The pretreatment Controlling Nutritional Status (CONUT) score is an independent prognostic factor in patients undergoing resection for colorectal cancer
The Controlling Nutritional Status (CONUT) score is a marker of nutrition and is associated with poor survival in various kinds of cancers. However, no reports have yet compared risk factors for colorectal cancer recurrence using a nutritional index. We assessed the predictive value of the CONUT sco...
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| Veröffentlicht in: | Scientific reports 2020-08, Vol.10 (1), p.13239, Article 13239 |
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| creator | Hayama, Tamuro Ozawa, Tsuyoshi Okada, Yuka Tsukamoto, Mitsuo Fukushima, Yoshihisa Shimada, Ryu Nozawa, Keijiro Matsuda, Keiji Fujii, Shoichi Hashiguchi, Yojiro |
| description | The Controlling Nutritional Status (CONUT) score is a marker of nutrition and is associated with poor survival in various kinds of cancers. However, no reports have yet compared risk factors for colorectal cancer recurrence using a nutritional index. We assessed the predictive value of the CONUT score compared with the modified Glasgow Prognostic Score (mGPS) and Prognostic Nutritional Index (PNI) in colorectal cancer (CRC) patients. We performed a retrospective cohort study of the medical records of 336 consecutive patients with stage I-I I I CRC who underwent curative resection at a single institution in 2012–2017. Univariate and multivariate analyses were conducted to identify prognostic factors associated with relapse-free survival (RFS) and overall survival (OS). The low CONUT score group exhibited higher RFS and longer OS compared to the high CONUT score group (82.2% vs. 63.3%,
p
= 0.002 and 95.5% and 86.2%,
p
= 0.005, respectively). The Akaike’s information criterion values of each index for RFS and OS were superior in CONUT score (723.71 and 315.46, respectively) compared to those of PNI (726.95 and 316.52) and mGPS (728.15 and 318.07, respectively). The CONUT score was found to be a good predictor of RFS and OS in patients with resectable CRC. |
| doi_str_mv | 10.1038/s41598-020-70252-2 |
| format | Article |
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p
= 0.002 and 95.5% and 86.2%,
p
= 0.005, respectively). The Akaike’s information criterion values of each index for RFS and OS were superior in CONUT score (723.71 and 315.46, respectively) compared to those of PNI (726.95 and 316.52) and mGPS (728.15 and 318.07, respectively). The CONUT score was found to be a good predictor of RFS and OS in patients with resectable CRC.</description><identifier>ISSN: 2045-2322</identifier><identifier>EISSN: 2045-2322</identifier><identifier>DOI: 10.1038/s41598-020-70252-2</identifier><identifier>PMID: 32764671</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/4028/546 ; 692/4028/67 ; Adult ; Aged ; Aged, 80 and over ; Cancer ; Colorectal cancer ; Colorectal carcinoma ; Colorectal Neoplasms - mortality ; Colorectal Neoplasms - pathology ; Colorectal Neoplasms - surgery ; Female ; Humanities and Social Sciences ; Humans ; Male ; Medical prognosis ; Medical records ; Middle Aged ; multidisciplinary ; Neoplasm Staging ; Nutrition Assessment ; Nutritional Status ; Prognosis ; Retrospective Studies ; Risk factors ; Science ; Science (multidisciplinary) ; Survival ; Survival Analysis ; Treatment Outcome ; Young Adult</subject><ispartof>Scientific reports, 2020-08, Vol.10 (1), p.13239, Article 13239</ispartof><rights>The Author(s) 2020</rights><rights>The Author(s) 2020. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c540t-baa3137e12d4a49be7594f2d96171cc668c3e6a310363e6de932a1fc26444ae13</citedby><cites>FETCH-LOGICAL-c540t-baa3137e12d4a49be7594f2d96171cc668c3e6a310363e6de932a1fc26444ae13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7413386/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7413386/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,725,778,782,862,883,27911,27912,41107,42176,51563,53778,53780</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32764671$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hayama, Tamuro</creatorcontrib><creatorcontrib>Ozawa, Tsuyoshi</creatorcontrib><creatorcontrib>Okada, Yuka</creatorcontrib><creatorcontrib>Tsukamoto, Mitsuo</creatorcontrib><creatorcontrib>Fukushima, Yoshihisa</creatorcontrib><creatorcontrib>Shimada, Ryu</creatorcontrib><creatorcontrib>Nozawa, Keijiro</creatorcontrib><creatorcontrib>Matsuda, Keiji</creatorcontrib><creatorcontrib>Fujii, Shoichi</creatorcontrib><creatorcontrib>Hashiguchi, Yojiro</creatorcontrib><title>The pretreatment Controlling Nutritional Status (CONUT) score is an independent prognostic factor in patients undergoing resection for colorectal cancer</title><title>Scientific reports</title><addtitle>Sci Rep</addtitle><addtitle>Sci Rep</addtitle><description>The Controlling Nutritional Status (CONUT) score is a marker of nutrition and is associated with poor survival in various kinds of cancers. However, no reports have yet compared risk factors for colorectal cancer recurrence using a nutritional index. We assessed the predictive value of the CONUT score compared with the modified Glasgow Prognostic Score (mGPS) and Prognostic Nutritional Index (PNI) in colorectal cancer (CRC) patients. We performed a retrospective cohort study of the medical records of 336 consecutive patients with stage I-I I I CRC who underwent curative resection at a single institution in 2012–2017. Univariate and multivariate analyses were conducted to identify prognostic factors associated with relapse-free survival (RFS) and overall survival (OS). The low CONUT score group exhibited higher RFS and longer OS compared to the high CONUT score group (82.2% vs. 63.3%,
p
= 0.002 and 95.5% and 86.2%,
p
= 0.005, respectively). The Akaike’s information criterion values of each index for RFS and OS were superior in CONUT score (723.71 and 315.46, respectively) compared to those of PNI (726.95 and 316.52) and mGPS (728.15 and 318.07, respectively). The CONUT score was found to be a good predictor of RFS and OS in patients with resectable CRC.</description><subject>692/4028/546</subject><subject>692/4028/67</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cancer</subject><subject>Colorectal cancer</subject><subject>Colorectal carcinoma</subject><subject>Colorectal Neoplasms - mortality</subject><subject>Colorectal Neoplasms - pathology</subject><subject>Colorectal Neoplasms - surgery</subject><subject>Female</subject><subject>Humanities and Social Sciences</subject><subject>Humans</subject><subject>Male</subject><subject>Medical prognosis</subject><subject>Medical records</subject><subject>Middle Aged</subject><subject>multidisciplinary</subject><subject>Neoplasm Staging</subject><subject>Nutrition Assessment</subject><subject>Nutritional Status</subject><subject>Prognosis</subject><subject>Retrospective Studies</subject><subject>Risk factors</subject><subject>Science</subject><subject>Science (multidisciplinary)</subject><subject>Survival</subject><subject>Survival Analysis</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>2045-2322</issn><issn>2045-2322</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kc1u1DAUhSMEolXbF2CBLLEpi1D_xU42SGjEn1S1i07Xlse5SV1l7GA7lXgTHpc7nVIKi3phWzrfPffap6reMPqBUdGeZcmarq0pp7WmvOE1f1EdciqbmgvOXz65H1QnOd9SXA3vJOteVweCayWVZofVr_UNkDlBSWDLFkIhqxhKitPkw0gulpJ88THYiVwVW5ZMTleXF9fr9yS7mID4TGwgPvQwA25YPqc4hpiLd2SwrsSEKplt8ShmsiCUxrjzTpDB7bzJgJCLE_q5go2cDQ7ScfVqsFOGk4fzqLr-8nm9-lafX379vvp0XrtG0lJvrBVMaGC8l1Z2G9BNJwfed4pp5pxSrROgkKFC4aWHTnDLBseVlNICE0fVx73vvGy20DscM9nJzMlvbfppovXmXyX4GzPGO6MlE6JVaHD6YJDijwVyMVufHUyTDRCXbLgUrGWibTWi7_5Db-OS8HPvKdoyrdluIr6nXIo5Jxgeh2HU7LI3--wNZm_uszcci94-fcZjyZ-kERB7IKMURkh_ez9j-xucmb1S</recordid><startdate>20200806</startdate><enddate>20200806</enddate><creator>Hayama, Tamuro</creator><creator>Ozawa, Tsuyoshi</creator><creator>Okada, Yuka</creator><creator>Tsukamoto, Mitsuo</creator><creator>Fukushima, Yoshihisa</creator><creator>Shimada, Ryu</creator><creator>Nozawa, Keijiro</creator><creator>Matsuda, Keiji</creator><creator>Fujii, Shoichi</creator><creator>Hashiguchi, Yojiro</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88A</scope><scope>88E</scope><scope>88I</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>M7P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20200806</creationdate><title>The pretreatment Controlling Nutritional Status (CONUT) score is an independent prognostic factor in patients undergoing resection for colorectal cancer</title><author>Hayama, Tamuro ; Ozawa, Tsuyoshi ; Okada, Yuka ; Tsukamoto, Mitsuo ; Fukushima, Yoshihisa ; Shimada, Ryu ; Nozawa, Keijiro ; Matsuda, Keiji ; Fujii, Shoichi ; Hashiguchi, Yojiro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c540t-baa3137e12d4a49be7594f2d96171cc668c3e6a310363e6de932a1fc26444ae13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>692/4028/546</topic><topic>692/4028/67</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Cancer</topic><topic>Colorectal cancer</topic><topic>Colorectal carcinoma</topic><topic>Colorectal Neoplasms - mortality</topic><topic>Colorectal Neoplasms - pathology</topic><topic>Colorectal Neoplasms - surgery</topic><topic>Female</topic><topic>Humanities and Social Sciences</topic><topic>Humans</topic><topic>Male</topic><topic>Medical prognosis</topic><topic>Medical records</topic><topic>Middle Aged</topic><topic>multidisciplinary</topic><topic>Neoplasm Staging</topic><topic>Nutrition Assessment</topic><topic>Nutritional Status</topic><topic>Prognosis</topic><topic>Retrospective Studies</topic><topic>Risk factors</topic><topic>Science</topic><topic>Science (multidisciplinary)</topic><topic>Survival</topic><topic>Survival Analysis</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hayama, Tamuro</creatorcontrib><creatorcontrib>Ozawa, Tsuyoshi</creatorcontrib><creatorcontrib>Okada, Yuka</creatorcontrib><creatorcontrib>Tsukamoto, Mitsuo</creatorcontrib><creatorcontrib>Fukushima, Yoshihisa</creatorcontrib><creatorcontrib>Shimada, Ryu</creatorcontrib><creatorcontrib>Nozawa, Keijiro</creatorcontrib><creatorcontrib>Matsuda, Keiji</creatorcontrib><creatorcontrib>Fujii, Shoichi</creatorcontrib><creatorcontrib>Hashiguchi, Yojiro</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Biology Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Scientific reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hayama, Tamuro</au><au>Ozawa, Tsuyoshi</au><au>Okada, Yuka</au><au>Tsukamoto, Mitsuo</au><au>Fukushima, Yoshihisa</au><au>Shimada, Ryu</au><au>Nozawa, Keijiro</au><au>Matsuda, Keiji</au><au>Fujii, Shoichi</au><au>Hashiguchi, Yojiro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The pretreatment Controlling Nutritional Status (CONUT) score is an independent prognostic factor in patients undergoing resection for colorectal cancer</atitle><jtitle>Scientific reports</jtitle><stitle>Sci Rep</stitle><addtitle>Sci Rep</addtitle><date>2020-08-06</date><risdate>2020</risdate><volume>10</volume><issue>1</issue><spage>13239</spage><pages>13239-</pages><artnum>13239</artnum><issn>2045-2322</issn><eissn>2045-2322</eissn><abstract>The Controlling Nutritional Status (CONUT) score is a marker of nutrition and is associated with poor survival in various kinds of cancers. However, no reports have yet compared risk factors for colorectal cancer recurrence using a nutritional index. We assessed the predictive value of the CONUT score compared with the modified Glasgow Prognostic Score (mGPS) and Prognostic Nutritional Index (PNI) in colorectal cancer (CRC) patients. We performed a retrospective cohort study of the medical records of 336 consecutive patients with stage I-I I I CRC who underwent curative resection at a single institution in 2012–2017. Univariate and multivariate analyses were conducted to identify prognostic factors associated with relapse-free survival (RFS) and overall survival (OS). The low CONUT score group exhibited higher RFS and longer OS compared to the high CONUT score group (82.2% vs. 63.3%,
p
= 0.002 and 95.5% and 86.2%,
p
= 0.005, respectively). The Akaike’s information criterion values of each index for RFS and OS were superior in CONUT score (723.71 and 315.46, respectively) compared to those of PNI (726.95 and 316.52) and mGPS (728.15 and 318.07, respectively). The CONUT score was found to be a good predictor of RFS and OS in patients with resectable CRC.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>32764671</pmid><doi>10.1038/s41598-020-70252-2</doi><oa>free_for_read</oa></addata></record> |
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| subjects | 692/4028/546 692/4028/67 Adult Aged Aged, 80 and over Cancer Colorectal cancer Colorectal carcinoma Colorectal Neoplasms - mortality Colorectal Neoplasms - pathology Colorectal Neoplasms - surgery Female Humanities and Social Sciences Humans Male Medical prognosis Medical records Middle Aged multidisciplinary Neoplasm Staging Nutrition Assessment Nutritional Status Prognosis Retrospective Studies Risk factors Science Science (multidisciplinary) Survival Survival Analysis Treatment Outcome Young Adult |
| title | The pretreatment Controlling Nutritional Status (CONUT) score is an independent prognostic factor in patients undergoing resection for colorectal cancer |
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