Evidence map›Paper›PMID 42228208›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2026

Prognostic impact of weight loss during first-line chemotherapy in extensive-disease small cell lung cancer.

Toshiya Fujisaki, Tateaki Naito, Satomi Kumaki, Shunichi Kataoka, Shin Saito, Suguru Matsuda, Haruki Kobayashi, Ryo Ko, Kazushige Wakuda, Akira Ono and 3 more

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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 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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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

13 authors.

Toshiya FujisakiDivision of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan.
Tateaki NaitoDivision of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan. t.naito@scchr.jp.
Satomi KumakiDivision of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan.
Shunichi KataokaDivision of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan.
Shin SaitoDivision of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan.
Suguru MatsudaDivision of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan.
Haruki KobayashiDivision of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan.
Ryo KoDivision of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan.
Kazushige WakudaDivision of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan.
Akira OnoDivision of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan.
Haruyasu MurakamiDivision of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan.
Toshiaki TakahashiDivision of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan.
Hirotsugu KenmotsuDivision of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe adverse prognostic impact of cancer cachexia is well recognized. We aimed to evaluate the prognostic impact of weight loss during first-line platinum-based chemo(immuno)therapy in patients with extensive-disease small-cell lung cancer (ED-SCLC).

methodsWe retrospectively reviewed 187 of 346 ED-SCLC patients (54%) treated between 2009 and 2021, and collected body weight at three time points: 6 months before, at the start of the first cycle, and at the beginning of the third cycle of initial chemotherapy. Based on pretreatment cachexia defined according to the Fearon criteria (weight loss > 5% or > 2% with BMI < 20 kg/m

resultsMedian overall survival (OS) differed significantly among the groups (p = 0.020), with the non-weight-loss group showing more favorable survival than the other groups (adjusted hazard ratios, 1.51-1.65; all p ≤ 0.05). The non-weight-loss group experienced fewer grade ≥ 2 anorexia and nausea/vomiting events during the first two cycles.

conclusionsIn patients with ED-SCLC, the absence of weight loss before and during chemotherapy was associated with longer OS and fewer gastrointestinal toxicities. These findings underscore the importance of early supportive care to prevent weight loss, including proactive management of gastrointestinal toxicities during chemotherapy.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsCachexiaLung NeoplasmsSmall Cell Lung CarcinomaWeight LossAdultAgedFemaleHumansMaleMiddle AgedPrognosisRetrospective StudiesSurvival RateCachexiaPrognosisSmall-cell lung carcinomaWeight loss

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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.