</p>","PeriodicalId":54701,"journal":{"name":"Nutrition and Cancer-An International Journal","volume":" ","pages":"352-355"},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10983792/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139725058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Systematic Review of Cost-Effectiveness Analyses Examining Treatments for Cachexia Syndrome. 对检查achexia 综合征治疗方法的成本效益分析的系统性回顾。
IF 2 4区 医学
Nutrition and Cancer-An International Journal Pub Date : 2024-01-01 Epub Date: 2024-05-27 DOI: 10.1080/01635581.2024.2353939
Safeer Khan, Safeer Ahmad Javid, Sabi Ur Rehman, Yasmeen Akhtar, Muhammad Amir Khan
{"title":"A Systematic Review of Cost-Effectiveness Analyses Examining Treatments for Cachexia Syndrome.","authors":"Safeer Khan, Safeer Ahmad Javid, Sabi Ur Rehman, Yasmeen Akhtar, Muhammad Amir Khan","doi":"10.1080/01635581.2024.2353939","DOIUrl":"10.1080/01635581.2024.2353939","url":null,"abstract":"<p><strong>Objectives: </strong>This systematic review aims to critically evaluate and synthesize the economic outcomes of various therapeutic strategies employed to manage cachexia patients.</p><p><strong>Methods: </strong>A comprehensive search for randomized controlled trials and observational studies was conducted from January 1, 2000 to December 31, 2023, using PubMed, Google Scholar, Clinical Trials Registry, Cochrane Central Register of Controlled Trials, British Medical Journal, National Health Service Economic Evaluation Database, and ScienceDirect, following PRISMA guidelines. We assessed the quality of the included studies using the Consolidated Health Economic Evaluation Reporting Standards reporting guidelines.</p><p><strong>Results: </strong>We identified six high to medium quality economic evaluations in four countries, focusing on cancer, chronic obstructive pulmonary disease, and HIV/AIDS-associated cachexia. The results indicate that combination management strategies, specifically the use of nutritional supplements and exercise, are more cost-effective than usual care for cachexia syndrome. Additionally, two studies showed that dietary supplements alone were more cost-effective than usual care, and pharmacotherapy alone was more cost-effective than a placebo.</p><p><strong>Conclusion: </strong>Combining several strategies, such as nutritional supplements and exercise, may be the most economically efficient method for managing cachexia compared to usual care or single treatment approaches. However, the restricted and diverse characteristics of the current research hinder the definitive conclusions.</p>","PeriodicalId":54701,"journal":{"name":"Nutrition and Cancer-An International Journal","volume":" ","pages":"584-595"},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141154532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cancer-Related Therapeutic Potential of Epimedium and Its Extracts. 淫羊藿及其提取物对癌症的治疗潜力
IF 2 4区 医学
Nutrition and Cancer-An International Journal Pub Date : 2024-01-01 Epub Date: 2024-07-26 DOI: 10.1080/01635581.2024.2383336
Jipeng Ding, Changcheng Li, Guanzheng Wang, Yiming Yang, Jing Li
{"title":"Cancer-Related Therapeutic Potential of <i>Epimedium</i> and Its Extracts.","authors":"Jipeng Ding, Changcheng Li, Guanzheng Wang, Yiming Yang, Jing Li","doi":"10.1080/01635581.2024.2383336","DOIUrl":"10.1080/01635581.2024.2383336","url":null,"abstract":"<p><p><i>Epimedium</i> is a Chinese herb known as \"yin and yang fire,\" first mentioned in the Compendium of Materia Medica. Many of the proprietary Chinese medicines used in clinical practice contain <i>Epimedium</i> as an ingredient, and its main active constituents include icariin, icaritin, and icariside II, among others. In addition to its traditional use in treating fatigue and sexual problems, modern research has confirmed that the main bioactive compounds in <i>Epimedium</i> have pharmacological effects such as antidepressant, antibacterial, antiviral, antioxidant, and anti-inflammatory properties, as well as inhibiting bone destruction, promoting bone growth, improving immune regulation and protecting the cardio-cerebral vascular system. With the continuous development of extraction and purification techniques, the development and use of bioactive compounds in <i>Epimedium</i> have significantly progressed, and the anticancer effect has received widespread attention. Since natural herbs have few side effects on the human body and do not easily develop drug resistance, they have long been the direction of research in cancer treatment. This review summarizes the latest research on the anticancer effects of <i>Epimedium</i> and its extracts, describes the bioactive compounds, pharmacological efficacy, and antitumor mechanism of <i>Epimedium</i>, and gives a new view on the administration and development of <i>Epimedium</i>.</p>","PeriodicalId":54701,"journal":{"name":"Nutrition and Cancer-An International Journal","volume":" ","pages":"885-901"},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141768016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Inhibition of Wnt Signaling by Atovaquone Inhibits Gastric Cancer and Enhances Chemotherapy Effectiveness Through Activation of Casein Kinase 1α. 阿托伐醌对Wnt信号的抑制可通过激活酪蛋白激酶1α抑制胃癌并提高化疗效果
IF 2 4区 医学
Nutrition and Cancer-An International Journal Pub Date : 2024-01-01 Epub Date: 2024-03-18 DOI: 10.1080/01635581.2024.2328377
Rui Shang, Yingying Liao, Xuejiao Zheng
{"title":"Inhibition of Wnt Signaling by Atovaquone Inhibits Gastric Cancer and Enhances Chemotherapy Effectiveness Through Activation of Casein Kinase 1α.","authors":"Rui Shang, Yingying Liao, Xuejiao Zheng","doi":"10.1080/01635581.2024.2328377","DOIUrl":"10.1080/01635581.2024.2328377","url":null,"abstract":"<p><p>Abnormal activation of the Wnt/β-catenin signaling pathway is a driving force behind the progression of gastric cancer. Atovaquone, known as an antimalarial drug, has emerged as a potential candidate for anti-cancer therapy. This study investigated atovaquone's effects on gastric cancer and its underlying mechanisms. Using gastric cancer cell lines, we found that atovaquone, at concentrations relevant to clinical use, significantly reduced their viability. Notably, atovaquone exhibited a lower effectiveness in reducing the viability of normal gastric cells compared to gastric cancer cells. We further demonstrated that atovaquone inhibited gastric cancer growth and colony formation. Mechanism studies revealed that atovaquone inhibited mitochondrial respiration and induced oxidative stress. Experiments using ρ0 cells, deficient in mitochondrial respiration, indicated a slightly weaker effect of atovaquone on inducing apoptosis compared to wildtype cells. Atovaquone increased phosphorylated β-catenin at Ser45 and Ser33/37/Thr41, elevated Axin, and reduced β-catenin. The inhibitory effects of atovaquone on β-catenin were reversed upon depletion of CK1α. Furthermore, the combination of atovaquone with paclitaxel suppressed gastric cancer growth and improved overall survival in mice. Given that atovaquone is already approved for clinical use, these findings suggest its potential as a valuable addition to the drug arsenal available for treating gastric cancer.</p>","PeriodicalId":54701,"journal":{"name":"Nutrition and Cancer-An International Journal","volume":" ","pages":"452-462"},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140144652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prognostic Nutritional Index as a Predictive Biomarker of Post-Operative Infectious Morbidity in Gynecological Cancer Patients: A Prospective Cohort Study. 作为妇科癌症患者术后感染发病率预测生物标志物的预后营养指数:一项前瞻性队列研究
IF 2 4区 医学
Nutrition and Cancer-An International Journal Pub Date : 2024-01-01 Epub Date: 2024-02-18 DOI: 10.1080/01635581.2024.2318827
Vasilios Pergialiotis, Nikolaos Thomakos, Theodoros Papalios, Vasilios Lygizos, Dimitrios Efthimios Vlachos, Alexandros Rodolakis, Dimitrios Haidopoulos
{"title":"Prognostic Nutritional Index as a Predictive Biomarker of Post-Operative Infectious Morbidity in Gynecological Cancer Patients: A Prospective Cohort Study.","authors":"Vasilios Pergialiotis, Nikolaos Thomakos, Theodoros Papalios, Vasilios Lygizos, Dimitrios Efthimios Vlachos, Alexandros Rodolakis, Dimitrios Haidopoulos","doi":"10.1080/01635581.2024.2318827","DOIUrl":"10.1080/01635581.2024.2318827","url":null,"abstract":"<p><p>Malnutrition significantly impacts the post-operative process of gynecological cancer patients. A prominent variable for determining perioperative morbidity is the Prognostic Nutritional Index (PNI). To investigate PNI's predictive value on the risk of post-operative infections, we conducted a prospective cohort study involving women who underwent surgery for gynecological malignancies. Out of the 208 patients enrolled, 28 (13.5%) were malnourished and post-operative infections occurred in 43 patients. Notably, there was a significant difference in PNI between patients who developed infections and those who did not (<i>p</i> = 0.027), as well as between malnourished patients and those with normal nutritional status (<i>p</i> = 0.043). Univariate analysis showed that preoperative PNI predicts the risk of post-operative infections better than post-operative white blood cell count (AUC of 0.562 vs 0.375). However, the most accurate diagnostic results in the multivariate analysis were obtained from random forest and classification tree models (AUC of 0.987 and 0.977, respectively). Essentially, PNI and post-operative white blood cell count provided the best information gain according to rank probabilities. In conclusion, PNI appears to be a critical parameter that merits further investigation during the preoperative evaluation of gynecological malignancies.</p>","PeriodicalId":54701,"journal":{"name":"Nutrition and Cancer-An International Journal","volume":" ","pages":"364-371"},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139900862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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