Influence of Body Mass Index, Smoking, and Blood Pressure on Survival of Patients with Surgically-Treated, Low Stage Renal Cell Carcinoma: A 14-Year Retrospective Cohort Study.
10.3346/jkms.2013.28.2.227
- Author:
Bumsoo PARK
1
;
Byong Chang JEONG
;
Seong Il SEO
;
Seong Soo JEON
;
Han Yong CHOI
;
Hyun Moo LEE
Author Information
1. Department of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. besthml@medimail.co.kr
- Publication Type:Original Article
- Keywords:
Carcinoma, Renal Cell;
Body Mass Index;
Smoking;
Blood Pressure;
Survival
- MeSH:
Adult;
Aged;
Aged, 80 and over;
Blood Pressure;
Body Mass Index;
Carcinoma, Renal Cell/diagnosis/*mortality/surgery;
Cohort Studies;
Female;
Follow-Up Studies;
Humans;
Kidney Neoplasms/diagnosis/*mortality/surgery;
Male;
Middle Aged;
Multivariate Analysis;
Neoplasm Staging;
Nephrectomy;
Retrospective Studies;
Risk Factors;
Smoking;
Survival Rate
- From:Journal of Korean Medical Science
2013;28(2):227-236
- CountryRepublic of Korea
- Language:English
-
Abstract:
The association of body mass index, smoking, and blood pressure, which are related to the three well-established risk factors of renal cell carcinoma, and survival in patients with renal cell carcinoma is not much studied. Our objective was to evaluate this association. A cohort of 1,036 patients with low stage (pT1 and pT2) renal cell carcinoma who underwent radical or partial nephrectomy were enrolled. We retrospectively reviewed medical records and collected survival data. The body mass index, smoking status, and blood pressure at the time of surgery were recorded. Patients were grouped according to their obesity grade, smoking status, and hypertension stage. Survival analysis showed a significant decrease in overall (P = 0.001) and cancer-specific survival (P < 0.001) with being underweight, with no differences of smoking status or perioperative blood pressure. On multivariate analysis, perioperative blood pressure > or = 160/100 mmHg (HR, 2.642; 95% CI, 1.221-5.720) and being underweight (HR, 4.320; 95% CI, 1.557-11.984) were independent predictors of overall and cancer-specific mortality, respectively. Therefore, it is concluded that being underweight and perioperative blood pressure > or = 160/100 mmHg negatively affect cancer-specific and overall survival, respectively, while smoking status does not influence survivals in patients with renal cell carcinoma.
