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- Original Article Association of Preoperative Nutritional Factors with Prognosis in Gastric Cancer Patients
- Myoung Won Son, M.D., Moon Soo Lee, M.D., Ph.D.
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위암 환자에서 수술 전 확인된 영양 인자의 예후로서의 가치 - 손명원ㆍ이문수
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Surgical Metabolism and Nutrition 2013;4(1):14-17.
Published online: June 30, 2013
Department of Surgery, College of Medicine, Soonchunhyang University, Cheonan, Korea
순천향대학교 의과대학 외과학교실
순천향대학교 의과대학 외과학교실
Received: 2 May 2013 • Revised: 14 December 1901 • Accepted: 5 June 2013
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Abstract
Purpose: In gastric cancer patients, nutritional status is known to be associated with postoperative complications and prognosis after surgical treatment. The aim of this study was to examine preoperative nutritional status and several biochemical laboratory tests in gastric cancer patients, and to evaluate whether they are associated with prognosis.
Materials and Methods: Between January 2008 and December 2009, 230 patients who had undergone surgical operation for gastric cancer were enrolled. The nutritional assessment was assessed by the 1st and 2nd nutritional assessment tool. Body mass index, serum albumin, total lymphocyte count, hemoglobin, hematocrit, blood urea nitrogen, creatinine, and cholesterol were examined, and we analyzed whether these factors are associated with prognosis.
Results: A total of 230 patients were included: 174 males and 56 females with a mean age of 60.5 years old. In multivariate analysis, blood urea nitrogen (P<0.001), 2nd nutritional assessment (P=0.001), body mass index (P=0.001), and serum albumin level (P=0.010) were prognostic factors on overall survival.
Conclusion: Preoperative blood urea nitrogen, 2nd nutritional assessment, body mass index, and serum albumin level are prognostic factors for gastric cancer. (SMN 2013;4:14-17)
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