Evidence map›Paper›PMID 30196027›Full record

ArticleJournal of geriatric oncology2019

Characterizing cancer cachexia in the geriatric oncology population.

Richard F Dunne, Breton Roussel, Eva Culakova, Chintan Pandya, Fergal J Fleming, Bradley Hensley, Allison M Magnuson, Kah Poh Loh, Maxence Gilles, Erika Ramsdale and 5 more

Open access · greenAbstract read
In one paragraph

Article in Journal of geriatric oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
3.7field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 52 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 4 institutions in 1 country.

Richard F DunneWilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY, United States; University of Rochester NCI Community Oncology Research Program (UR NCORP), Rochester, NY, United States. Electronic address: richard_dunne@urmc.rochester.edu.
Breton RousselDepartment of Medicine, Brown University, Providence, RI, United States.
Eva CulakovaWilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY, United States; University of Rochester NCI Community Oncology Research Program (UR NCORP), Rochester, NY, United States.
Chintan PandyaWilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY, United States.
Fergal J FlemingWilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY, United States.
Bradley HensleyWilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY, United States.
Allison M MagnusonWilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY, United States; University of Rochester NCI Community Oncology Research Program (UR NCORP), Rochester, NY, United States.
Kah Poh LohWilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY, United States.
Maxence GillesWilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY, United States.
Erika RamsdaleWilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY, United States; University of Rochester NCI Community Oncology Research Program (UR NCORP), Rochester, NY, United States.
Ronald J MaggioreWilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY, United States.
Aminah JatoiMayo Clinic, Department of Oncology, Rochester, MN, United States.
Karen M MustianWilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY, United States; University of Rochester NCI Community Oncology Research Program (UR NCORP), Rochester, NY, United States.
William DaleCity of Hope, Department of Supportive Care Medicine, Duarte, CA, United States.
Supriya G MohileWilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY, United States; University of Rochester NCI Community Oncology Research Program (UR NCORP), Rochester, NY, United States.
University of Rochester Medical Center · USBrown University · USCity of Hope · USMayo Clinic in Arizona · US

Funding

URCC NCORP Research BaseUG1CA189961 · NCI · UNIVERSITY OF ROCHESTER · PI Michelle C Janelsins, KAREN M. MUSTIAN · 2014 to 2026
$67.7M
Cancer Control Research Training Curriculum (R25T)R25CA102618 · NCI · UNIVERSITY OF ROCHESTER · PI JANELSINS, MICHELLE C, MORROW, GARY R · 2004 to 2018
$6.7M
Reducing Chemotherapy Toxicity in Older AdultsR01CA177592 · NCI · UNIVERSITY OF ROCHESTER · PI MOHILE, SUPRIYA G. · 2013 to 2018
$3.0M
A Patient-Oriented Research Program in Geriatric OncologyK24AG056589 · NIA · UNIVERSITY OF ROCHESTER · PI Supriya G. Mohile · 2018 to 2026
$1.5M
NCI NIH HHS R01 CA177592NCI NIH HHS R25 CA102618NCI NIH HHS UG1 CA189961NIA NIH HHS K24 AG056589
6 · The paper itself

Abstract

objectivesCancer cachexia, characterized by weight loss and sarcopenia, leads to a decline in physical function and is associated with poorer survival. Cancer cachexia remains poorly described in older adults with cancer. This study aims to characterize cancer cachexia in older adults by assessing its prevalence utilizing standard definitions and evaluating associations with components of the geriatric assessment (GA) and survival. MATERIALS AND

methodsPatients with cancer older than 65 years of age who underwent a GA and had baseline CT imaging were eligible in this cross-sectional study. Cancer cachexia was defined by the international consensus definition reported in 2011. Sarcopenia was measured using cross-sectional imaging and utilizing sex-specific cut-offs. Associations between cachexia, sarcopenia, and weight loss with survival and GA domains were explored.

resultsMean age of 100 subjects was 79.9 years (66-95) and 65% met criteria for cancer cachexia. Cachexia was associated with impairment in instrumental activities of daily living (IADL) (p = .017); no significant association was found between sarcopenia or weight loss and IADL impairment. Cachexia was significantly associated with poorer survival (median 1.0 vs 2.1 years, p = .011).

conclusionsCancer cachexia as defined by the international consensus definition is prevalent in older adults with cancer and is associated with functional impairment and decreased survival. Larger prospective studies are needed to further describe cancer cachexia in this population.

Indexed as

AgedAged, 80 and overCachexiaCross-Sectional StudiesFemaleGeriatric AssessmentHumansMaleNeoplasmsPhysical Functional PerformancePrevalenceCachexiaFunctional impairmentGeriatric assessmentGeriatric oncologySarcopeniaWeight loss

Identifiers

PMID30196027
PMCPMC6401352
OpenAlexW2891923680

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.