Malnutrition predicts severe complications but not survival in laryngeal cancer surgery: a propensity-matched analysis.
A nomogram including malnutrition predicts severe complications after laryngeal cancer surgery
Malnutrition predicts severe complications but not survival in laryngeal cancer surgery: a propensity-matched analysis.
The impact of preoperative malnutrition on clinical outcomes in patients undergoing laryngeal cancer surgery remains incompletely defined.
This study aimed to evaluate the association between malnutrition and postoperative complications, long-term prognosis, and other clinical outcomes, and to compare the predictive performance of the GLIM criteria versus the ESPEN 2015 criteria.
A retrospective analysis was conducted on prospectively maintained records of 294 laryngeal cancer patients who underwent surgical resection.
correctly separates high from low risk patients most of the time
The prevalence of preoperative malnutrition was 25.9% (76/294) according to GLIM criteria and 13.6% (40/294) according to ESPEN criteria.
Age >65 years, diabetes, GLIM-malnutrition, and neck dissection were identified as independent risk factors for severe complications.
In terms of prognosis, the 5-year overall survival rates were 55.0% in the GLIM-malnutrition group and 60.8% in the normal nutrition group, with no significant difference ( p = 0.077); malnutrition was not an independent prognostic factor.
Preoperative malnutrition diagnosed by GLIM criteria is highly prevalent in patients undergoing laryngeal cancer surgery and significantly increases the risk of severe complications and prolongs hospital stay.
Compared with ESPEN criteria, GLIM criteria show stronger predictive performance for severe postoperative complications. However, preoperative malnutrition does not independently affect long-term overall survival.