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๐Ÿง‘๐Ÿผโ€๐Ÿ’ป Research - December 9, 2024

The prognostic significance of sarcopenia in patients treated with definitive radiotherapy: A systematic review.

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โšก Quick Summary

This systematic review investigates the prognostic significance of sarcopenia in patients undergoing definitive radiotherapy, analyzing data from 26 studies involving 5,784 patients. The findings reveal a mixed association between sarcopenia and survival outcomes, highlighting the need for standardized measurement methods.

๐Ÿ” Key Details

  • ๐Ÿ“Š Dataset: 26 studies, 5,784 patients
  • ๐Ÿงฉ Focus: Sarcopenia as a prognostic biomarker in radiotherapy
  • โš™๏ธ Methodology: Systematic review of existing literature
  • ๐Ÿ† Key Findings: Mixed prognostic significance of sarcopenia

๐Ÿ”‘ Key Takeaways

  • ๐Ÿ“‰ Sarcopenia is linked to increased treatment toxicity and decreased survival rates.
  • ๐Ÿ’ก Current research lacks consensus on measurement methods for sarcopenia.
  • ๐Ÿ” Small sample sizes in many studies may limit generalizability of results.
  • ๐Ÿค– Advances in AI could standardize body composition measurements.
  • ๐Ÿฅ Integrating sarcopenia diagnosis into clinical workflows may improve patient outcomes.
  • ๐Ÿ’ฐ Reducing treatment toxicities could alleviate healthcare financial burdens.
  • ๐ŸŒ The study emphasizes the need for further research in radiotherapy contexts.

๐Ÿ“š Background

Sarcopenia, characterized by the degenerative loss of muscle mass and strength, is increasingly recognized as a significant prognostic biomarker across various cancers. Its association with adverse treatment outcomes and increased healthcare costs underscores the importance of understanding its impact, particularly in patients receiving radiotherapy, where research has been relatively sparse.

๐Ÿ—’๏ธ Study

This systematic review aimed to consolidate existing knowledge on the relationship between sarcopenia and survival outcomes in patients treated with definitive (chemo-)radiotherapy. A comprehensive literature search identified 26 relevant studies, providing a broad overview of the current state of research in this area.

๐Ÿ“ˆ Results

The review revealed a mixed prognostic significance of sarcopenia, suggesting that while some studies indicate a negative impact on survival, others do not find a significant association. This variability may stem from differences in methodologies, including how skeletal muscle mass is measured and defined across studies.

๐ŸŒ Impact and Implications

The findings of this review have important implications for clinical practice. By adopting standardized methods for diagnosing sarcopenia, healthcare providers could potentially reduce unnecessary treatments and their associated toxicities. This could lead to improved treatment completion rates, enhanced patient survival, and better overall quality of life for cancer patients.

๐Ÿ”ฎ Conclusion

This systematic review highlights the critical role of sarcopenia as a prognostic factor in patients undergoing radiotherapy. The mixed results underscore the need for further research and standardization in measurement techniques. Embracing these advancements could significantly enhance patient care and outcomes in oncology.

๐Ÿ’ฌ Your comments

What are your thoughts on the implications of sarcopenia in cancer treatment? We invite you to share your insights and engage in a discussion! ๐Ÿ’ฌ Leave your comments below or connect with us on social media:

The prognostic significance of sarcopenia in patients treated with definitive radiotherapy: A systematic review.

Abstract

Sarcopenia describes the degenerative loss of muscle mass and strength, and is emerging as a pan-cancer prognostic biomarker. It is linked with increased treatment toxicity, decreased survival and significant healthcare financial burden. Systematic analyses of sarcopenia studies have focused on outcomes in patients treated surgically or with systemic therapies. There are few publications concerning patients treated with radiotherapy. This manuscript presents a pan-cancer systematic review of the association between sarcopenia and survival outcomes in patients treated with definitive (chemo-)radiotherapy. A literature search was performed, with 26 studies identified, including a total of 5,784 patients. The prognostic significance of sarcopenia was mixed. This may reflect lack of consensus in methods used to measure skeletal muscle mass and define sarcopenia. Many papers analyse small samples and present sarcopenia cutoffs optimised on the local population, which may not generalise to external populations. Recent advances in artificial intelligence allow for automatic measurement of body composition by segmenting the muscle compartment on routinely collected imaging. This provides opportunity for standardisation of measurement methods and definitions across populations. Adopting sarcopenia diagnosis into clinical workflows could reduce futile treatments and associated financial burden, by reducing treatment toxicities, and improving treatment completion, patient survival, and quality-of-life after cancer.

Author: [‘Vickers AJ’, ‘McSweeney DM’, ‘Choudhury A’, ‘Weaver J’, ‘Price G’, ‘McWilliam A’]

Journal: Radiother Oncol

Citation: Vickers AJ, et al. The prognostic significance of sarcopenia in patients treated with definitive radiotherapy: A systematic review. The prognostic significance of sarcopenia in patients treated with definitive radiotherapy: A systematic review. 2024; (unknown volume):110663. doi: 10.1016/j.radonc.2024.110663

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