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Plasma MIC-1 correlates with systemic inflammation but is not an independent determinant of nutritional status or survival in oesophago-gastric cancer

Identifieur interne : 000025 ( Pmc/Curation ); précédent : 000024; suivant : 000026

Plasma MIC-1 correlates with systemic inflammation but is not an independent determinant of nutritional status or survival in oesophago-gastric cancer

Auteurs : R J E. Skipworth [Royaume-Uni] ; D A C. Deans [Royaume-Uni] ; B H L. Tan [Royaume-Uni] ; K. Sangster [Royaume-Uni] ; S. Paterson-Brown [Royaume-Uni] ; D A Brown [Australie] ; M. Hunter [Australie] ; S N Breit [Australie] ; J A Ross [Royaume-Uni] ; K C H. Fearon [Royaume-Uni]

Source :

RBID : PMC:2837566

Abstract

Background:

Macrophage inhibitory cytokine-1(MIC-1) is a potential modulator of systemic inflammation and nutritional depletion, both of which are adverse prognostic factors in oesophago-gastric cancer (OGC).

Methods:

Plasma MIC-1, systemic inflammation (defined as plasma C-reactive protein (CRP) of ⩾10 mg l–1 or modified Glasgow prognostic score (mGPS) of ⩾1), and nutritional status were assessed in newly diagnosed OGC patients (n=293). Healthy volunteers (n=35) served as controls.

Results:

MIC-1 was elevated in patients (median=1371 pg ml–1; range 141–39 053) when compared with controls (median=377 pg ml–1; range 141–3786; P<0.001). Patients with gastric tumours (median=1592 pg ml–1; range 141–12 643) showed higher MIC-1 concentrations than patients with junctional (median=1337 pg ml–1; range 383–39 053) and oesophageal tumours (median=1180 pg ml–1; range 258–31 184; P=0.015). Patients showed a median weight loss of 6.4% (range 0.0–33.4%), and 42% of patients had an mGPS of ⩾1 or plasma CRP of ⩾10 mg l–1 (median=9 mg l–1; range 1–200). MIC-1 correlated positively with disease stage (r2=0.217; P<0.001), age (r2=0.332; P<0.001), CRP (r2=0.314; P<0.001), and mGPS (r2=0.336; P<0.001), and negatively with Karnofsky Performance Score (r2=−0.269; P<0.001). However, although MIC-1 correlated weakly with dietary intake (r2=0.157; P=0.031), it did not correlate with weight loss, BMI, or anthropometry. Patients with MIC-1 levels in the upper quartile showed reduced survival (median=204 days; 95% CI 157–251) when compared with patients with MIC-1 levels in the lower three quartiles (median=316 days; 95% CI 259–373; P=0.036), but MIC-1 was not an independent prognostic indicator.

Conclusions:

There is no independent link between plasma MIC-1 levels and depleted nutritional status or survival in OGC.


Url:
DOI: 10.1038/sj.bjc.6605532
PubMed: 20104227
PubMed Central: 2837566

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PMC:2837566

Le document en format XML

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Victoria Street, Sydney, New South Wales 2010,
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<country xml:lang="fr">Australie</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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Victoria Street, Sydney, New South Wales 2010,
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Victoria Street, Sydney, New South Wales 2010,
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<country xml:lang="fr">Australie</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<author>
<name sortKey="Ross, J A" sort="Ross, J A" uniqKey="Ross J" first="J A" last="Ross">J A Ross</name>
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51 Little France Crescent, Edinburgh EH16 4SA,
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51 Little France Crescent, Edinburgh EH16 4SA,
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<name sortKey="Skipworth, R J E" sort="Skipworth, R J E" uniqKey="Skipworth R" first="R J E" last="Skipworth">R J E. Skipworth</name>
<affiliation wicri:level="1">
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51 Little France Crescent, Edinburgh EH16 4SA,
<country>UK</country>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<name sortKey="Deans, D A C" sort="Deans, D A C" uniqKey="Deans D" first="D A C" last="Deans">D A C. Deans</name>
<affiliation wicri:level="1">
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<institution>Clinical and Surgical Sciences (Surgery), University of Edinburgh, Royal Infirmary of Edinburgh</institution>
51 Little France Crescent, Edinburgh EH16 4SA,
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</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<name sortKey="Tan, B H L" sort="Tan, B H L" uniqKey="Tan B" first="B H L" last="Tan">B H L. Tan</name>
<affiliation wicri:level="1">
<nlm:aff id="aff1">
<institution>Clinical and Surgical Sciences (Surgery), University of Edinburgh, Royal Infirmary of Edinburgh</institution>
51 Little France Crescent, Edinburgh EH16 4SA,
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<country xml:lang="fr">Royaume-Uni</country>
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<name sortKey="Sangster, K" sort="Sangster, K" uniqKey="Sangster K" first="K" last="Sangster">K. Sangster</name>
<affiliation wicri:level="1">
<nlm:aff id="aff1">
<institution>Clinical and Surgical Sciences (Surgery), University of Edinburgh, Royal Infirmary of Edinburgh</institution>
51 Little France Crescent, Edinburgh EH16 4SA,
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</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<author>
<name sortKey="Paterson Brown, S" sort="Paterson Brown, S" uniqKey="Paterson Brown S" first="S" last="Paterson-Brown">S. Paterson-Brown</name>
<affiliation wicri:level="1">
<nlm:aff id="aff1">
<institution>Clinical and Surgical Sciences (Surgery), University of Edinburgh, Royal Infirmary of Edinburgh</institution>
51 Little France Crescent, Edinburgh EH16 4SA,
<country>UK</country>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<author>
<name sortKey="Brown, D A" sort="Brown, D A" uniqKey="Brown D" first="D A" last="Brown">D A Brown</name>
<affiliation wicri:level="1">
<nlm:aff id="aff2">
<institution>St Vincent's Centre for Applied Medical Research, St Vincent's Hospital and University of New South Wales</institution>
Victoria Street, Sydney, New South Wales 2010,
<country>Australia</country>
</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Hunter, M" sort="Hunter, M" uniqKey="Hunter M" first="M" last="Hunter">M. Hunter</name>
<affiliation wicri:level="1">
<nlm:aff id="aff2">
<institution>St Vincent's Centre for Applied Medical Research, St Vincent's Hospital and University of New South Wales</institution>
Victoria Street, Sydney, New South Wales 2010,
<country>Australia</country>
</nlm:aff>
<country xml:lang="fr">Australie</country>
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<name sortKey="Breit, S N" sort="Breit, S N" uniqKey="Breit S" first="S N" last="Breit">S N Breit</name>
<affiliation wicri:level="1">
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<institution>St Vincent's Centre for Applied Medical Research, St Vincent's Hospital and University of New South Wales</institution>
Victoria Street, Sydney, New South Wales 2010,
<country>Australia</country>
</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<name sortKey="Ross, J A" sort="Ross, J A" uniqKey="Ross J" first="J A" last="Ross">J A Ross</name>
<affiliation wicri:level="1">
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51 Little France Crescent, Edinburgh EH16 4SA,
<country>UK</country>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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</author>
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<name sortKey="Fearon, K C H" sort="Fearon, K C H" uniqKey="Fearon K" first="K C H" last="Fearon">K C H. Fearon</name>
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51 Little France Crescent, Edinburgh EH16 4SA,
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<title level="j">British Journal of Cancer</title>
<idno type="ISSN">0007-0920</idno>
<idno type="eISSN">1532-1827</idno>
<imprint>
<date when="2010">2010</date>
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<div type="abstract" xml:lang="en">
<sec>
<title>Background:</title>
<p>Macrophage inhibitory cytokine-1(MIC-1) is a potential modulator of systemic inflammation and nutritional depletion, both of which are adverse prognostic factors in oesophago-gastric cancer (OGC).</p>
</sec>
<sec>
<title>Methods:</title>
<p>Plasma MIC-1, systemic inflammation (defined as plasma C-reactive protein (CRP) of ⩾10 mg l
<sup>–1</sup>
or modified Glasgow prognostic score (mGPS) of ⩾1), and nutritional status were assessed in newly diagnosed OGC patients (
<italic>n</italic>
=293). Healthy volunteers (
<italic>n</italic>
=35) served as controls.</p>
</sec>
<sec>
<title>Results:</title>
<p>MIC-1 was elevated in patients (median=1371 pg ml
<sup>–1</sup>
; range 141–39 053) when compared with controls (median=377 pg ml
<sup>–1</sup>
; range 141–3786;
<italic>P</italic>
<0.001). Patients with gastric tumours (median=1592 pg ml
<sup>–1</sup>
; range 141–12 643) showed higher MIC-1 concentrations than patients with junctional (median=1337 pg ml
<sup>–1</sup>
; range 383–39 053) and oesophageal tumours (median=1180 pg ml
<sup>–1</sup>
; range 258–31 184;
<italic>P</italic>
=0.015). Patients showed a median weight loss of 6.4% (range 0.0–33.4%), and 42% of patients had an mGPS of ⩾1 or plasma CRP of ⩾10 mg l
<sup>–1</sup>
(median=9 mg l
<sup>–1</sup>
; range 1–200). MIC-1 correlated positively with disease stage (
<italic>r</italic>
<sup>2</sup>
=0.217;
<italic>P</italic>
<0.001), age (
<italic>r</italic>
<sup>2</sup>
=0.332;
<italic>P</italic>
<0.001), CRP (
<italic>r</italic>
<sup>2</sup>
=0.314;
<italic>P</italic>
<0.001), and mGPS (
<italic>r</italic>
<sup>2</sup>
=0.336;
<italic>P</italic>
<0.001), and negatively with Karnofsky Performance Score (
<italic>r</italic>
<sup>2</sup>
=−0.269;
<italic>P</italic>
<0.001). However, although MIC-1 correlated weakly with dietary intake (r
<sup>2</sup>
=0.157;
<italic>P</italic>
=0.031), it did not correlate with weight loss, BMI, or anthropometry. Patients with MIC-1 levels in the upper quartile showed reduced survival (median=204 days; 95% CI 157–251) when compared with patients with MIC-1 levels in the lower three quartiles (median=316 days; 95% CI 259–373;
<italic>P</italic>
=0.036), but MIC-1 was not an independent prognostic indicator.</p>
</sec>
<sec>
<title>Conclusions:</title>
<p>There is no independent link between plasma MIC-1 levels and depleted nutritional status or survival in OGC.</p>
</sec>
</div>
</front>
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<journal-meta>
<journal-id journal-id-type="nlm-ta">Br J Cancer</journal-id>
<journal-title>British Journal of Cancer</journal-title>
<issn pub-type="ppub">0007-0920</issn>
<issn pub-type="epub">1532-1827</issn>
<publisher>
<publisher-name>Nature Publishing Group</publisher-name>
</publisher>
</journal-meta>
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<article-id pub-id-type="pmid">20104227</article-id>
<article-id pub-id-type="pmc">2837566</article-id>
<article-id pub-id-type="pii">6605532</article-id>
<article-id pub-id-type="doi">10.1038/sj.bjc.6605532</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Clinical Studies</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Plasma MIC-1 correlates with systemic inflammation but is not an independent determinant of nutritional status or survival in oesophago-gastric cancer</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Skipworth</surname>
<given-names>R J E</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Deans</surname>
<given-names>D A C</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Tan</surname>
<given-names>B H L</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Sangster</surname>
<given-names>K</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Paterson-Brown</surname>
<given-names>S</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Brown</surname>
<given-names>D A</given-names>
</name>
<xref ref-type="aff" rid="aff2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hunter</surname>
<given-names>M</given-names>
</name>
<xref ref-type="aff" rid="aff2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Breit</surname>
<given-names>S N</given-names>
</name>
<xref ref-type="aff" rid="aff2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ross</surname>
<given-names>J A</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Fearon</surname>
<given-names>K C H</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
<xref ref-type="corresp" rid="caf1">*</xref>
</contrib>
</contrib-group>
<aff id="aff1">
<label>1</label>
<institution>Clinical and Surgical Sciences (Surgery), University of Edinburgh, Royal Infirmary of Edinburgh</institution>
51 Little France Crescent, Edinburgh EH16 4SA,
<country>UK</country>
</aff>
<aff id="aff2">
<label>2</label>
<institution>St Vincent's Centre for Applied Medical Research, St Vincent's Hospital and University of New South Wales</institution>
Victoria Street, Sydney, New South Wales 2010,
<country>Australia</country>
</aff>
<author-notes>
<corresp id="caf1">
<label>*</label>
Author for correspondence:
<email xlink:href="mailto:k.fearon@ed.ac.uk">k.fearon@ed.ac.uk</email>
</corresp>
</author-notes>
<pub-date pub-type="epub">
<day>26</day>
<month>01</month>
<year>2010</year>
</pub-date>
<pub-date pub-type="collection">
<day>16</day>
<month>02</month>
<year>2010</year>
</pub-date>
<pub-date pub-type="ppub">
<day>16</day>
<month>02</month>
<year>2010</year>
</pub-date>
<volume>102</volume>
<issue>4</issue>
<fpage>665</fpage>
<lpage>672</lpage>
<history>
<date date-type="rev-recd">
<day>19</day>
<month>11</month>
<year>2009</year>
</date>
<date date-type="accepted">
<day>02</day>
<month>12</month>
<year>2009</year>
</date>
</history>
<copyright-statement>Copyright 2010, Cancer Research UK</copyright-statement>
<copyright-year>2010</copyright-year>
<permissions>
<copyright-holder>Cancer Research UK</copyright-holder>
</permissions>
<abstract>
<sec>
<title>Background:</title>
<p>Macrophage inhibitory cytokine-1(MIC-1) is a potential modulator of systemic inflammation and nutritional depletion, both of which are adverse prognostic factors in oesophago-gastric cancer (OGC).</p>
</sec>
<sec>
<title>Methods:</title>
<p>Plasma MIC-1, systemic inflammation (defined as plasma C-reactive protein (CRP) of ⩾10 mg l
<sup>–1</sup>
or modified Glasgow prognostic score (mGPS) of ⩾1), and nutritional status were assessed in newly diagnosed OGC patients (
<italic>n</italic>
=293). Healthy volunteers (
<italic>n</italic>
=35) served as controls.</p>
</sec>
<sec>
<title>Results:</title>
<p>MIC-1 was elevated in patients (median=1371 pg ml
<sup>–1</sup>
; range 141–39 053) when compared with controls (median=377 pg ml
<sup>–1</sup>
; range 141–3786;
<italic>P</italic>
<0.001). Patients with gastric tumours (median=1592 pg ml
<sup>–1</sup>
; range 141–12 643) showed higher MIC-1 concentrations than patients with junctional (median=1337 pg ml
<sup>–1</sup>
; range 383–39 053) and oesophageal tumours (median=1180 pg ml
<sup>–1</sup>
; range 258–31 184;
<italic>P</italic>
=0.015). Patients showed a median weight loss of 6.4% (range 0.0–33.4%), and 42% of patients had an mGPS of ⩾1 or plasma CRP of ⩾10 mg l
<sup>–1</sup>
(median=9 mg l
<sup>–1</sup>
; range 1–200). MIC-1 correlated positively with disease stage (
<italic>r</italic>
<sup>2</sup>
=0.217;
<italic>P</italic>
<0.001), age (
<italic>r</italic>
<sup>2</sup>
=0.332;
<italic>P</italic>
<0.001), CRP (
<italic>r</italic>
<sup>2</sup>
=0.314;
<italic>P</italic>
<0.001), and mGPS (
<italic>r</italic>
<sup>2</sup>
=0.336;
<italic>P</italic>
<0.001), and negatively with Karnofsky Performance Score (
<italic>r</italic>
<sup>2</sup>
=−0.269;
<italic>P</italic>
<0.001). However, although MIC-1 correlated weakly with dietary intake (r
<sup>2</sup>
=0.157;
<italic>P</italic>
=0.031), it did not correlate with weight loss, BMI, or anthropometry. Patients with MIC-1 levels in the upper quartile showed reduced survival (median=204 days; 95% CI 157–251) when compared with patients with MIC-1 levels in the lower three quartiles (median=316 days; 95% CI 259–373;
<italic>P</italic>
=0.036), but MIC-1 was not an independent prognostic indicator.</p>
</sec>
<sec>
<title>Conclusions:</title>
<p>There is no independent link between plasma MIC-1 levels and depleted nutritional status or survival in OGC.</p>
</sec>
</abstract>
<kwd-group>
<kwd>macrophage inhibitory cytokine 1</kwd>
<kwd>oesophageal cancer</kwd>
<kwd>gastric cancer</kwd>
<kwd>cachexia</kwd>
<kwd>survival</kwd>
<kwd>nutrition</kwd>
</kwd-group>
</article-meta>
</front>
<floats-wrap>
<fig id="fig1">
<label>Figure 1</label>
<caption>
<p>Box plot showing increased plasma MIC-1 concentration in oesophago-gastric cancer patients when compared with the controls (
<italic>P</italic>
<0.001).</p>
</caption>
<graphic mime-subtype="eps" xlink:href="6605532f1"></graphic>
</fig>
<fig id="fig2">
<label>Figure 2</label>
<caption>
<p>Box plot showing increasing plasma MIC-1 concentration with increasing distal situation of the primary tumour (
<italic>P</italic>
=0.015).</p>
</caption>
<graphic mime-subtype="eps" xlink:href="6605532f2"></graphic>
</fig>
<fig id="fig3">
<label>Figure 3</label>
<caption>
<p>Box plot showing increasing plasma MIC-1 concentration with worsening tumour grade (
<italic>P</italic>
=0.010).</p>
</caption>
<graphic mime-subtype="eps" xlink:href="6605532f3"></graphic>
</fig>
<fig id="fig4">
<label>Figure 4</label>
<caption>
<p>Box plot showing increasing plasma MIC-1 concentration with worsening disease stage (
<italic>P</italic>
=0.002).</p>
</caption>
<graphic mime-subtype="eps" xlink:href="6605532f4"></graphic>
</fig>
<fig id="fig5">
<label>Figure 5</label>
<caption>
<p>Box plot showing increasing plasma MIC-1 concentration with increasing modified Glasgow Prognostic Score (
<italic>P</italic>
<0.001).</p>
</caption>
<graphic mime-subtype="eps" xlink:href="6605532f5"></graphic>
</fig>
<fig id="fig6">
<label>Figure 6</label>
<caption>
<p>Dot plot of MIC-1
<italic>vs</italic>
CRP (linear
<italic>r</italic>
<sup>2</sup>
=0.059).</p>
</caption>
<graphic mime-subtype="eps" xlink:href="6605532f6"></graphic>
</fig>
<fig id="fig7">
<label>Figure 7</label>
<caption>
<p>Kaplan–Meier plot of survival of oesophago-gastric cancer patients according to plasma MIC-1 concentration. Patients with MIC-1 concentrations in the upper quartile showed worsened survival (median 204 days; 95% CI 157–251) when compared with patients with MIC-1 concentrations in the lower three quartiles (median 316 days; 95% CI 259–373;
<italic>P</italic>
=0.036, log-rank test).</p>
</caption>
<graphic mime-subtype="eps" xlink:href="6605532f7"></graphic>
</fig>
<table-wrap id="tbl1" position="float">
<label>Table 1</label>
<caption>
<p content-type="table-title">Demographics, nutritional status, and plasma concentrations of inflammatory mediators of the oesophago-gastric cancer patients. Data are presented as medians with ranges.</p>
</caption>
<table frame="hsides" rules="groups" border="1" width="85%">
<colgroup>
<col align="left"></col>
<col align="center"></col>
</colgroup>
<thead valign="bottom">
<tr>
<th align="left" valign="top" charoff="50"> </th>
<th align="center" valign="top" charoff="50">
<bold>Patients (
<italic>n</italic>
=293)</bold>
</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left" valign="top" charoff="50">
<italic>Male:female</italic>
</td>
<td align="center" valign="top" charoff="50">198 : 95</td>
</tr>
<tr>
<td align="left" valign="top" charoff="50">
<italic>Age</italic>
(years)</td>
<td align="char" valign="top" char="(" charoff="50">70 (26–91)</td>
</tr>
<tr>
<td align="left" valign="top" charoff="50"> </td>
<td align="center" valign="top" charoff="50"> </td>
</tr>
<tr>
<td colspan="2" align="left" valign="top" charoff="50">
<italic>Tumour site</italic>
</td>
</tr>
<tr>
<td align="left" valign="top" charoff="50"> Oesophageal</td>
<td align="center" valign="top" charoff="50">139</td>
</tr>
<tr>
<td align="left" valign="top" charoff="50"> OGJ</td>
<td align="center" valign="top" charoff="50">51</td>
</tr>
<tr>
<td align="left" valign="top" charoff="50"> Gastric</td>
<td align="center" valign="top" charoff="50">103</td>
</tr>
<tr>
<td align="left" valign="top" charoff="50"> </td>
<td align="center" valign="top" charoff="50"> </td>
</tr>
<tr>
<td colspan="2" align="left" valign="top" charoff="50">
<italic>Histology</italic>
</td>
</tr>
<tr>
<td align="left" valign="top" charoff="50"> Adenocarcinoma</td>
<td align="center" valign="top" charoff="50">242</td>
</tr>
<tr>
<td align="left" valign="top" charoff="50"> Squamous</td>
<td align="center" valign="top" charoff="50">43</td>
</tr>
<tr>
<td align="left" valign="top" charoff="50"> Undifferentiated</td>
<td align="center" valign="top" charoff="50">6</td>
</tr>
<tr>
<td align="left" valign="top" charoff="50"> Neuroendocrine</td>
<td align="center" valign="top" charoff="50">2</td>
</tr>
<tr>
<td align="left" valign="top" charoff="50"> </td>
<td align="center" valign="top" charoff="50"> </td>
</tr>
<tr>
<td colspan="2" align="left" valign="top" charoff="50">
<italic>Disease stage</italic>
</td>
</tr>
<tr>
<td align="left" valign="top" charoff="50"> I</td>
<td align="center" valign="top" charoff="50">36</td>
</tr>
<tr>
<td align="left" valign="top" charoff="50"> II</td>
<td align="center" valign="top" charoff="50">45</td>
</tr>
<tr>
<td align="left" valign="top" charoff="50"> III</td>
<td align="center" valign="top" charoff="50">106</td>
</tr>
<tr>
<td align="left" valign="top" charoff="50"> IV</td>
<td align="center" valign="top" charoff="50">97</td>
</tr>
<tr>
<td align="left" valign="top" charoff="50"> Unknown</td>
<td align="center" valign="top" charoff="50">46</td>
</tr>
<tr>
<td align="left" valign="top" charoff="50"> </td>
<td align="center" valign="top" charoff="50"> </td>
</tr>
<tr>
<td align="left" valign="top" charoff="50">
<italic>Body mass index</italic>
(kg m
<sup>–2</sup>
)</td>
<td align="char" valign="top" char="(" charoff="50">24.6 (13.9–46.7)</td>
</tr>
<tr>
<td align="left" valign="top" charoff="50">
<italic>Weight loss</italic>
(% loss of pre-morbid weight)</td>
<td align="char" valign="top" char="(" charoff="50">6.4 (0.0–33.4)</td>
</tr>
<tr>
<td align="left" valign="top" charoff="50">
<italic>Mid-arm muscle circumference</italic>
(cm)</td>
<td align="char" valign="top" char="(" charoff="50">23.8 (15.6–32.10)</td>
</tr>
<tr>
<td align="left" valign="top" charoff="50">
<italic>Triceps skin-fold thickness</italic>
(mm)</td>
<td align="char" valign="top" char="(" charoff="50">12.0 (3.0–52.0)</td>
</tr>
<tr>
<td align="left" valign="top" charoff="50">
<italic>KPS</italic>
</td>
<td align="char" valign="top" char="(" charoff="50">90 (30–100)</td>
</tr>
<tr>
<td align="left" valign="top" charoff="50">
<italic>CRP</italic>
(mg l
<sup>–1</sup>
)</td>
<td align="char" valign="top" char="(" charoff="50">9.0 (1.0–200.0)</td>
</tr>
<tr>
<td align="left" valign="top" charoff="50">
<italic>MIC-1</italic>
(pg ml
<sup>–1</sup>
)</td>
<td align="center" valign="top" charoff="50">1246.5 (140.7–39 052.9)</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="t1-fn1">
<label></label>
<p>Abbreviations: CRP=C-reactive protein; KPS=Karnofsky performance score; MIC-1=macrophage inhibitory cytokine-1.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="tbl2" position="float">
<label>Table 2</label>
<caption>
<p content-type="table-title">Correlations between inflammatory mediators and nutritional status</p>
</caption>
<table frame="hsides" rules="groups" border="1" width="85%">
<colgroup>
<col align="left"></col>
<col align="left"></col>
<col align="char" char="."></col>
<col align="char" char="."></col>
<col align="left"></col>
<col align="char" char="."></col>
<col align="char" char="."></col>
</colgroup>
<thead valign="bottom">
<tr>
<th align="left" valign="top" charoff="50">
<bold>Inflammatory mediator</bold>
</th>
<th align="left" valign="top" charoff="50">
<bold>Positive correlates</bold>
</th>
<th align="char" valign="top" char="." charoff="50">
<bold>
<italic>r</italic>
<sup>2</sup>
</bold>
</th>
<th align="char" valign="top" char="." charoff="50">
<bold>
<italic>P</italic>
-value</bold>
</th>
<th align="left" valign="top" charoff="50">
<bold>Negative correlates</bold>
</th>
<th align="char" valign="top" char="." charoff="50">
<bold>
<italic>r</italic>
<sup>2</sup>
</bold>
</th>
<th align="char" valign="top" char="." charoff="50">
<bold>
<italic>P</italic>
-value</bold>
</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left" valign="top" charoff="50">MIC-1</td>
<td align="left" valign="top" charoff="50">CRP</td>
<td align="char" valign="top" char="." charoff="50">0.314</td>
<td align="char" valign="top" char="." charoff="50"><0.001</td>
<td align="left" valign="top" charoff="50">Albumin</td>
<td align="char" valign="top" char="." charoff="50">−0.316</td>
<td align="char" valign="top" char="." charoff="50"><0.001</td>
</tr>
<tr>
<td align="left" valign="top" charoff="50"> </td>
<td align="left" valign="top" charoff="50">mGPS</td>
<td align="char" valign="top" char="." charoff="50">0.336</td>
<td align="char" valign="top" char="." charoff="50"><0.001</td>
<td align="left" valign="top" charoff="50">KPS</td>
<td align="char" valign="top" char="." charoff="50">−0.269</td>
<td align="char" valign="top" char="." charoff="50"><0.001</td>
</tr>
<tr>
<td align="left" valign="top" charoff="50"> </td>
<td align="left" valign="top" charoff="50">Age</td>
<td align="char" valign="top" char="." charoff="50">0.332</td>
<td align="char" valign="top" char="." charoff="50"><0.001</td>
<td align="left" valign="top" charoff="50"> </td>
<td align="char" valign="top" char="." charoff="50"> </td>
<td align="char" valign="top" char="." charoff="50"> </td>
</tr>
<tr>
<td align="left" valign="top" charoff="50"> </td>
<td align="left" valign="top" charoff="50">Tumour grade</td>
<td align="char" valign="top" char="." charoff="50">0.234</td>
<td align="char" valign="top" char="." charoff="50">0.002</td>
<td align="left" valign="top" charoff="50"> </td>
<td align="char" valign="top" char="." charoff="50"> </td>
<td align="char" valign="top" char="." charoff="50"> </td>
</tr>
<tr>
<td align="left" valign="top" charoff="50"> </td>
<td align="left" valign="top" charoff="50">Stage</td>
<td align="char" valign="top" char="." charoff="50">0.217</td>
<td align="char" valign="top" char="." charoff="50"><0.001</td>
<td align="left" valign="top" charoff="50"> </td>
<td align="char" valign="top" char="." charoff="50"> </td>
<td align="char" valign="top" char="." charoff="50"> </td>
</tr>
<tr>
<td align="left" valign="top" charoff="50"> </td>
<td align="left" valign="top" charoff="50">Diet score</td>
<td align="char" valign="top" char="." charoff="50">0.157</td>
<td align="char" valign="top" char="." charoff="50">0.031</td>
<td align="left" valign="top" charoff="50"> </td>
<td align="char" valign="top" char="." charoff="50"> </td>
<td align="char" valign="top" char="." charoff="50"> </td>
</tr>
<tr>
<td align="left" valign="top" charoff="50"> </td>
<td align="left" valign="top" charoff="50"> </td>
<td align="char" valign="top" char="." charoff="50"> </td>
<td align="char" valign="top" char="." charoff="50"> </td>
<td align="left" valign="top" charoff="50"> </td>
<td align="char" valign="top" char="." charoff="50"> </td>
<td align="char" valign="top" char="." charoff="50"> </td>
</tr>
<tr>
<td align="left" valign="top" charoff="50">CRP</td>
<td align="left" valign="top" charoff="50">MIC-1</td>
<td align="char" valign="top" char="." charoff="50">0.314</td>
<td align="char" valign="top" char="." charoff="50"><0.001</td>
<td align="left" valign="top" charoff="50">Albumin</td>
<td align="char" valign="top" char="." charoff="50">−0.489</td>
<td align="char" valign="top" char="." charoff="50"><0.001</td>
</tr>
<tr>
<td align="left" valign="top" charoff="50"> </td>
<td align="left" valign="top" charoff="50">Tumour grade</td>
<td align="char" valign="top" char="." charoff="50">0.341</td>
<td align="char" valign="top" char="." charoff="50"><0.001</td>
<td align="left" valign="top" charoff="50">KPS</td>
<td align="char" valign="top" char="." charoff="50">−0.257</td>
<td align="char" valign="top" char="." charoff="50"><0.001</td>
</tr>
<tr>
<td align="left" valign="top" charoff="50"> </td>
<td align="left" valign="top" charoff="50">Stage</td>
<td align="char" valign="top" char="." charoff="50">0.220</td>
<td align="char" valign="top" char="." charoff="50"><0.001</td>
<td align="left" valign="top" charoff="50"> </td>
<td align="char" valign="top" char="." charoff="50"> </td>
<td align="char" valign="top" char="." charoff="50"> </td>
</tr>
<tr>
<td align="left" valign="top" charoff="50"> </td>
<td align="left" valign="top" charoff="50">% Weight loss</td>
<td align="char" valign="top" char="." charoff="50">0.247</td>
<td align="char" valign="top" char="." charoff="50"><0.001</td>
<td align="left" valign="top" charoff="50"> </td>
<td align="char" valign="top" char="." charoff="50"> </td>
<td align="char" valign="top" char="." charoff="50"> </td>
</tr>
<tr>
<td align="left" valign="top" charoff="50"> </td>
<td align="left" valign="top" charoff="50">Diet score</td>
<td align="char" valign="top" char="." charoff="50">0.265</td>
<td align="char" valign="top" char="." charoff="50"><0.001</td>
<td align="left" valign="top" charoff="50"> </td>
<td align="char" valign="top" char="." charoff="50"> </td>
<td align="char" valign="top" char="." charoff="50"> </td>
</tr>
<tr>
<td align="left" valign="top" charoff="50"> </td>
<td align="left" valign="top" charoff="50"> </td>
<td align="char" valign="top" char="." charoff="50"> </td>
<td align="char" valign="top" char="." charoff="50"> </td>
<td align="left" valign="top" charoff="50"> </td>
<td align="char" valign="top" char="." charoff="50"> </td>
<td align="char" valign="top" char="." charoff="50"> </td>
</tr>
<tr>
<td align="left" valign="top" charoff="50">mGPS</td>
<td align="left" valign="top" charoff="50">MIC-1</td>
<td align="char" valign="top" char="." charoff="50">0.336</td>
<td align="char" valign="top" char="." charoff="50"><0.001</td>
<td align="left" valign="top" charoff="50">MAMC</td>
<td align="char" valign="top" char="." charoff="50">−0.318</td>
<td align="char" valign="top" char="." charoff="50"><0.001</td>
</tr>
<tr>
<td align="left" valign="top" charoff="50"> </td>
<td align="left" valign="top" charoff="50">Tumour grade</td>
<td align="char" valign="top" char="." charoff="50">0.268</td>
<td align="char" valign="top" char="." charoff="50">0.001</td>
<td align="left" valign="top" charoff="50">KPS</td>
<td align="char" valign="top" char="." charoff="50">−0.362</td>
<td align="char" valign="top" char="." charoff="50"><0.001</td>
</tr>
<tr>
<td align="left" valign="top" charoff="50"> </td>
<td align="left" valign="top" charoff="50">Stage</td>
<td align="char" valign="top" char="." charoff="50">0.234</td>
<td align="char" valign="top" char="." charoff="50">0.001</td>
<td align="left" valign="top" charoff="50"> </td>
<td align="char" valign="top" char="." charoff="50"> </td>
<td align="char" valign="top" char="." charoff="50"> </td>
</tr>
<tr>
<td align="left" valign="top" charoff="50"> </td>
<td align="left" valign="top" charoff="50">% Weight loss</td>
<td align="char" valign="top" char="." charoff="50">0.280</td>
<td align="char" valign="top" char="." charoff="50"><0.001</td>
<td align="left" valign="top" charoff="50"> </td>
<td align="char" valign="top" char="." charoff="50"> </td>
<td align="char" valign="top" char="." charoff="50"> </td>
</tr>
<tr>
<td align="left" valign="top" charoff="50"> </td>
<td align="left" valign="top" charoff="50">Diet score</td>
<td align="char" valign="top" char="." charoff="50">0.262</td>
<td align="char" valign="top" char="." charoff="50"><0.001</td>
<td align="left" valign="top" charoff="50"> </td>
<td align="char" valign="top" char="." charoff="50"> </td>
<td align="char" valign="top" char="." charoff="50"> </td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="t2-fn1">
<label></label>
<p>Abbreviations: CRP=C-reactive protein; KPS=Karnofsky performance score; MAMC=mid-arm muscle circumference; mGPS=modified Glasgow Prognostic Score; MIC-1=macrophage inhibitory cytokine-1.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="tbl3" position="float">
<label>Table 3</label>
<caption>
<p content-type="table-title">Results of the regression models of CRP (
<italic>r</italic>
<sup>2</sup>
=0.179) and percentage weight loss (
<italic>r</italic>
<sup>2</sup>
=0.259) demonstrating significant determinants</p>
</caption>
<table frame="hsides" rules="groups" border="1" width="85%">
<colgroup>
<col align="left"></col>
<col align="left"></col>
<col align="char" char="."></col>
<col align="char" char="."></col>
<col align="left"></col>
<col align="char" char="."></col>
<col align="char" char="."></col>
<col align="char" char="."></col>
<col align="char" char="."></col>
</colgroup>
<thead valign="bottom">
<tr>
<th align="left" valign="top" charoff="50"> </th>
<th align="left" valign="top" charoff="50"> </th>
<th colspan="2" align="center" valign="top" char="." charoff="50">
<bold>Unstandardised coefficients</bold>
</th>
<th align="left" valign="top" charoff="50">
<bold>Standardised coefficients</bold>
</th>
<th align="char" valign="top" char="." charoff="50"> </th>
<th align="char" valign="top" char="." charoff="50"> </th>
<th colspan="2" align="center" valign="top" char="." charoff="50">
<bold>95% CI for B</bold>
</th>
</tr>
<tr>
<th align="left" valign="top" charoff="50">
<bold>Model</bold>
</th>
<th align="left" valign="top" charoff="50">
<bold>Factor</bold>
</th>
<th align="char" valign="top" char="." charoff="50">
<bold>B</bold>
</th>
<th align="char" valign="top" char="." charoff="50">
<bold>Standard error</bold>
</th>
<th align="left" valign="top" charoff="50">
<bold>β</bold>
</th>
<th align="char" valign="top" char="." charoff="50">
<bold>
<italic>t</italic>
</bold>
</th>
<th align="char" valign="top" char="." charoff="50">
<bold>
<italic>P-</italic>
value</bold>
</th>
<th align="char" valign="top" char="." charoff="50">
<bold>Lower boundary</bold>
</th>
<th align="char" valign="top" char="." charoff="50">
<bold>Upper boundary</bold>
</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left" valign="top" charoff="50">CRP</td>
<td align="left" valign="top" charoff="50">(Constant)</td>
<td align="char" valign="top" char="." charoff="50">−35.759</td>
<td align="char" valign="top" char="." charoff="50">13.387</td>
<td align="left" valign="top" charoff="50"> </td>
<td align="char" valign="top" char="." charoff="50">−2.671</td>
<td align="char" valign="top" char="." charoff="50">0.008</td>
<td align="char" valign="top" char="." charoff="50">−62.213</td>
<td align="char" valign="top" char="." charoff="50">−9.305</td>
</tr>
<tr>
<td align="left" valign="top" charoff="50"> </td>
<td align="left" valign="top" charoff="50">MIC-1</td>
<td align="char" valign="top" char="." charoff="50">0.005</td>
<td align="char" valign="top" char="." charoff="50">0.002</td>
<td align="char" valign="top" char="." charoff="50">0.231</td>
<td align="char" valign="top" char="." charoff="50">3.001</td>
<td align="char" valign="top" char="." charoff="50">0.003</td>
<td align="char" valign="top" char="." charoff="50">0.002</td>
<td align="char" valign="top" char="." charoff="50">0.008</td>
</tr>
<tr>
<td align="left" valign="top" charoff="50"> </td>
<td align="left" valign="top" charoff="50">Diet score</td>
<td align="char" valign="top" char="." charoff="50">12.613</td>
<td align="char" valign="top" char="." charoff="50">3.670</td>
<td align="char" valign="top" char="." charoff="50">0.258</td>
<td align="char" valign="top" char="." charoff="50">3.437</td>
<td align="char" valign="top" char="." charoff="50">0.001</td>
<td align="char" valign="top" char="." charoff="50">5.361</td>
<td align="char" valign="top" char="." charoff="50">19.864</td>
</tr>
<tr>
<td align="left" valign="top" charoff="50"> </td>
<td align="left" valign="top" charoff="50">Tumour grade</td>
<td align="char" valign="top" char="." charoff="50">9.977</td>
<td align="char" valign="top" char="." charoff="50">4.628</td>
<td align="char" valign="top" char="." charoff="50">0.165</td>
<td align="char" valign="top" char="." charoff="50">2.156</td>
<td align="char" valign="top" char="." charoff="50">0.033</td>
<td align="char" valign="top" char="." charoff="50">0.832</td>
<td align="char" valign="top" char="." charoff="50">19.123</td>
</tr>
<tr>
<td align="left" valign="top" charoff="50"> </td>
<td align="left" valign="top" charoff="50"> </td>
<td align="char" valign="top" char="." charoff="50"> </td>
<td align="char" valign="top" char="." charoff="50"> </td>
<td align="left" valign="top" charoff="50"> </td>
<td align="char" valign="top" char="." charoff="50"> </td>
<td align="char" valign="top" char="." charoff="50"> </td>
<td align="char" valign="top" char="." charoff="50"> </td>
<td align="char" valign="top" char="." charoff="50"> </td>
</tr>
<tr>
<td align="left" valign="top" charoff="50">% Weight loss</td>
<td align="left" valign="top" charoff="50">(Constant)</td>
<td align="char" valign="top" char="." charoff="50">−3.788</td>
<td align="char" valign="top" char="." charoff="50">2.107</td>
<td align="left" valign="top" charoff="50"> </td>
<td align="char" valign="top" char="." charoff="50">−1.798</td>
<td align="char" valign="top" char="." charoff="50">0.074</td>
<td align="char" valign="top" char="." charoff="50">−7.946</td>
<td align="char" valign="top" char="." charoff="50">0.370</td>
</tr>
<tr>
<td align="left" valign="top" charoff="50"> </td>
<td align="left" valign="top" charoff="50">Diet score</td>
<td align="char" valign="top" char="." charoff="50">2.871</td>
<td align="char" valign="top" char="." charoff="50">1.066</td>
<td align="char" valign="top" char="." charoff="50">0.221</td>
<td align="char" valign="top" char="." charoff="50">2.693</td>
<td align="char" valign="top" char="." charoff="50">0.008</td>
<td align="char" valign="top" char="." charoff="50">0.767</td>
<td align="char" valign="top" char="." charoff="50">4.975</td>
</tr>
<tr>
<td align="left" valign="top" charoff="50"> </td>
<td align="left" valign="top" charoff="50">mGPS</td>
<td align="char" valign="top" char="." charoff="50">2.491</td>
<td align="char" valign="top" char="." charoff="50">0.835</td>
<td align="char" valign="top" char="." charoff="50">0.205</td>
<td align="char" valign="top" char="." charoff="50">2.983</td>
<td align="char" valign="top" char="." charoff="50">0.003</td>
<td align="char" valign="top" char="." charoff="50">0.843</td>
<td align="char" valign="top" char="." charoff="50">4.140</td>
</tr>
<tr>
<td align="left" valign="top" charoff="50"> </td>
<td align="left" valign="top" charoff="50">Stage</td>
<td align="char" valign="top" char="." charoff="50">1.459</td>
<td align="char" valign="top" char="." charoff="50">0.639</td>
<td align="char" valign="top" char="." charoff="50">0.161</td>
<td align="char" valign="top" char="." charoff="50">2.284</td>
<td align="char" valign="top" char="." charoff="50">0.024</td>
<td align="char" valign="top" char="." charoff="50">0.198</td>
<td align="char" valign="top" char="." charoff="50">2.719</td>
</tr>
<tr>
<td align="left" valign="top" charoff="50"> </td>
<td align="left" valign="top" charoff="50">Dysphagia score</td>
<td align="char" valign="top" char="." charoff="50">1.182</td>
<td align="char" valign="top" char="." charoff="50">0.583</td>
<td align="char" valign="top" char="." charoff="50">0.155</td>
<td align="char" valign="top" char="." charoff="50">2.028</td>
<td align="char" valign="top" char="." charoff="50">0.044</td>
<td align="char" valign="top" char="." charoff="50">0.031</td>
<td align="char" valign="top" char="." charoff="50">2.333</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="t3-fn1">
<label></label>
<p>Abbreviations: CI=confidence interval; CRP=C-reactive protein; mGPS=modified Glasgow Prognostic Score; MIC-1=macrophage inhibitory cytokine-1.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="tbl4" position="float">
<label>Table 4</label>
<caption>
<p content-type="table-title">Results of the Cox's proportional hazards model demonstrating significant determinants of oesophago-gastric cancer patient survival</p>
</caption>
<table frame="hsides" rules="groups" border="1" width="85%">
<colgroup>
<col align="left"></col>
<col align="char" char="."></col>
<col align="char" char="."></col>
<col align="char" char="."></col>
<col align="center"></col>
<col align="char" char="."></col>
<col align="char" char="."></col>
<col align="char" char="."></col>
<col align="char" char="."></col>
</colgroup>
<thead valign="bottom">
<tr>
<th align="left" valign="top" charoff="50"> </th>
<th align="char" valign="top" char="." charoff="50"> </th>
<th align="char" valign="top" char="." charoff="50"> </th>
<th align="char" valign="top" char="." charoff="50"> </th>
<th align="center" valign="top" charoff="50"> </th>
<th align="char" valign="top" char="." charoff="50"> </th>
<th align="char" valign="top" char="." charoff="50"> </th>
<th colspan="2" align="center" valign="top" char="." charoff="50">
<bold>95% CI</bold>
</th>
</tr>
<tr>
<th align="left" valign="top" charoff="50"> </th>
<th align="char" valign="top" char="." charoff="50">
<bold>B</bold>
</th>
<th align="char" valign="top" char="." charoff="50">
<bold>SE</bold>
</th>
<th align="char" valign="top" char="." charoff="50">
<bold>Wald</bold>
</th>
<th align="center" valign="top" charoff="50">
<bold>d.f.</bold>
</th>
<th align="char" valign="top" char="." charoff="50">
<bold>
<italic>P-</italic>
value</bold>
</th>
<th align="char" valign="top" char="." charoff="50">
<bold>Hazard ratio</bold>
</th>
<th align="char" valign="top" char="." charoff="50">
<bold>Lower boundary</bold>
</th>
<th align="char" valign="top" char="." charoff="50">
<bold>Upper boundary</bold>
</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left" valign="top" charoff="50">Stage</td>
<td align="char" valign="top" char="." charoff="50">0.682</td>
<td align="char" valign="top" char="." charoff="50">0.177</td>
<td align="char" valign="top" char="." charoff="50">14.902</td>
<td align="center" valign="top" charoff="50">1</td>
<td align="char" valign="top" char="." charoff="50"><0.001</td>
<td align="char" valign="top" char="." charoff="50">1.979</td>
<td align="char" valign="top" char="." charoff="50">1.399</td>
<td align="char" valign="top" char="." charoff="50">2.798</td>
</tr>
<tr>
<td align="left" valign="top" charoff="50">Treatment regimen</td>
<td align="char" valign="top" char="." charoff="50"> </td>
<td align="char" valign="top" char="." charoff="50"> </td>
<td align="char" valign="top" char="." charoff="50">13.934</td>
<td align="center" valign="top" charoff="50">3</td>
<td align="char" valign="top" char="." charoff="50">0.003</td>
<td align="char" valign="top" char="." charoff="50"> </td>
<td align="char" valign="top" char="." charoff="50"> </td>
<td align="char" valign="top" char="." charoff="50"> </td>
</tr>
<tr>
<td align="left" valign="top" charoff="50">CRP</td>
<td align="char" valign="top" char="." charoff="50">0.006</td>
<td align="char" valign="top" char="." charoff="50">0.003</td>
<td align="char" valign="top" char="." charoff="50">4.498</td>
<td align="center" valign="top" charoff="50">1</td>
<td align="char" valign="top" char="." charoff="50">0.034</td>
<td align="char" valign="top" char="." charoff="50">1.006</td>
<td align="char" valign="top" char="." charoff="50">1.000</td>
<td align="char" valign="top" char="." charoff="50">1.012</td>
</tr>
<tr>
<td align="left" valign="top" charoff="50">% Weight loss</td>
<td align="char" valign="top" char="." charoff="50">0.038</td>
<td align="char" valign="top" char="." charoff="50">0.013</td>
<td align="char" valign="top" char="." charoff="50">9.232</td>
<td align="center" valign="top" charoff="50">1</td>
<td align="char" valign="top" char="." charoff="50">0.002</td>
<td align="char" valign="top" char="." charoff="50">1.039</td>
<td align="char" valign="top" char="." charoff="50">1.014</td>
<td align="char" valign="top" char="." charoff="50">1.065</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="t4-fn1">
<label></label>
<p>Abbreviations: CI=confidence interval; CRP=C-reactive protein.</p>
</fn>
</table-wrap-foot>
</table-wrap>
</floats-wrap>
</pmc>
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