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 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 - Dec 1 2014

Fingerprint

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

ASJC Scopus subject areas

  • Endocrinology
  • Endocrinology, Diabetes and Metabolism

Cite this

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

In: Endocrine Practice, Vol. 20, No. 12, 01.12.2014, p. 1309-1314.

Research output: Contribution to journalArticle

Glazer, Evan S. ; 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.
@article{c6d06f39d4d749248dc1ff2c16ef530b,
title = "Decreased inpatient mortality in obese patients with abdominal nets",
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.",
author = "Glazer, {Evan S.} and Kelley Stanko and Ong, {Evan S.} and Guerrero, {Marlon A}",
year = "2014",
month = "12",
day = "1",
doi = "10.4158/EP14203,OR",
language = "English (US)",
volume = "20",
pages = "1309--1314",
journal = "Endocrine Practice",
issn = "1530-891X",
publisher = "American Association of Clinical Endocrinology",
number = "12",

}

TY - JOUR

T1 - Decreased inpatient mortality in obese patients with abdominal nets

AU - Glazer, Evan S.

AU - Stanko, Kelley

AU - Ong, Evan S.

AU - Guerrero, Marlon A

PY - 2014/12/1

Y1 - 2014/12/1

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=84920036268&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84920036268&partnerID=8YFLogxK

U2 - 10.4158/EP14203,OR

DO - 10.4158/EP14203,OR

M3 - Article

AN - SCOPUS:84920036268

VL - 20

SP - 1309

EP - 1314

JO - Endocrine Practice

JF - Endocrine Practice

SN - 1530-891X

IS - 12

ER -