Table 2.
NORMAL | PRECACHEXIA | CACHEXIA | REFRACTORY CACHEXIA |
DEATH |
---|---|---|---|---|
Weight loss </= 5%; anorexia and metabolic changes | Weight loss > 5% OR body mass index (BMI) < 20 and weight loss >2% OR sarcopenia and weight loss > 2%. Often reduced food intake/systemic inflammation | Variable degree of cachexia. Cancer disease is both procatabolic and not responsive to anticancer treatment. Low performance score. < 3 months expected survival. |
Modified from: Fearon K, Strasser F, Anker SD, Bosaeus I, Bruera E, Fainsinger RL, et al. Definition and classification of cancer cachexia: an international consensus. Lancet Oncol 2011; 12:489–95.