The association of BMI and sarcopenia with survival in patients with glioblastoma multiforme


GÜVEN D. C. , AKSUN M. S. , ÇAKIR İ. Y. , KILIÇKAP S. , KERTMEN N.

FUTURE ONCOLOGY, 2021 (Journal Indexed in SCI) identifier identifier

  • Publication Type: Article / Article
  • Volume:
  • Publication Date: 2021
  • Doi Number: 10.2217/fon-2021-0681
  • Title of Journal : FUTURE ONCOLOGY
  • Keywords: glioblastoma multiforme, obesity, prognosis, sarcopenia, temporal muscle thickness, BODY-MASS INDEX, MUSCLE THICKNESS MEASUREMENTS, MAGNETIC-RESONANCE IMAGES, ADJUVANT CHEMOTHERAPY, CANCER, OBESITY, TEMOZOLOMIDE, OVERWEIGHT, MORTALITY, LOMUSTINE

Abstract

Background: The association between obesity and sarcopenia (via temporal muscle thickness) with overall survival (OS) has been evaluated in several glioblastoma multiforme studies, however, the data are inconclusive. Methods: The authors conducted meta-analyses via the generic inverse-variance method with a random-effects model. Results: In the pooled analysis of five studies, including 973 patients, patients with lower temporal muscle thickness had significantly decreased OS (HR: 1.62, 95% CI: 1.16-2.28, p = 0.005). The pooled analysis of five studies, including 2131 patients, demonstrated decreased OS in patients with lower BMI compared with patients with obesity (HR: 1.45, 95% CI: 1.12-1.88, p = 0.005). Conclusion: Readily available body composition parameters could be used for prognosis prediction and to aid in treatment decisions in patients with glioblastoma multiforme.