Table 1.
Overall (N = 761) | Chemotherapy received | No chemotherapy received | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
SPN/CT+ (N = 376) | TPN/CT+ (N = 99) | SPN/CT‐ (N = 191) | TPN/CT‐ (N = 95) | ||||||||||||
N | % | N | % | N | % | P1 | N | % | P2 | N | % | P3 | |||
Sex | |||||||||||||||
Female | 380 | 49.9 | 197 | 52.4 | 41 | 41.4 | 102 | 53.4 | 40 | 42.1 | |||||
Age (years) | |||||||||||||||
Mean (SD) | 62.90 | (10.28) | 60.07 | (9.15) | 62.07 | (9.89) | 66.12 | (10.84) | <.01 | 68.49 | (9.73) | <.01 | |||
Age categories (years) | |||||||||||||||
<70 | 555 | 72.9 | 325 | 86.4 | 75 | 75.8 | 113 | 59.2 | 42 | 44.2 | |||||
≥70 | 206 | 27.1 | 51 | 13.6 | 24 | 24.2 | <.01 | 78 | 40.8 | <.01 | 53 | 55.8 | <.01 | ||
Actual weight (kg) | |||||||||||||||
Mean (SD) | 58.42 | (10.92) | 59.56 | (11.32) | 58.74 | (10.12) | 56.11 | (10.23) | <.01 | 58.21 | (10.92) | ||||
BMI (kg/m2) | |||||||||||||||
Mean (SD) | 21.37 | (3.76) | 21.75 | (4.01) | 21.62 | (3.60) | 20.54 | (3.12) | <.01 | 21.23 | (3.84) | ||||
BMI class | |||||||||||||||
<20.5 kg/m2 | 334 | 43.9 | 149 | 39.6 | 37 | 37.4 | 101 | 52.9 | 47 | 49.5 | |||||
≥ 20.5 kg/m2 | 427 | 56.1 | 227 | 60.4 | 62 | 62.6 | 90 | 47.1 | <.01 | 48 | 50.5 | ||||
Weight loss (%) categories a | |||||||||||||||
≤10.0% | 233 | 30.6 | 162 | 43.1 | 12 | 12.1 | 52 | 27.2 | 7 | 7.4 | |||||
10.1%‐15% | 187 | 24.6 | 109 | 29.0 | 21 | 21.2 | 40 | 20.9 | 17 | 17.9 | |||||
15.1%‐20% | 181 | 23.8 | 59 | 15.7 | 35 | 35.4 | 49 | 25.7 | 38 | 40.0 | |||||
>20% | 160 | 21.0 | 46 | 12.2 | 31 | 31.3 | <.01 | 50 | 26.2 | <.01 | 33 | 34.7 | <.01 | ||
BMI‐adjusted weight loss | |||||||||||||||
Grade 2 | 26 | 3.4 | 18 | 4.8 | 2 | 2.0 | 5 | 2.6 | 1 | 1.1 | |||||
Grade 3 | 264 | 34.7 | 177 | 47.1 | 24 | 24.2 | 49 | 25.7 | 14 | 14.7 | |||||
Grade 4 | 471 | 61.9 | 181 | 48.1 | 73 | 73.7 | <.01 | 137 | 71.7 | <.01 | 80 | 84.2 | <.01 | ||
PG‐SGA | |||||||||||||||
B b | 242 | 31.8 | 171 | 45.5 | 12 | 12.1 | 52 | 27.2 | 7 | 7.4 | |||||
C c | 519 | 68.2 | 205 | 54.5 | 87 | 87.9 | <.01 | 139 | 72.8 | <.01 | 88 | 92.6 | <.01 | ||
Oral calorie intake (kcal/day) | |||||||||||||||
<500 | 322 | 42.3 | 65 | 17.3 | — | — | 63 | 33.0 | — | — | |||||
500‐1000 | 409 | 53.8 | 291 | 77.4 | — | — | 118 | 61.8 | — | — | |||||
>1000 | 30 | 3.9 | 20 | 5.3 | — | — | 10 | 5.2 | <.01 | — | — | ||||
Oral protein intake (g/day) | |||||||||||||||
<20 | 353 | 46.39 | 84 | 22.3 | — | — | 75 | 39.3 | — | — | |||||
≥20 | 408 | 53.61 | 292 | 77.7 | — | — | 116 | 60.7 | <.01 | — | — | ||||
Tumor site | |||||||||||||||
Ovary | 47 | 6.2 | 24 | 6.4 | 6 | 6.1 | 11 | 5.8 | 6 | 6.3 | |||||
Gastrointestinal | 564 | 74.1 | 293 | 77.9 | 72 | 72.7 | 134 | 70.2 | 65 | 68.4 | |||||
Other | 150 | 19.7 | 59 | 15.7 | 21 | 21.2 | 46 | 24.1 | 24 | 25.3 | |||||
Metastatic cancer | |||||||||||||||
No | 301 | 39.6 | 174 | 46.3 | 27 | 27.3 | 67 | 35.1 | 33 | 34.7 | |||||
Yes | 460 | 60.5 | 202 | 53.7 | 72 | 72.7 | <.01 | 124 | 64.9 | <.05 | 62 | 65.3 | <.05 | ||
Peritoneal carcinomatosis | |||||||||||||||
No | 533 | 70.0 | 288 | 76.6 | 54 | 54.6 | 126 | 66.0 | 65 | 68.4 | |||||
Yes | 228 | 30.0 | 88 | 23.4 | 45 | 45.5 | <.01 | 65 | 34.0 | <.01 | 30 | 31.6 | |||
Cancer staging | |||||||||||||||
II/III | 220 | 28.9 | 137 | 36.4 | 19 | 19.2 | 47 | 24.6 | 17 | 17.9 | |||||
IV | 541 | 71.1 | 239 | 63.6 | 80 | 80.8 | <.01 | 144 | 75.4 | <.01 | 78 | 82.1 | <.01 | ||
KPS | |||||||||||||||
50 | 102 | 13.4 | 8 | 2.1 | 11 | 11.1 | 43 | 22.5 | 40 | 42.1 | |||||
60 | 222 | 29.2 | 95 | 25.3 | 33 | 33.3 | 65 | 34.0 | 29 | 30.5 | |||||
70 | 387 | 50.9 | 230 | 61.2 | 55 | 55.6 | 77 | 40.3 | 25 | 26.3 | |||||
80‐90 | 50 | 6.6 | 43 | 11.4 | . | . | <.01 | 6 | 3.1 | <.01 | 1 | 1.1 | <.01 | ||
Albumin | |||||||||||||||
<3.5 g/dL | 430 | 56.5 | 163 | 43.4 | 62 | 62.6 | 123 | 64.4 | 82 | 86.3 | |||||
≥3.5 g/dL | 331 | 43.5 | 213 | 56.7 | 37 | 37.4 | <.01 | 68 | 35.6 | <.01 | 13 | 13.7 | <.01 | ||
CRP | |||||||||||||||
≤10 mg/L | 390 | 51.2 | 261 | 69.4 | 33 | 33.3 | 78 | 40.8 | 18 | 18.9 | |||||
>10 mg/L | 371 | 48.8 | 115 | 30.6 | 66 | 66.7 | <.01 | 113 | 59.2 | <.01 | 77 | 81.1 | <.01 | ||
mGPS | |||||||||||||||
0 | 390 | 51.3 | 261 | 69.4 | 33 | 33.3 | 78 | 40.8 | 18 | 19.0 | |||||
1 | 99 | 13.0 | 45 | 12.0 | 18 | 18.2 | 28 | 14.7 | 8 | 8.4 | |||||
2 | 272 | 35.7 | 70 | 18.6 | 48 | 48.5 | <.01 | 85 | 44.5 | <.01 | 69 | 72.6 | <.01 |
All patient characteristics were at the time of home parenteral nutrition start.
Abbreviations: BMI, body mass index; CRP, C‐reactive protein; CT−, no chemotherapy received; CT+, chemotherapy received; ECOG, Eastern Cooperative Oncology Group; KPS, Karnofsky Performance Status; mGPS, modified Glasgow Prognostic Score; PG‐SGA, Patient‐Generated Subjective Global Assessment; SD, standard deviation; SPN, supplemental parenteral nutrition; TPN, total parenteral nutrition.
P 1: the groups compared were SPN/CT+ vs. TPN/CT+; P 2: SPN/CT+ vs. SPN/CT‐; P 3: SPN/CT+ vs. TPN/CT‐. Where the comparison was significant, P‐value is reported.
In the last 3 months before home parenteral nutrition (HPN) start.
Moderately malnourished or suspected malnutrition.
Severely malnourished.