Prognostic value of hypocholesterolemia in patients with gastric cancer.

Abstract:

BACKGROUND:According to previous studies, low serum total cholesterol (TC) is associated with higher cancer incidence and mortality. However, the prognostic implications of preoperative TC in patients with gastric cancer (GC) remain to be determined. METHODS:A total of 1251 patients with GC, who underwent radical gastrectomy between 2005 and 2008, were recruited. Propensity score weighting (PSW) based on a generalized boosted method (GBM) was used to control for selection bias. RESULTS:After balancing the preoperative and operative covariates, low TC was associated with high incidence of complications (severe complication rate: 15.2% (Low TC) vs. 4.7% (Normal TC) vs 5.5% (High TC); p = 0.004). In multivariable analysis, lowering TC was associated with poor OS and RFS in weighted population. [OS: hazard ratio (HR) = 0.92; 95% CI = 0.867-0.980; P = 0.009 and RFS: HR = 0.93; 95% CI = 0.873-0.988; P = 0.02]. CONCLUSIONS:Preoperative TC is a useful predictor of postoperative survival and postoperative complications in patients with stage I-III GC and may help to identify high-risk patients for rational therapy, including nutritional support, and timely follow-up.

journal_name

Asian J Surg

journal_title

Asian journal of surgery

authors

Shin HJ,Roh CK,Son SY,Hoon H,Han SU

doi

10.1016/j.asjsur.2020.08.014

subject

Has Abstract

pub_date

2021-01-01 00:00:00

pages

72-79

issue

1

eissn

1015-9584

issn

0219-3108

pii

S1015-9584(20)30261-X

journal_volume

44

pub_type

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