ArticleJournal of the Academy of Nutrition and Dietetics2025
Malnutrition Risk Is Associated With All-Cause Mortality and Chemotherapy Complications Among Adults Diagnosed With Diverse Cancer Types: A Retrospective Cohort Study.
Article in Journal of the Academy of Nutrition and Dietetics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Nutritional management practices and perspectives of Radiation Oncologists: outcomes of an International Atomic Energy Agency survey.Clinical and translational radiation oncology · 2026Article
- Identification of Circulating Lipidomic Biomarkers of Malnutrition Risk among Oncology Patients in the Total Cancer Care (TCC) Study: A Cross-Sectional Analysis.The Journal of nutrition · 2026Article
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- Editorial: Nutritional status and nutritional support in hospitalized patients.Frontiers in nutrition · 2026Article
- Article
- Oral nutritional supplement compliance among hospitalized cancer patients: a cross-sectional study based on the KAP model.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- The Role of Nutrition and Malnutrition as Determinants of Cancer Development, Prevention, and Survivorship.Delaware journal of public health · 2025Article
- Combined Predictive Value of GLIM-Defined Malnutrition and Preoperative Adipose TissueCurrent oncology (Toronto, Ont.) · 2025Article
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8 authors.
Funding
Abstract
backgroundStudies investigating the association of malnutrition with mortality and complications of cancer treatment in oncology patients are primarily restricted to head and neck and gastrointestinal cancers. Yet, malnutrition risk factors are experienced across cancer types.
objectiveTo evaluate the association of malnutrition risk, assessed by the Malnutrition Screening Tool, with all-cause mortality and complications of chemotherapy and radiation among oncology patients.
designA retrospective cohort study using electronic medical record data from January 2021 to April 2024. PARTICIPANTS/
settingTwo thousand eight hundred fifty-nine adult cancer patients with a Malnutrition Screening Tool score within 1 year of a cancer diagnosis were included. Patients were treated at 9 outpatient clinics in the western United States.
main outcome measuresThe primary outcome was all-cause mortality. Secondary outcomes were complications of chemotherapy and radiation. STATISTICAL ANALYSIS PERFORMED: Cox proportional hazards regression, adjusted for key confounders, was used to evaluate the association of malnutrition risk with time to death from any cause. A secondary analysis stratified by cancer type was conducted when sample size permitted. Multivariable logistic regression was used to assess the association of malnutrition risk with the first treatment-related complication.
resultsMalnutrition risk, compared with no risk, was significantly associated with increased risk for all-cause mortality for all cancer patients combined (hazard ratio 1.70; 95% CI, 1.39-2.07; P < .001) and some specific cancer types, such as lung cancer (hazard ratio 1.58; 95% CI, 1.05 to 2.37; P = .03). Malnutrition risk was also associated with increased likelihood of complications of chemotherapy in all cancers combined (odds ratio 1.49; 95% CI, 1.11-2.00; P < .01).
conclusionsMalnutrition risk was associated with elevated risk of mortality and chemotherapy complications for all cancers combined. These results highlight the importance of malnutrition risk in cancer prognosis.
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