Evidence map›Paper›PMID 34519440›Full record

ArticleJournal of cachexia, sarcopenia and muscle2021

Prevalence and prognostic impact of cachexia among older patients with cancer: a nationwide cross-sectional survey (NutriAgeCancer).

Johanne Poisson, Claudia Martinez-Tapia, Damien Heitz, Romain Geiss, Gilles Albrand, Claire Falandry, Mathilde Gisselbrecht, Anne-Laure Couderc, Rabia Boulahssass, Evelyne Liuu and 14 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of cachexia, sarcopenia and muscle, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05915325 (Physical Training for Elderly Cancer Patients With Cachexia), which is not on this map. Cited by 73 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 2 pooled it
9.8field-weighted citation impact, top 1% 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.

NCT05915325 naactive not recruitingnot on this mapstarted 2023, after this paper: background citation

Physical Training for Elderly Cancer Patients With Cachexia (TEECH-01): a Prospective Clinical Trial

TypeinterventionalSponsorNational Cheng-Kung University HospitalRan2023 to 2026Enrolled23ConditionsGeriatric Assessment, Cancer, Cancer CachexiaArmsPhysical training
3 · Its place in the literature

Who cites it

73 citing papers in PubMed, 2 syntheses or guidelines pooled it, 109 citations in OpenAlex.

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  16. Malnutrition in older adults with cancer undergoing outpatient care: associated factors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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13 more citing papers are in PubMed but not listed here.

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

24 authors at 14 institutions in 2 countries.

Johanne PoissonAssistance Publique - Hôpitaux de Paris (AP-HP), Paris Cancer Institute CARPEM, Geriatric Oncology Unit, Georges Pompidou European Hospital, Paris, France.ORCID 0000-0002-0183-845X
Claudia Martinez-TapiaINSERM-IMRB CEpiA (Clinical Epidemiology and Ageing Unit), Paris-Est University, UPEC, Créteil, France.
Damien HeitzOncology and Hematology Unit, Strasbourg University Hospital Center - Hautepierre Hospital, Strasbourg, France.
Romain GeissAssistance Publique - Hôpitaux de Paris (AP-HP), Paris Cancer Institute CARPEM, Geriatric Oncology Unit, Georges Pompidou European Hospital, Paris, France.
Gilles AlbrandGeriatric Oncology Unit, Antoine Charial hospital, Hospices Civils de Lyon, Lyon, France.
Claire FalandryGeriatrics Unit, Hospices Civils de Lyon, Pierre-Bénite, France.
Mathilde GisselbrechtAssistance Publique - Hôpitaux de Paris (AP-HP), Paris Cancer Institute CARPEM, Geriatric Oncology Unit, Georges Pompidou European Hospital, Paris, France.
Anne-Laure CoudercAP-HM, Division of Internal Medicine, Geriatric Medicine and Therapeutic, Sainte Marguerite Hospital, Marseille, France.
Rabia BoulahssassGeriatric Oncology Unit, University Hospital of Nice, Nice, France.
Evelyne LiuuGeriatric Department, CHU La Milétrie, Poitiers, France.
Pascaline Boudou-RouquetteAP-HP, Medical Oncology Department, ARIANE, Cochin Teaching Hospital, Paris, France.
Anne Chah WakilianGeriatric Department, Broca Hospital, Paris Centre Hospitals, Paris Descartes University, Paris, France.
Cedric GaxatteGeriatric Oncology Unit, Lille University Hospital, Lille, France.
Fréderic PamoukdjianAP-HP, Geriatric Oncology Unit, Avicenne Hospital and Paris 13 University, Sorbonne Paris Cité, Bobigny, France.
Laure de DeckerClinical Gerontology Department, Nantes University Hospital Center, Nantes, France.
Valery AntoineDepartment of Geriatric Medicine, Nimes University Hospital, Nimes, France.
Catherine CattenozMedical Oncology Department, Eugène Marquis Center, Rennes, France.
Heidi Solem-LaviecGeriatric Oncology Unit, Oncology Supportive Care Department, François Baclesse Regional Cancer Center, Caen, France.
Olivier GuillemGeriatric Medicine Unit, Inter-communal Hospital Center from Southern Alps, Gap, France.
Hayat MedjenahPublic Health Department and Clinical Research Unit, APHP, Henri-Mondor Hospital, Creteil, France.
Pierre André NatellaPublic Health Department and Clinical Research Unit, APHP, Henri-Mondor Hospital, Creteil, France.
Florence Canouï-PoitrineINSERM-IMRB CEpiA (Clinical Epidemiology and Ageing Unit), Paris-Est University, UPEC, Créteil, France.
Marie LaurentInternal Medicine and Geriatric Department, Paris- Sud-Val-de-Marne Geriatric Oncology Clinic, AP-HP, Henri-Mondor Hospital, Créteil, France.
Elena PaillaudAssistance Publique - Hôpitaux de Paris (AP-HP), Paris Cancer Institute CARPEM, Geriatric Oncology Unit, Georges Pompidou European Hospital, Paris, France.
Inserm · FRUniversité Paris Cité · FRAssistance Publique – Hôpitaux de Paris · FRHospices Civils de Lyon · FRAlps Electric (Japan) · JPCentre Eugène Marquis · FRCentre François Baclesse · FRCentre Hospitalier Universitaire de Nantes · FRCentre Hospitalier Universitaire de Nice · FRHôpital Cochin · FRHôpital d'Hautepierre · FRHôpital Sainte-Marguerite · FRLille’s Cardiology Hospital · FRUniversité de Nîmes · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNutritional impairment is common in cancer patients and is associated with poor outcomes. Only few studies focused on cachexia. We assessed the prevalence of cachexia in older cancer patients, identified associated risk factors, and evaluated its impact on 6 month overall mortality.

methodsA French nationwide cross-sectional survey (performed in 55 geriatric oncology clinics) of older cancer patients aged ≥70 referred for geriatric assessment prior to treatment choice and initiation. Demographic, clinical, and nutritional data were collected. The first outcome was cachexia, defined as loss of more than 5% of bodyweight over the previous 6 months, or a body mass index below 20 kg/m

resultsOf the 1030 patients included in the analysis [median age (interquartile range): 83 (79-87); males: 48%; metastatic cancer: 42%; main cancer sites: digestive tract (29%) and breast (16%)], 534 [52% (95% confidence interval: 49-55%)] had cachexia. In the multivariate analysis, patients with breast (P < 0.001), gynaecologic (P < 0.001), urinary (P < 0.001), skin (P < 0.001), and haematological cancers (P = 0.006) were less likely to have cachexia than patients with colorectal cancer. Patients with upper gastrointestinal tract cancers (including liver and pancreatic cancers; P = 0.052), with previous surgery for cancer (P = 0.001), with metastases (P = 0.047), poor performance status (≥2; P < 0.001), low food intake (P < 0.001), unfeasible timed up-and-go test (P = 0.002), cognitive disorders (P = 0.03) or risk of depression (P = 0.005), were more likely to have cachexia. At 6 months, 194 (20.5%) deaths were observed. Cachexia was associated with 6 month mortality risk (adjusted hazard ratio = 1.49; 95% confidence interval: 1.05-2.11) independently of age, in/outpatient status, cancer site, metastatic status, cancer treatment, dependency, cognition, and number of daily medications.

conclusionsMore than half of older patients with cancer managed in geriatric oncology clinics had cachexia. The factors associated with cachexia were upper gastrointestinal tract cancer, metastases, poor performance status, poor mobility, previous surgery for cancer, cognitive disorders, a risk of depression, and low food intake. Cachexia was independently associated with 6 month mortality.

Indexed as

CachexiaGastrointestinal NeoplasmsAgedCross-Sectional StudiesHumansMalePrevalencePrognosisCachexiaCancerElderlyMalnutritionNutritional supportPrognostic valueScreening

Identifiers

PMID34519440
PMCPMC8718093
OpenAlexW3198923221

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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.