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Esophagectomy for cancer is often accompanied with severe preoperative weight loss. Body Mass Index (BMI) values are age-independent and the same for both sexes. From the perspective that these two parameters should actually be taken into account too, we developed a model to calculate "age-gender specific BMI-percentiles" (AG-BMI) and tested this model in relation to survival outcome after esophagectomy for cancer.
Age-Gender specific BMI percentiles are more accurate compared to the current BMI classes in predicting Overall Survival (OS) after esophagectomy for cancer. Furthermore we believe in a more devastating impact on OS from underweight and not from overweight.
By preoperatively identifying risk patients for poorer OS, especially the non-tumoral deaths, this can be a tool to tailor postoperative nutritional strategies to counter further weight loss and bringing postoperative weight to normal ranges.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| AG-BMI < 10 pct | Patients who's peroperative BMI is less than the 10th centile | ||
| AG-BMI >= 10th pct | Patients who's peroperative BMI equals or is greater than the 10th centile |
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| Measure | Description | Time Frame |
|---|---|---|
| Overall 5 year survival | Overall 5-year survival after esophagectomy for cancer | 5 years after esophagectomy |
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Inclusion Criteria:
Exclusion Criteria:
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Esophageal cancer patients recieving an esophagectomy
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Univresity Hospital Leuven - dept. Thoracic Surgery | Leuven | 3000 | Belgium |
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| ID | Term |
|---|---|
| D004938 | Esophageal Neoplasms |
| D009748 | Nutrition Disorders |
| D005247 | Feeding Behavior |
| ID | Term |
|---|---|
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
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| D006258 |
| Head and Neck Neoplasms |
| D004066 | Digestive System Diseases |
| D004935 | Esophageal Diseases |
| D005767 | Gastrointestinal Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D001522 | Behavior, Animal |
| D001519 | Behavior |