The systemic inflammatory response, weight loss, performance status and survival in patients with inoperable non-small cell lung cancer.

作者: H R Scott , D C McMillan , L M Forrest , D J F Brown , C S McArdle

DOI: 10.1038/SJ.BJC.6600466

关键词:

摘要: The relationship between the magnitude of systemic inflammatory response and nutritional/functional parameters in patients with inoperable non-small cell lung cancer were studied. extent weight loss, albumin, C-reactive protein, performance status quality life was measured 106 (stages III IV). Survival analysis performed using Cox proportional hazard model. majority male almost 80% had elevated circulating protein concentrations (>10 mg x l(-1)). On multivariate analysis, age (P=0.012), tumour type (0.002), loss (P=0.056), (P=0.047), Karnofsky (P=0.002) fatigue (P=0.046) independent predictors survival. grouped according to ( 100 An increase associated increased (P=0.004), reduced albumin (P=0.001), (P=0.060), (P=0.011) survival (HR 1.936 95%CI 1.414-2.650, P<0.001). These results indicate that have evidence a response. Furthermore, an resulted greater poorer status, more

参考文章(21)
A J Staal-van den Brekel, M A Dentener, A M Schols, W A Buurman, E F Wouters, Increased resting energy expenditure and weight loss are related to a systemic inflammatory response in lung cancer patients Journal of Clinical Oncology. ,vol. 13, pp. 2600- 2605 ,(1995) , 10.1200/JCO.1995.13.10.2600
Matthew D. Barber, Kenneth C. H. Fearon, Donald C. McMillan, Christine Slater, James A. Ross, Tom Preston, Liver export protein synthetic rates are increased by oral meal feeding in weight-losing cancer patients. American Journal of Physiology-endocrinology and Metabolism. ,vol. 279, ,(2000) , 10.1152/AJPENDO.2000.279.3.E707
Donald C. McMillan, Maqsood M. Elahi, Naveed Sattar, Wilson J. Angerson, Jennie Johnstone, Colin S. McArdle, Measurement of the systemic inflammatory response predicts cancer-specific and non-cancer survival in patients with cancer. Nutrition and Cancer. ,vol. 41, pp. 64- 69 ,(2001) , 10.1080/01635581.2001.9680613
Clifton F. Mountain, A new international staging system for lung cancer Chest. ,vol. 89, pp. 225- 233 ,(1986) , 10.1378/CHEST.89.4_SUPPLEMENT.225S
J Stuart Falconer, Kenneth CH Fearon, James A Ross, Robert Elton, Stephen J Wigmore, O James James, David C Carter, None, Acute-phase protein response and survival duration of patients with pancreatic cancer Cancer. ,vol. 75, pp. 2077- 2082 ,(1995) , 10.1002/1097-0142(19950415)75:8<2077::AID-CNCR2820750808>3.0.CO;2-9
R Abramovitch, M Marikovsky, G Meir, M Neeman, Stimulation of tumour growth by wound-derived growth factors. British Journal of Cancer. ,vol. 79, pp. 1392- 1398 ,(1999) , 10.1038/SJ.BJC.6690223
Donald C. McMillan, Hazel R. Scott, Walter S. Watson, Tom Preston, Robert Milroy, Colin S. McArdle, Longitudinal study of body cell mass depletion and the inflammatory response in cancer patients Nutrition and Cancer. ,vol. 31, pp. 101- 105 ,(1998) , 10.1080/01635589809514687
HR Scott, DC McMillan, A Crilly, CS McArdle, R Milroy, The relationship between weight loss and interleukin 6 in non-small-cell lung cancer British Journal of Cancer. ,vol. 73, pp. 1560- 1562 ,(1996) , 10.1038/BJC.1996.294
Patricia O'Gorman, Donald C. McMillan, Colin S. McArdle, Longitudinal Study of Weight, Appetite, Performance Status, and Inflammation in Advanced Gastrointestinal Cancer Nutrition and Cancer. ,vol. 35, pp. 127- 129 ,(1999) , 10.1207/S15327914NC352_5
KENNETH C. H. FEARON, DONALD C. MCMILLAN, THOMAS PRESTON, F. PETER WINSTANLEY, ANNE M. CRUICKSHANK, ALAN SHENKIN, Elevated circulating interleukin-6 is associated with an acute-phase response but reduced fixed hepatic protein synthesis in patients with cancer. Annals of Surgery. ,vol. 213, pp. 26- 31 ,(1991) , 10.1097/00000658-199101000-00005