Age-dependent prognostic value of body mass index for non-metastatic clear cell renal cell carcinoma: A large multicenter retrospective analysis
- Authors
- Byun, Seok-Soo; Hwang, Eu C.; Kang, Seok H.; Hong, Sung-Hoo; Chung, Jinsoo; Kwon, Tae G.; Kim, Hyeon H.; Kwak, Cheol; Kim, Yong-June; Lee, Won K.
- Issue Date
- 1-7월-2018
- Publisher
- WILEY
- Keywords
- age; body mass index; obesity; renal cell carcinoma; survival
- Citation
- JOURNAL OF SURGICAL ONCOLOGY, v.118, no.1, pp.199 - 205
- Indexed
- SCIE
SCOPUS
- Journal Title
- JOURNAL OF SURGICAL ONCOLOGY
- Volume
- 118
- Number
- 1
- Start Page
- 199
- End Page
- 205
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/74381
- DOI
- 10.1002/jso.25104
- ISSN
- 0022-4790
- Abstract
- Background and Objectives: The prognostic value of obesity is unestablished for renal cell carcinoma. We assessed the age-dependent prognostic value of body mass index (BMI) in a large multicenter cohort of patients with non-metastatic clear cell renal cell carcinoma (nm-cRCC). Methods: This study evaluated 2092 patients with nm-cRCC who underwent surgery with curative intent at five Korean institutions between 2001 and 2014. Results: There was no significant difference in BMI between the young (<45 years) and older patients (>= 45 years) (P=0.398). Among older patients, high BMI (>= 25 kg/m(2)) was associated with better 5-year rates of recurrence-free survival (RFS) and cancer-specific survival (CSS) (P=0.003 and 0.004, respectively), and multivariate analysis confirmed that high BMI was independently associated with better RFS and CSS (RFS hazard ratio [HR]: 0.617, P=0.005; CSS HR: 0.588, P=0.024). However, among young patients, there were no significant BMI-related differences in the 5-year RFS and CSS rates (P=0.457 and 0.420, respectively), and high BMI was not independently associated with RFS or CSS (P=0.822 and 0.749, respectively). Conclusions: Among patients with nm-cRCC, high BMI was associated with a favorable prognosis among older patients but not among young patients. Therefore, the relationship between obesity and nm-cRCC prognosis might vary according to age.
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