Abstract: SA-PO212
Obesity and Renal Outcome in Patients with Renal Cell Carcinoma
Session Information
- Onco-Nephrology: Clinical
November 09, 2019 | Location: Exhibit Hall, Walter E. Washington Convention Center
Abstract Time: 10:00 AM - 12:00 PM
Category: Onco-Nephrology
- 1500 Onco-Nephrology
Authors
- Oh, Sewon, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea (the Republic of)
- Lee, Kyungmi, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea (the Republic of)
- Lim, Kijoon, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea (the Republic of)
- Yang, Jihyun, Korea university medical college, Seoul, South Africa
- Kim, Myung-Gyu, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea (the Republic of)
- Jo, Sang-Kyung, Korea University Hospital, Seoul, Korea (the Republic of)
Background
Epidemiologic studies has been shown obesity is associated with renal cell carcinoma (RCC). Obesity causes dysregulation of adipokines, activation of inflammatory cytokines, angiogenesis, and may lead to development RCC and renal injury. We evaluate the relationship of obesity with the risk of RCC and renal outcomes in urologic cancers. In addition, we evaluate the effect of inflammation on the risk of RCC.
Methods
A total of 6,218 patients were enrolled in patients diagnosed with urological cancer at two University Hospital from 2001 to 2019. Obesity was defined as body mass index (BMI) ≥ 30 kg/m2.
Results
The mean age of the patients was 65.5± 12.0 years and 87.3% was male. Out of 6,218 patients, 1011 were diagnosed with RCC, 2002 with urothelial cancer, 136 with genital cancers and 2979 with prostate cancers. RCC was significantly related to younger age, diabetes, higher BMI, CRP and monocyte count. RCC showed 1.584-fold increased risk of obesity than prostate cancer (95% CI, 1.097-2.288). Compared than non-obese patients, obesity was associated with risk of RCC in urologic cancers (RR, 1.901, 95% CI, 1.326-2.724). Serum monocyte count is a stronger risk factor for the risk of RCC (RR, 3.461; 95% CI, 1.079-11.095) in obese patients than non-obese patients (2.714, 95% CI, 1.648-2.867). Obese patients showed higher incidence of 30% and 40% eGFR decline in urologic cancers during 7.7±1.2 years of mean follow up (P<0.05). Obesity was related to increased risk of 40% eGFR decline in urologic cancers by multivariate analysis (1.596, 95% CI, 1.074-2.371).
Conclusion
Obesity was significantly associated with the prevalence of RCC than other urologic cancers. Serum monocyte count is a stronger risk factor for the RCC in obese patients. Obese patients had significant worse renal outcomes in urologic cancers.