Produção Nacional
Revisado por pares
Correlation Between Age, Sarcopenia, And Length Of Stay In Preoperative Cancer Patients
2020; Lippincott Williams & Wilkins; Volume: 52; Issue: 7S Linguagem: Inglês
10.1249/01.mss.0000671676.31243.1d
ISSN1530-0315
AutoresFabrício Azevedo Voltarelli, Roberto Carlos Vieira, Aílton Silva Machado, Felipe S. Boa Sorte, Andréa C. Alves, Sérgio Itacarambi Guasque Faria, Geovane J. Tolazzi, Haracelli A. Leite da Costa,
Tópico(s)Healthcare Regulation
ResumoPURPOSE: Data from the National Cancer Institute indicate that in Brazil (2018-2019) there should be 1.2 million new cases of cancer, and by 2025 the estimate is a 50% increase in its incidence. In this sense, researches indicate that cancer is associated with metabolic alterations, causing significant changes in body composition, which may promote muscle mass loss and, consequently, sarcopenia. The present study aimed to evaluate the correlation between age, sarcopenia, and length of stay (LS) in preoperative cancer patients (CP). METHODS: Ninety-six CP of both sexes (53.1 ± 14.1 years old), admitted to the Mato Grosso Cancer Hospital (HCan-MT), Cuiabá, Mato Grosso, Brazil, were enrolled and performed the following evaluations: total body mass (TBM), height, BMI, and calf circumference (CC); answered a sarcopenia questionnaire (SARC-F); LS information was collected from the hospital database. The CP were divided into 2 groups according to the cutoff point of the CC measurement (indicative of sarcopenia; men: <34 cm; women: <33 cm): non-sarcopenic (NS; 68 - 70.8%); probable sarcopenic (PS; 28 - 29.2%). Data are presented as mean ± standard deviation and, for comparison between means, the Mann-Whitney test was applied. To verify the correlation between the variables, the Spearman correlation test was used. For all analyses, the p-value was set at 0.05. The analysis was performed using the IBM SPSS version 22.0 program (Ethics Committee Protocol Number: 87449918.5.0000.8124). RESULTS: NS TBM (kg) (75.0 ± 16.7) was significantly higher (p <0.001) if compared to PS (58.6 ± 9.1); The same occurred in relation to BMI (Kg. [m2] -1) (NS: 28.3 ± 5.6; PS: 22.6 ± 2.8; p <0.001). Regarding LS (days), there were no significant differences between groups (NS: 3.5 ± 3.5; PS: 5.2 ± 5.6; ρ = 0.386). There was a positive correlation (p = 0.05) (correlation coefficient: p = 0.200) between the LS and the score obtained in the SARC-F questionnaire. In addition, there was a significant positive correlation (p<0.001) between the ranks of the LS and age (correlation coefficient: p = 0.388). CONCLUSIONS: Take together, the results denote that sarcopenic CP, especially the elderly, presented a longer length of stay in the postoperative period.
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