BMI variation increases recurrence risk in women with early-stage breast cancer

Author:

Fedele Palma1,Orlando Laura1,Schiavone Paola1,Quaranta Annamaria1,Lapolla Assunta Maria1,De Pasquale Maria1,Ardizzone Antonino2,Bria Emilio3,Sperduti Isabella4,Calvani Nicola1,Marino Antonella1,Caliolo Chiara1,Mazzoni Enrica1,Cinieri Saverio15

Affiliation:

1. Medical Oncology & Breast Unit, ‘A Perrino’ Hospital, SS 7 Appia, 72100 Brindisi, Italy

2. Biostatistics Unit & Department of Public Health, ASL BR1, Brindisi, Italy

3. Medical Oncology, University of Verona, Azienda Ospedaliera Universitaria Integrata (AOUI), ‘GB Rossi’ Academic Hospital, Verona, Italy

4. Biostatistics Unit, Regina Elena National Cancer Institute, IRCCS, Rome, Italy

5. Division of Medical Oncology, European Institute of Oncology, Milan, Italy

Abstract

ABSTRACT  Aims: The prognostic role of BMI variation during and/or after treatments for early-stage breast cancer is still unknown. Patients & methods: The χ2 test was conducted to explore the correlation between breast cancer recurrence and BMI changes in 520 early-stage breast cancer patients. Cox proportional hazard models were used to analyze the association of BMI changes, baseline BMI, known prognostic factors and recurrences. Results: BMI gain was significant determinant of recurrences (p = 0.0008). In multivariate analyses, BMI variation more than 5.71% was associated with higher rates of recurrences, as well as age less than 55 years, stage disease and molecular subtype. Conclusion: Women who experience BMI gain after breast cancer may be at increased risk of poor outcomes.

Publisher

Future Medicine Ltd

Subject

Cancer Research,Oncology,General Medicine

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