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Table 2 Predictive effect of pre-chemotherapy sarcopenia on chemotherapy toxicity

From: Correlation between sarcopenia and esophageal cancer: a narrative review

Author, year

Disease, cases

Sarcopenia (proportion)

Chemotherapy regimens

Impact on chemotherapy toxicity or outcomes

Cédric M. Panje et al. [64]

2019

EC

61

18 (29.5%)

DP (docetaxel + cisplatin) with or without cetuximab

Grade ≥ 3 toxicities↑

Ying-Ying Xu et al. [63]

2021

ESCC

184

94 (51.1%)

DP (docetaxel + cisplatin)

Grade 3–4 toxicities (leukopenia, neutropenia, anorexia)↑

OS↓

Chunhou Huang et al. [71]

2020

ESCC

107

65 (67%)

Cisplatin + fluorouracil

Grade 3 to 4 mucositis↑

Grade 3 to 4 fever and neutropenia fever↑

OS↓

DFS↓

Christine Koch et al. [68]

2019

GC, GEJC

83

30 (36.1%)

FLOT (5-flurouracil, leucovorin, oxaliplatin, and docetaxel)

EOX (epirubicin, oxaliplatin, and capecitabine)

ECX (epirubicin, cisplatin, capecitabine)

Severe perioperative complications↑

Survival↓

Terminated the chemotherapy significantly earlier

B.H.L. Tan et al. [66]

2015

OGC

89

44 (49.4%)

ECX (epirubicin, cisplatin, and capecitabine)

CF (cisplatin and 5-FU)

DLT↑

Yohei Ozawa et al. [40]

2019

ESCC

82

21 (25.6%)

Cisplatin + 5-FU

DFS↓

Postoperative recurrence↑

Takayuki Ota et al. [62]

2019

EC

31

16 (51.6%)

FP (cisplatin and 5-fluorouracil (5-FU))

DCF (cisplatin, 5-FU, and docetaxel)

Poor pathological response

Gilbert Z. Murimwa et al. [65]

2017

EC

56

23 (41%)

Cisplatin + fluorouracil

Acute

Grade ≥ 3 toxicity (dysphagia, neutropenia, hospitalization during treatment)↑

Poorna Anandavadivelan et al. [67]

2016

EC

72

31 (43%)

Cisplatin/oxaliplatin/carboplatin + 5-fluorouracil

DLT↑

Kostan W. Reisinger et al. [75]

2015

EC

108

60 (56%)

CF (cisplatin and 5-FU)

PC (paclitaxel/carboplatin)

ECC (epirubicin/cisplatin/capecitabine)

Postoperative mortality↑

Katsuhiko Nara et al. [76]

2023

EC

39

20 (51.3%)

DCF (docetaxel + cisplatin + 5‑fluorouracil)

FN↑

Tsuyoshi Harada et al. [77]

2023

LAEC

188

68 (36.2%)

FP (cisplatin and 5-fluorouracil (5-FU))

DCF (cisplatin, 5-FU, and docetaxel)

RDI↓

Nishi S et al. [72]

2023

EC

36

11 (30.6%)

NA

PP↑

Dónal Michael McSweeney et al. [70]

2023

EC

135

68 (50.4%)

PC (paclitaxel/carboplatin)

Cisplatin + capecitabine or carboplatin + capecitabine

OS↓

Radiation-induced lymphopenia↑

  1. EC Esophageal cancer, GC Gastric cancer, GEJC Gastro-esophageal junction cancer, OS Overall survival, DFS Disease-free survival, RDI Relative dose intensity, LAEC Locally advanced esophageal cancer, DLT Dose limiting toxicity, OGC Oesophago-gastric cancer, FN Febrile neutropenia, PP Postoperative pneumonia, NA No available