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Extracellular–to–body cell mass ratio and subjective global assessment in head-and-neck cancers

Identifieur interne : 001B68 ( Pmc/Checkpoint ); précédent : 001B67; suivant : 001B69

Extracellular–to–body cell mass ratio and subjective global assessment in head-and-neck cancers

Auteurs : T. Małecka Assalska [Pologne] ; A. Smole [Pologne] ; K. Morshed [Pologne]

Source :

RBID : PMC:3921049

Abstract

Background

The ratio of extracellular mass to body cell mass (ecm/bcm), determined by bioelectrical impedance analysis, has been found to be a potentially useful indicator of nutrition status. Subjective global assessment (sga) is a subjective method of evaluating nutrition status in head-and-neck cancer. The present study was conducted to investigate the association between ecm/bcm and sga in head-and-neck cancer.

Methods

Patients were classified as either well-nourished or malnourished by sga. Bioelectrical impedance analysis was conducted on a population of 75 patients with histologically confirmed head-and-neck cancer, and the ecm/bcm was calculated. Receiver operating characteristic curves were estimated using the nonparametric method to determine an optimal cut-off value of the ecm/bcm.

Results

Compared with malnourished patients, those who were well-nourished had a statistically significantly lower ecm/bcm (1.11 vs. 1.28, p = 0.005). An ecm/bcm cut-off of 1.194 was 76% sensitive and 63% specific in detecting malnutrition.

Conclusions

The ecm/bcm can be an indicator that detects malnutrition in patients with head-and-neck cancer. Further observations are needed to validate the significance of the ecm/bcm and to monitor nutrition interventions.


Url:
DOI: 10.3747/co.21.1671
PubMed: 24523622
PubMed Central: 3921049


Affiliations:


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PMC:3921049

Le document en format XML

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<nlm:aff id="af1-conc-21-e62">Physiology Department, Medical University of Lublin, Lublin, Poland.</nlm:aff>
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<title>Background</title>
<p>The ratio of extracellular mass to body cell mass (
<sc>ecm/bcm</sc>
), determined by bioelectrical impedance analysis, has been found to be a potentially useful indicator of nutrition status. Subjective global assessment (
<sc>sga</sc>
) is a subjective method of evaluating nutrition status in head-and-neck cancer. The present study was conducted to investigate the association between
<sc>ecm/bcm</sc>
and
<sc>sga</sc>
in head-and-neck cancer.</p>
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<p>Patients were classified as either well-nourished or malnourished by
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. Bioelectrical impedance analysis was conducted on a population of 75 patients with histologically confirmed head-and-neck cancer, and the
<sc>ecm/bcm</sc>
was calculated. Receiver operating characteristic curves were estimated using the nonparametric method to determine an optimal cut-off value of the
<sc>ecm/bcm</sc>
.</p>
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<p>Compared with malnourished patients, those who were well-nourished had a statistically significantly lower
<sc>ecm/bcm</sc>
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<italic>p</italic>
= 0.005). An
<sc>ecm/bcm</sc>
cut-off of 1.194 was 76% sensitive and 63% specific in detecting malnutrition.</p>
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<title>Conclusions</title>
<p>The
<sc>ecm/bcm</sc>
can be an indicator that detects malnutrition in patients with head-and-neck cancer. Further observations are needed to validate the significance of the
<sc>ecm/bcm</sc>
and to monitor nutrition interventions.</p>
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Physiology Department, Medical University of Lublin, Lublin, Poland.</aff>
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Mathematics and Biostatistics Department, Medical University of Lublin, Lublin, Poland.</aff>
<aff id="af3-conc-21-e62">
<label></label>
Otolaryngology Department, Head and Neck Surgery, Medical University of Lublin, Lublin, Poland.</aff>
<author-notes>
<corresp id="c1-conc-21-e62">Correspondence to: Teresa Małecka–Massalska, Physiology Department, Medical University of Lublin, Radziwiłłowska 11 Street, Lublin 20-080 Poland. E-mail:
<email>tmalecka@gmail.com</email>
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<month>2</month>
<year>2014</year>
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<volume>21</volume>
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<copyright-statement>2014 Multimed Inc.</copyright-statement>
<copyright-year>2014</copyright-year>
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<abstract>
<sec>
<title>Background</title>
<p>The ratio of extracellular mass to body cell mass (
<sc>ecm/bcm</sc>
), determined by bioelectrical impedance analysis, has been found to be a potentially useful indicator of nutrition status. Subjective global assessment (
<sc>sga</sc>
) is a subjective method of evaluating nutrition status in head-and-neck cancer. The present study was conducted to investigate the association between
<sc>ecm/bcm</sc>
and
<sc>sga</sc>
in head-and-neck cancer.</p>
</sec>
<sec>
<title>Methods</title>
<p>Patients were classified as either well-nourished or malnourished by
<sc>sga</sc>
. Bioelectrical impedance analysis was conducted on a population of 75 patients with histologically confirmed head-and-neck cancer, and the
<sc>ecm/bcm</sc>
was calculated. Receiver operating characteristic curves were estimated using the nonparametric method to determine an optimal cut-off value of the
<sc>ecm/bcm</sc>
.</p>
</sec>
<sec>
<title>Results</title>
<p>Compared with malnourished patients, those who were well-nourished had a statistically significantly lower
<sc>ecm/bcm</sc>
(1.11 vs. 1.28,
<italic>p</italic>
= 0.005). An
<sc>ecm/bcm</sc>
cut-off of 1.194 was 76% sensitive and 63% specific in detecting malnutrition.</p>
</sec>
<sec>
<title>Conclusions</title>
<p>The
<sc>ecm/bcm</sc>
can be an indicator that detects malnutrition in patients with head-and-neck cancer. Further observations are needed to validate the significance of the
<sc>ecm/bcm</sc>
and to monitor nutrition interventions.</p>
</sec>
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