Decreased inpatient mortality in obese patients with abdominal nets

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

Research output: Contribution to journalArticle

7 Scopus citations

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
Publication statusPublished - Dec 1 2014

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ASJC Scopus subject areas

  • Endocrinology
  • Endocrinology, Diabetes and Metabolism

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