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Group name EquipePC
Item Type Journal Article
Title Impact of body mass index on overall survival in patients with metastatic breast cancer
Creator Saleh et al.
Author Khalil Saleh
Author Matthieu Carton
Author Véronique Dieras
Author Pierre-Etienne Heudel
Author Etienne Brain
Author Véronique D'Hondt
Author Audrey Mailliez
Author Anne Patsouris
Author Marie-Ange Mouret-Reynier
Author Anthony Goncalves
Author Jean Marc Ferrero
Author Thierry Petit
Author George Emile
Author Lionel Uwer
Author Marc Debled
Author Florence Dalenc
Author Christelle Jouannaud
Author Sylvain Ladoire
Author Marianne Leheurteur
Author Paul Cottu
Author Lucie Veron
Author Alexia Savignoni
Author Coralie Courtinard
Author Mathieu Robain
Author Suzette Delaloge
Author Elise Deluche
Abstract BACKGROUND: High Body mass index (BMI) is a risk factor for breast cancer among postmenopausal women and an adverse prognostic factor in early-stage. Little is known about its impact on clinical outcomes in patients with metastatic breast cancer (MBC). METHODS: The National ESME-MBC observational cohort includes all consecutive patients newly diagnosed with MBC between Jan 2008 and Dec 2016 in the 18 French comprehensive cancer centers. RESULTS: Of 22 463 patients in ESME-MBC, 12 999 women had BMI data available at MBC diagnosis. Median BMI was 24.9 kg/m2 (range 12.1-66.5); 20% of women were obese and 5% underweight. Obesity was associated with more de novo MBC, while underweight patients had more aggressive cancer features. Median overall survival (OS) of the BMI cohort was 47.4 months (95% CI [46.2-48.5]) (median follow-up: 48.6 months). Underweight was independently associated with a worse OS (median OS 33 months; HR 1.14, 95%CI, 1.02-1.27) and first line progression-free survival (HR, 1.11; 95%CI, 1.01; 1.22), while overweight or obesity had no effect. CONCLUSION: Overweight and obesity are not associated with poorer outcomes in women with metastatic disease, while underweight appears as an independent adverse prognostic factor.
Publication Breast (Edinburgh, Scotland)
Volume 55
Pages 16-24
Date 2021-02
Journal Abbr Breast
Language eng
DOI 10.1016/j.breast.2020.11.014
ISSN 1532-3080
Library Catalog PubMed
Extra PMID: 33307392 PMCID: PMC7725947
Tags BMI, Body Mass Index, Breast Neoplasms, clinic, Female, Humans, Obesity, Overweight, Prognosis, Retrospective Studies, Risk Factors, Underweight
Date Added 2023/11/20 - 17:10:32
Date Modified 2023/11/20 - 17:13:02
Notes and Attachments PubMed entry (Attachment)
Texte intégral (Attachment)


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