Prognostic Impact of Sarcopenia in Patients with Advanced Prostate Carcinoma: A Systematic Review
Prostate cancer (PCa) is the second most common cancer in men and the fifth leading cause of death from cancer. The possibility of sarcopenia being a prognostic factor in advanced PCa patients has recently become a subject of interest. The aim of the present study was to evaluate the prognostic valu...
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| Vydané v: | Journal of clinical medicine Ročník 12; číslo 1; s. 57 |
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| Hlavní autori: | , , , , , , , , |
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| Jazyk: | English |
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21.12.2022
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| Abstract | Prostate cancer (PCa) is the second most common cancer in men and the fifth leading cause of death from cancer. The possibility of sarcopenia being a prognostic factor in advanced PCa patients has recently become a subject of interest. The aim of the present study was to evaluate the prognostic value of sarcopenia in advanced prostate carcinoma. A systematic review was conducted in Medline, EMBASE, and Web of Science (March, 2021). The quality of studies was assessed using the Quality in Prognosis Studies tool. Meta-analyses for overall, cancer-specific, and progression-free survival were performed. Nine studies (n = 1659) were included. Sarcopenia was borderline associated with a shorter overall survival (HR = 1.20, 95% CI: 1.01, 1.44, P = 0.04, I2 = 43%) but was significantly associated with progression-free survival (HR = 1.61, 95% CI: 1.26, 2.06, P < 0.01; k = 3; n = 588). Available evidence supports sarcopenia as an important prognostic factor of progression-free survival in patients with advanced PCa. However, sarcopenia has a weak association with a shorter overall survival. The evidence on the role of sarcopenia in prostate-cancer-specific survival is insufficient and supports the need for further research. Patient summary: The literature was reviewed to determine whether the loss of muscle mass (sarcopenia) affects the survival in patients with advanced PCa. Patients with advanced PCa and sarcopenia were found to have a shorter progression-free survival (the length of time during and after treatment of a cancer that the patient lives with the disease but it does not get worse), but sarcopenia did not have much influence on the overall survival and cancer-specific survival (the length of time from either the date of diagnosis or the start of treatment to the date of death due to the cancer). |
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| AbstractList | Prostate cancer (PCa) is the second most common cancer in men and the fifth leading cause of death from cancer. The possibility of sarcopenia being a prognostic factor in advanced PCa patients has recently become a subject of interest. The aim of the present study was to evaluate the prognostic value of sarcopenia in advanced prostate carcinoma. A systematic review was conducted in Medline, EMBASE, and Web of Science (March, 2021). The quality of studies was assessed using the Quality in Prognosis Studies tool. Meta-analyses for overall, cancer-specific, and progression-free survival were performed. Nine studies (n = 1659) were included. Sarcopenia was borderline associated with a shorter overall survival (HR = 1.20, 95% CI: 1.01, 1.44, P = 0.04, I2 = 43%) but was significantly associated with progression-free survival (HR = 1.61, 95% CI: 1.26, 2.06, P < 0.01; k = 3; n = 588). Available evidence supports sarcopenia as an important prognostic factor of progression-free survival in patients with advanced PCa. However, sarcopenia has a weak association with a shorter overall survival. The evidence on the role of sarcopenia in prostate-cancer-specific survival is insufficient and supports the need for further research. Patient summary: The literature was reviewed to determine whether the loss of muscle mass (sarcopenia) affects the survival in patients with advanced PCa. Patients with advanced PCa and sarcopenia were found to have a shorter progression-free survival (the length of time during and after treatment of a cancer that the patient lives with the disease but it does not get worse), but sarcopenia did not have much influence on the overall survival and cancer-specific survival (the length of time from either the date of diagnosis or the start of treatment to the date of death due to the cancer).Prostate cancer (PCa) is the second most common cancer in men and the fifth leading cause of death from cancer. The possibility of sarcopenia being a prognostic factor in advanced PCa patients has recently become a subject of interest. The aim of the present study was to evaluate the prognostic value of sarcopenia in advanced prostate carcinoma. A systematic review was conducted in Medline, EMBASE, and Web of Science (March, 2021). The quality of studies was assessed using the Quality in Prognosis Studies tool. Meta-analyses for overall, cancer-specific, and progression-free survival were performed. Nine studies (n = 1659) were included. Sarcopenia was borderline associated with a shorter overall survival (HR = 1.20, 95% CI: 1.01, 1.44, P = 0.04, I2 = 43%) but was significantly associated with progression-free survival (HR = 1.61, 95% CI: 1.26, 2.06, P < 0.01; k = 3; n = 588). Available evidence supports sarcopenia as an important prognostic factor of progression-free survival in patients with advanced PCa. However, sarcopenia has a weak association with a shorter overall survival. The evidence on the role of sarcopenia in prostate-cancer-specific survival is insufficient and supports the need for further research. Patient summary: The literature was reviewed to determine whether the loss of muscle mass (sarcopenia) affects the survival in patients with advanced PCa. Patients with advanced PCa and sarcopenia were found to have a shorter progression-free survival (the length of time during and after treatment of a cancer that the patient lives with the disease but it does not get worse), but sarcopenia did not have much influence on the overall survival and cancer-specific survival (the length of time from either the date of diagnosis or the start of treatment to the date of death due to the cancer). Prostate cancer (PCa) is the second most common cancer in men and the fifth leading cause of death from cancer. The possibility of sarcopenia being a prognostic factor in advanced PCa patients has recently become a subject of interest. The aim of the present study was to evaluate the prognostic value of sarcopenia in advanced prostate carcinoma. A systematic review was conducted in Medline, EMBASE, and Web of Science (March, 2021). The quality of studies was assessed using the Quality in Prognosis Studies tool. Meta-analyses for overall, cancer-specific, and progression-free survival were performed. Nine studies (n = 1659) were included. Sarcopenia was borderline associated with a shorter overall survival (HR = 1.20, 95% CI: 1.01, 1.44, P = 0.04, I2 = 43%) but was significantly associated with progression-free survival (HR = 1.61, 95% CI: 1.26, 2.06, P < 0.01; k = 3; n = 588). Available evidence supports sarcopenia as an important prognostic factor of progression-free survival in patients with advanced PCa. However, sarcopenia has a weak association with a shorter overall survival. The evidence on the role of sarcopenia in prostate-cancer-specific survival is insufficient and supports the need for further research. Patient summary: The literature was reviewed to determine whether the loss of muscle mass (sarcopenia) affects the survival in patients with advanced PCa. Patients with advanced PCa and sarcopenia were found to have a shorter progression-free survival (the length of time during and after treatment of a cancer that the patient lives with the disease but it does not get worse), but sarcopenia did not have much influence on the overall survival and cancer-specific survival (the length of time from either the date of diagnosis or the start of treatment to the date of death due to the cancer). |
| Author | del Pino-Sedeño, Tasmania Trujillo-Martín, María M. de Armas-Castellano, Aythami Ramírez Backhaus, Miguel Ferrer, Juan Francisco Loro de Pablos-Velasco, Pedro de Pablos-Rodríguez, Pedro Infante-Ventura, Diego Rueda-Domínguez, Antonio |
| AuthorAffiliation | 10 Research Network on Health Services in Chronic Diseases (REDISSEC), Carlos III Health Institute, 28029 Madrid, Spain 7 Department of Endocrinology and Nutrition, University Hospital of Gran Canaria Doctor Negrín, 35012 Las Palmas de Gran Canaria, Spain 2 Doctoral School of University of Las Palmas de Gran Canaria (ULPGC), 35001 Las Palmas de Gran Canaria, Spain 8 Research Institute of Biomedical and Health Sciences (IUIBS), University of Las Palmas de Gran Canaria (ULPGC), 35001 Las Palmas de Gran Canaria, Spain 4 Evaluation Unit of the Canary Islands Health Service (SESCS), 38109 Santa Cruz de Tenerife, Spain 5 Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), 38109 Santa Cruz de Tenerife, Spain 3 Canary Islands Health Research Institute Foundation (FIISC), 38320 Santa Cruz de Tenerife, Spain 1 Department of Urology, Instituto Valenciano de Oncología (IVO), 46009 Valencia, Spain 6 Department of Clinical Sciences, University of Las Palmas de Gran Canaria (ULP |
| AuthorAffiliation_xml | – name: 7 Department of Endocrinology and Nutrition, University Hospital of Gran Canaria Doctor Negrín, 35012 Las Palmas de Gran Canaria, Spain – name: 9 Medical Oncology Intercenter Unit, Regional and Virgen de la Victoria University Hospitals, IBIMA, 29590 Malaga, Spain – name: 4 Evaluation Unit of the Canary Islands Health Service (SESCS), 38109 Santa Cruz de Tenerife, Spain – name: 10 Research Network on Health Services in Chronic Diseases (REDISSEC), Carlos III Health Institute, 28029 Madrid, Spain – name: 6 Department of Clinical Sciences, University of Las Palmas de Gran Canaria (ULPGC), 35001 Las Palmas de Gran Canaria, Spain – name: 8 Research Institute of Biomedical and Health Sciences (IUIBS), University of Las Palmas de Gran Canaria (ULPGC), 35001 Las Palmas de Gran Canaria, Spain – name: 2 Doctoral School of University of Las Palmas de Gran Canaria (ULPGC), 35001 Las Palmas de Gran Canaria, Spain – name: 1 Department of Urology, Instituto Valenciano de Oncología (IVO), 46009 Valencia, Spain – name: 3 Canary Islands Health Research Institute Foundation (FIISC), 38320 Santa Cruz de Tenerife, Spain – name: 5 Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), 38109 Santa Cruz de Tenerife, Spain |
| Author_xml | – sequence: 1 givenname: Pedro orcidid: 0000-0003-2286-9893 surname: de Pablos-Rodríguez fullname: de Pablos-Rodríguez, Pedro – sequence: 2 givenname: Tasmania surname: del Pino-Sedeño fullname: del Pino-Sedeño, Tasmania – sequence: 3 givenname: Diego orcidid: 0000-0003-4197-7849 surname: Infante-Ventura fullname: Infante-Ventura, Diego – sequence: 4 givenname: Aythami surname: de Armas-Castellano fullname: de Armas-Castellano, Aythami – sequence: 5 givenname: Miguel surname: Ramírez Backhaus fullname: Ramírez Backhaus, Miguel – sequence: 6 givenname: Juan Francisco Loro orcidid: 0000-0002-0517-8209 surname: Ferrer fullname: Ferrer, Juan Francisco Loro – sequence: 7 givenname: Pedro orcidid: 0000-0002-9190-2581 surname: de Pablos-Velasco fullname: de Pablos-Velasco, Pedro – sequence: 8 givenname: Antonio orcidid: 0000-0001-5890-0149 surname: Rueda-Domínguez fullname: Rueda-Domínguez, Antonio – sequence: 9 givenname: María M. orcidid: 0000-0003-2273-2192 surname: Trujillo-Martín fullname: Trujillo-Martín, María M. |
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| Keywords | meta-analysis systematic review prognosis prostatic neoplasms survival sarcopenia |
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| SubjectTerms | Age Androgens Bias Cancer therapies Chemotherapy Clinical medicine Collaboration Lung cancer Medical prognosis Meta-analysis Metastasis Mortality Muscle strength Musculoskeletal system Prostate cancer Review Sarcopenia Systematic review |
| Title | Prognostic Impact of Sarcopenia in Patients with Advanced Prostate Carcinoma: A Systematic Review |
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