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037 _ _ |a DKFZ-2020-02942
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082 _ _ |a 610
100 1 _ |a Jiang, Mei
|b 0
245 _ _ |a The relationship between body-mass index and overall survival in non-small cell lung cancer by sex, smoking status, and race: A pooled analysis of 20,937 International lung Cancer consortium (ILCCO) patients.
260 _ _ |a Amsterdam [u.a.]
|c 2020
|b Elsevier
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520 _ _ |a The relationship between Body-Mass-Index (BMI) and lung cancer prognosis is heterogeneous. We evaluated the impact of sex, smoking and race on the relationship between BMI and overall survival (OS) in non-small-cell-lung-cancer (NSCLC).Data from 16 individual ILCCO studies were pooled to assess interactions between BMI and the following factors on OS: self-reported race, smoking status and sex, using Cox models (adjusted hazard ratios; aHR) with interaction terms and adjusted penalized smoothing spline plots in stratified analyses.Among 20,937 NSCLC patients with BMI values, females = 47 %; never-smokers = 14 %; White-patients = 76 %. BMI showed differential survival according to race whereby compared to normal-BMI patients, being underweight was associated with poor survival among white patients (OS, aHR = 1.66) but not among black patients (aHR = 1.06; pinteraction = 0.02). Comparing overweight/obese to normal weight patients, Black NSCLC patients who were overweight/obese also had relatively better OS (pinteraction = 0.06) when compared to White-patients. BMI was least associated with survival in Asian-patients and never-smokers. The outcomes of female ever-smokers at the extremes of BMI were associated with worse outcomes in both the underweight (pinteraction<0.001) and obese categories (pinteraction = 0.004) relative to the normal-BMI category, when compared to male ever-smokers.Underweight and obese female ever-smokers were associated with worse outcomes in White-patients. These BMI associations were not observed in Asian-patients and never-smokers. Black-patients had more favorable outcomes in the extremes of BMI when compared to White-patients. Body composition in Black-patients, and NSCLC subtypes more commonly seen in Asian-patients and never-smokers, may account for differences in these BMI-OS relationships.
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650 _ 7 |a Body mass index
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650 _ 7 |a Interaction
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650 _ 7 |a Lung cancer
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650 _ 7 |a Obesity
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700 1 _ |a Fares, Aline F
|b 1
700 1 _ |a Shepshelovich, Daniel
|b 2
700 1 _ |a Yang, Ping
|b 3
700 1 _ |a Christiani, David
|b 4
700 1 _ |a Zhang, Jie
|b 5
700 1 _ |a Shiraishi, Kouya
|b 6
700 1 _ |a Ryan, Brid M
|b 7
700 1 _ |a Chen, Chu
|b 8
700 1 _ |a Schwartz, Ann G
|b 9
700 1 _ |a Tardon, Adonina
|b 10
700 1 _ |a Shete, Sanjay
|b 11
700 1 _ |a Schabath, Matthew B
|b 12
700 1 _ |a Teare, M Dawn
|b 13
700 1 _ |a Le Marchand, Loic
|b 14
700 1 _ |a Zhang, Zuo-Feng
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700 1 _ |a Field, John K
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700 1 _ |a Brenner, Hermann
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700 1 _ |a Diao, Nancy
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700 1 _ |a Xie, Juntao
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700 1 _ |a Kohno, Takashi
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700 1 _ |a Harris, Curtis C
|b 21
700 1 _ |a Wenzlaff, Angela S
|b 22
700 1 _ |a Fernandez-Tardon, Guillermo
|b 23
700 1 _ |a Ye, Yuanqing
|b 24
700 1 _ |a Taylor, Fiona
|b 25
700 1 _ |a Wilkens, Lynne R
|b 26
700 1 _ |a Davies, Michael
|b 27
700 1 _ |a Liu, Yi
|b 28
700 1 _ |a Barnett, Matt J
|b 29
700 1 _ |a Goodman, Gary E
|b 30
700 1 _ |a Morgenstern, Hal
|b 31
700 1 _ |a Holleczek, Bernd
|b 32
700 1 _ |a Thomas, Sera
|b 33
700 1 _ |a Brown, M Catherine
|b 34
700 1 _ |a Hung, Rayjean J
|b 35
700 1 _ |a Xu, Wei
|b 36
700 1 _ |a Liu, Geoffrey
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773 _ _ |a 10.1016/j.lungcan.2020.11.029
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