Impact of pretreatment body mass index on patients with head-and-neck cancer treated with radiation

Int J Radiat Oncol Biol Phys. 2012 May 1;83(1):e93-e100. doi: 10.1016/j.ijrobp.2011.11.071. Epub 2012 Feb 17.

Abstract

Purpose: To investigate the association of pretreatment body mass index (preT BMI) with outcomes of head-and-neck cancer in patients treated with radiotherapy (RT).

Methods and materials: All 1,562 patients diagnosed with head-and-neck cancer and treated with curative-intent RT to a dose of 60 Gy or higher were retrospectively studied. Body weight was measured both at entry and at the end of RT. Cancer-specific survival (CSS), overall survival (OS), locoregional control (LRC), and distant metastasis (DM) were analyzed by preT BMI (<25 kg/m(2) vs. ≥25 kg/m(2)). The median follow-up was 8.6 years.

Results: Patients with lower preT BMI were statistically significantly associated with poorer CSS and OS than those with higher preT BMI. There was no significant difference between preT BMI groups in terms of LRC and DM. Body weight loss (BWL) during radiation did not influence survival outcomes. However, in the group with higher preT BMI, CSS, OS, and DM-free survival of patients with less BWL during radiation were statistically longer when compared with greater BWL.

Conclusion: This study demonstrates that higher preT BMI positively influenced survival outcomes for patients with head-and-neck cancer. Patients with higher preT BMI who were able to maintain their weight during radiation had significantly better survival than patients with greater BWL.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Body Mass Index*
  • Educational Status
  • Female
  • Head and Neck Neoplasms / mortality*
  • Head and Neck Neoplasms / physiopathology
  • Head and Neck Neoplasms / radiotherapy*
  • Humans
  • Hypopharyngeal Neoplasms / mortality
  • Hypopharyngeal Neoplasms / physiopathology
  • Hypopharyngeal Neoplasms / radiotherapy
  • Laryngeal Neoplasms / mortality
  • Laryngeal Neoplasms / physiopathology
  • Laryngeal Neoplasms / radiotherapy
  • Male
  • Middle Aged
  • Mouth Neoplasms / mortality
  • Mouth Neoplasms / physiopathology
  • Mouth Neoplasms / radiotherapy
  • Nutritional Status / physiology*
  • Obesity / mortality
  • Oropharyngeal Neoplasms / mortality
  • Oropharyngeal Neoplasms / physiopathology
  • Oropharyngeal Neoplasms / radiotherapy
  • Prognosis
  • Radiotherapy Dosage
  • Retrospective Studies
  • Survival Analysis
  • Taiwan
  • Thinness / mortality
  • Weight Loss*
  • Young Adult