ArticleAnnals of surgical oncology2026
Association Between Metabolic Syndrome and Long-Term Prognosis in Patients with Perihilar Cholangiocarcinoma Treated with Curative-Intent Resection: A Multicenter Study.
Article in Annals of surgical oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundMetabolic syndrome (MetS) was linked to poor cancer outcomes, but its impact on perihilar cholangiocarcinoma (pCCA) survival postresection was unclear. In this study, we investigated the association between MetS and long-term prognosis in patients with pCCA after curative-intent resection.
methodsConsecutive patients with pCCA who underwent curative-intent resection at four hospitals (2018-2023) were enrolled and stratified into the MetS and non-MetS groups. Mets was diagnosed when patients met three or more of the following five criteria: (1) body mass index ≥ 25 kg/m
resultsOf the 321 included patients, 78 (24.3%) had MetS. After inverse probability of treatment weighting, the MetS and non-MetS groups comprised 77.30 and 242.21 cases, respectively, with no significant differences in tumor factors (P > 0.05). The MetS group had significantly lower 5-year OS (29.5% vs. 32.9%, P = 0.039), 5-year RFS (18.1% vs. 26.1%, P = 0.025), and 5-year CSS (30.8% vs. 34.8%, P = 0.048). MetS was an independent predictor of worse OS, RFS, and CSS.
conclusionsApproximately 25% of patients with pCCA who underwent curative-intent resection had MetS, which significantly increased early recurrence risk and worsened long-term survival.
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