Decreased inpatient mortality in obese patients with abdominal nets

Evan Glazer, Kelley Stanko, Evan S. Ong, Marlon A. Guerrero

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Neuroendocrine tumors (NETs) of the abdomen are rare tumors with an incidence of 3.56 per 100,000 in the general population. Obesity is a growing public health problem with varying effects on the severities of other diseases. We investigated the association between obesity and inpatient morbidity/mortality in patients with abdominal NETs utilizing the Nationwide Inpatient Sample (NIS).Methods: We analyzed data from the NIS database to investigate the association between obesity and abdominal NETs using patient information from 22,096 patient discharges from January 1, 2009 to December 31, 2010.Results: We demonstrate that obesity is strongly associated with decreased rates of inpatient mortality in patients with NET (odds ratio [OR] = 0.6, multivariate P = .02) and that malnutrition is associated with a nearly 5-fold higher risk of inpatient mortality (multivariate P<.0005). We did not find a statistical interaction between obesity and malnutrition; however, patients who were both malnourished and obese had a lower mortality risk than purely malnourished patients.Conclusions: Our data suggests that nutritional status may be an important factor in inpatient mortality in patients with NETs, with obesity being protective.

Original languageEnglish (US)
Pages (from-to)1309-1314
Number of pages6
JournalEndocrine Practice
Volume20
Issue number12
DOIs
StatePublished - Jan 1 2014
Externally publishedYes

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Neuroendocrine Tumors
Inpatients
Obesity
Mortality
Malnutrition
Abdominal Obesity
Patient Discharge
Nutritional Status
Abdomen
Public Health
Odds Ratio
Databases
Morbidity
Incidence
Population
Neoplasms

All Science Journal Classification (ASJC) codes

  • Endocrinology, Diabetes and Metabolism
  • Endocrinology

Cite this

Decreased inpatient mortality in obese patients with abdominal nets. / Glazer, Evan; Stanko, Kelley; Ong, Evan S.; Guerrero, Marlon A.

In: Endocrine Practice, Vol. 20, No. 12, 01.01.2014, p. 1309-1314.

Research output: Contribution to journalArticle

Glazer, Evan ; Stanko, Kelley ; Ong, Evan S. ; Guerrero, Marlon A. / Decreased inpatient mortality in obese patients with abdominal nets. In: Endocrine Practice. 2014 ; Vol. 20, No. 12. pp. 1309-1314.
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