The Association between Phase Angle of Bioelectrical Impedance Analysis and Survival Time in Advanced Cancer Patients: Preliminary Study
Identifieur interne : 002461 ( Main/Exploration ); précédent : 002460; suivant : 002462The Association between Phase Angle of Bioelectrical Impedance Analysis and Survival Time in Advanced Cancer Patients: Preliminary Study
Auteurs : So Yeon Lee [Corée du Sud] ; Yong Joo Lee [Corée du Sud] ; Jung-Hwa Yang [Corée du Sud] ; Chul-Min Kim [Corée du Sud] ; Whan-Seok Choi [Corée du Sud]Source :
- Korean Journal of Family Medicine [ 2005-6443 ] ; 2014.
Abstract
A frequent manifestation of advanced cancer patients is malnutrition, which is correlated with poor prognosis and high mortality. Bioelectrical impedance analysis (BIA) is an easy-to-use and non-invasive technique to evaluate changes in body composition and nutritional status. We investigated BIA-derived phase angle as a prognostic indicator for survival in advanced cancer patients.
Twenty-eight patients treated at the hospice center of Seoul St. Mary's Hospital underwent BIA measurements from January, 2013 to May, 2013. We also evaluated palliative prognostic index (PPI) and palliative performance scale to compare with the prognostic value of phase angle. Cox's proportional hazard models were constructed to evaluate the prognostic effect of phase angle. The Kaplan Meier method was used to calculate survival.
Using univariate Cox analysis, phase angle (hazard ratio [HR], 0.61/per degree increase; 95% confidence interval [CI], 0.42 to 0.89; P = 0.010), PPI (HR, 1.21; 95% CI, 1.00 to 1.47; P = 0.048) were found to be significantly associated with survival. Adjusting age, PPI, body mass index, phase angle significantly showed association with survival in multivariate analysis (HR, 0.64/per degree increase; 95% CI, 0.42 to 0.95; P = 0.028). Survival time of patients with phase angle ≥ 4.4° was longer than patients with phase angle < 4.4° (log rank, 6.208; P-value = 0.013).
Our data suggest BIA-derived phase angle may serve as an independent prognostic indicator in advanced cancer patients.
Url:
DOI: 10.4082/kjfm.2014.35.5.251
PubMed: 25309706
PubMed Central: 4192795
Affiliations:
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Yeon" sort="Lee, So Yeon" uniqKey="Lee S" first="So Yeon" last="Lee">So Yeon Lee</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Family Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Family Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Lee, Yong Joo" sort="Lee, Yong Joo" uniqKey="Lee Y" first="Yong Joo" last="Lee">Yong Joo Lee</name><affiliation wicri:level="3"><nlm:aff id="A2">Department of Palliative Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Palliative Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Yang, Jung Hwa" sort="Yang, Jung Hwa" uniqKey="Yang J" first="Jung-Hwa" last="Yang">Jung-Hwa Yang</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Family Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Family Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Kim, Chul Min" sort="Kim, Chul Min" uniqKey="Kim C" first="Chul-Min" last="Kim">Chul-Min Kim</name><affiliation wicri:level="3"><nlm:aff id="A2">Department of Palliative Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Palliative Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Choi, Whan Seok" sort="Choi, Whan Seok" uniqKey="Choi W" first="Whan-Seok" last="Choi">Whan-Seok Choi</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Family Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Family Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author></analytic><series><title level="j">Korean Journal of Family Medicine</title><idno type="ISSN">2005-6443</idno><idno type="eISSN">2092-6715</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>A frequent manifestation of advanced cancer patients is malnutrition, which is correlated with poor prognosis and high mortality. Bioelectrical impedance analysis (BIA) is an easy-to-use and non-invasive technique to evaluate changes in body composition and nutritional status. We investigated BIA-derived phase angle as a prognostic indicator for survival in advanced cancer patients.</p></sec><sec><title>Methods</title><p>Twenty-eight patients treated at the hospice center of Seoul St. Mary's Hospital underwent BIA measurements from January, 2013 to May, 2013. We also evaluated palliative prognostic index (PPI) and palliative performance scale to compare with the prognostic value of phase angle. Cox's proportional hazard models were constructed to evaluate the prognostic effect of phase angle. The Kaplan Meier method was used to calculate survival.</p></sec><sec><title>Results</title><p>Using univariate Cox analysis, phase angle (hazard ratio [HR], 0.61/per degree increase; 95% confidence interval [CI], 0.42 to 0.89; P = 0.010), PPI (HR, 1.21; 95% CI, 1.00 to 1.47; P = 0.048) were found to be significantly associated with survival. Adjusting age, PPI, body mass index, phase angle significantly showed association with survival in multivariate analysis (HR, 0.64/per degree increase; 95% CI, 0.42 to 0.95; P = 0.028). Survival time of patients with phase angle ≥ 4.4° was longer than patients with phase angle < 4.4° (log rank, 6.208; P-value = 0.013).</p></sec><sec><title>Conclusion</title><p>Our data suggest BIA-derived phase angle may serve as an independent prognostic indicator in advanced cancer patients.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Inui, A" uniqKey="Inui A">A Inui</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Barbosa Silva, Mc" uniqKey="Barbosa Silva M">MC Barbosa-Silva</name></author><author><name sortKey="Barros, Aj" uniqKey="Barros A">AJ Barros</name></author><author><name sortKey="Post, Cl" uniqKey="Post C">CL Post</name></author><author><name sortKey="Waitzberg, Dl" uniqKey="Waitzberg D">DL Waitzberg</name></author><author><name sortKey="Heymsfield, Sb" uniqKey="Heymsfield S">SB Heymsfield</name></author></analytic></biblStruct><biblStruct><analytic><author><name 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K">K Norman</name></author><author><name sortKey="Pirlich, M" uniqKey="Pirlich M">M Pirlich</name></author><author><name sortKey="Sorensen, J" uniqKey="Sorensen J">J Sorensen</name></author><author><name sortKey="Christensen, P" uniqKey="Christensen P">P Christensen</name></author><author><name sortKey="Kemps, M" uniqKey="Kemps M">M Kemps</name></author><author><name sortKey="Schutz, T" uniqKey="Schutz T">T Schutz</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Corée du Sud</li></country><region><li>Région capitale de Séoul</li></region><settlement><li>Séoul</li></settlement></list><tree><country name="Corée du Sud"><region name="Région capitale de Séoul"><name sortKey="Lee, So Yeon" sort="Lee, So Yeon" uniqKey="Lee S" first="So Yeon" last="Lee">So Yeon Lee</name></region><name sortKey="Choi, Whan Seok" sort="Choi, Whan Seok" uniqKey="Choi W" first="Whan-Seok" last="Choi">Whan-Seok Choi</name><name sortKey="Kim, Chul Min" sort="Kim, Chul Min" uniqKey="Kim C" first="Chul-Min" last="Kim">Chul-Min Kim</name><name sortKey="Lee, Yong Joo" sort="Lee, Yong Joo" uniqKey="Lee Y" first="Yong Joo" last="Lee">Yong Joo Lee</name><name sortKey="Yang, Jung Hwa" sort="Yang, Jung Hwa" uniqKey="Yang J" first="Jung-Hwa" last="Yang">Jung-Hwa Yang</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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