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Prognostic value of postoperative decrease in serum albumin on surgically resected early-stage non-small cell lung carcinoma: A multicenter retrospective study

by Koji Yamazaki , Mototsugu Shimokawa , Gouji Toyokawa , Masaki Mori , Fumihiko Kinoshita , Taro Oba , Tomoyoshi Takenaka , Kazuki Takada , Atsushi Osoegawa , Mitsuhiro Takenoyama , Taichi Matsubara , Naoki Nakashima , Takanori Yamashita , Tetsuzo Tagawa

in Adenocarcinoma / Age Factors / Aged / Aged, 80 and over / Albumin / Biology and Life Sciences / Cancer / Carcinoma, Non-Small-Cell Lung / Chemotherapy / Disease-Free Survival / Female / Follow-Up Studies / Health aspects / Hospitals / Humans / Kaplan-Meier Estimate / Lung cancer / Lung cancer, Non-small cell / Lung carcinoma / Lung Neoplasms / Lungs / Male / Medical prognosis / Medicine / Medicine and Health Sciences / Neoplasm Staging / Non-small cell lung carcinoma / Nutritional Status / Patients / Physical Sciences / Postoperative Period / Prognosis / Q / R / Research and Analysis Methods / Retrospective Studies / Risk Factors / ROC Curve / Science / Serum Albumin / Sex / Sex Factors / Small cell lung carcinoma / Smoking / Subgroups / Surgery / Survival / Survival analysis / Thoracic surgery

2021

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Prognostic value of postoperative decrease in serum albumin on surgically resected early-stage non-small cell lung carcinoma: A multicenter retrospective study

2021

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Prognostic value of postoperative decrease in serum albumin on surgically resected early-stage non-small cell lung carcinoma: A multicenter retrospective study

2021

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Journal Article

Prognostic value of postoperative decrease in serum albumin on surgically resected early-stage non-small cell lung carcinoma: A multicenter retrospective study

Koji Yamazaki,

Mototsugu Shimokawa,

Gouji Toyokawa,

Masaki Mori,

Fumihiko Kinoshita,

Taro Oba,

Tomoyoshi Takenaka,

Kazuki Takada,

Atsushi Osoegawa,

Mitsuhiro Takenoyama,

Taichi Matsubara,

Naoki Nakashima,

Takanori Yamashita,

Tetsuzo Tagawa

2021

Overview

Preoperative nutritional status is an important host-related prognostic factor for non-small cell lung carcinoma (NSCLC); however, the significance of postoperative changes in nutritional status remains unclear. This study aimed to elucidate the significance of postoperative decreases in serum albumin ([DELTA]Alb) on the outcomes of early-stage NSCLC. We analyzed 443 training cohort (TC) and 642 validation cohort (VC) patients with pStage IA NSCLC who underwent surgery and did not recur within 1 year. We measured preoperative serum albumin levels (preAlb) and postoperative levels 1 year after surgery (postAlb), and calculated [DELTA]Alb as (preAlb - postAlb)/preAlb x 100%. A cutoff value of 11% for [DELTA]Alb was defined on the basis of the receiver operating characteristic curve for the TC. We demonstrated a negative impact of postoperative decrease of the serum albumin on the prognosis of patients with early-stage NSCLC. Postoperative changes in nutritional status might be important in NSCLC outcomes.

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Publisher

Public Library of Science (PLoS),Public Library of Science

Subject

Adenocarcinoma

/ Age Factors

/ Aged

/ Aged, 80 and over

/ Albumin

/ Biology and Life Sciences

/ Cancer