Clinical study on the correlation between metabolic syndrome and colorectal carcinoma.
BACKGROUND
Although metabolic syndrome (MS) has received a lot of attention in recent years, the correlation between MS and colorectal carcinoma is still not very clear. This study aims at exploring the relationship between MS and colorectal carcinoma.


METHODS
Data was collected from 507 cases of colorectal carcinoma and 507 cases of healthy patients between January 2002 and March 2007 to establish the database. The patients with colorectal cancer were divided into two groups based on the presence of MS. Multivariate analysis of these data for the overall survival and recurrence was performed with the Cox proportional hazard model. Variables examined by multivariate analysis were sex , age, location, histotype, differentiation, tumour, node, metastasis (TNM) stage, the number of lymph nodes detected, etc.


RESULTS
The existence of MS in the colorectal carcinoma group was clearly more than that in the control group. The existence of two to four types of abnormal metabolic diseases was significantly more in the colorectal cancer group than in the control group. MS is one of the important elements that can independently influence the survival (odds ratio (OR) = 1.501, 95% confidence interval (CI) = 1.057-2.131) and have the highest risk with worse survival compared with other parameters.


CONCLUSIONS
There is a close relationship between MS and colorectal carcinoma, and MS is a significantly independent element that influences the survival of the colorectal carcinoma. Decreasing the incidence of MS maybe play a role in improving therapeutic efficacy and prognosis of the cancer.
Shen
Zhanlong
Z
Department of Gastroenterological Surgery, Peking University, People's Hospital, Beijing, China.
Wang
Shan
S
Ye
Yingjiang
Y
Yin
Mujun
M
Yang
Xiaodong
X
Jiang
Kewei
K
Liu
Yan
Y
D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D016022:Case-Control Studies; D015331:Cohort Studies; D003110:Colonic Neoplasms / Q000150:complications* / Q000378:metabolism / Q000473:pathology; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D024821:Metabolic Syndrome / Q000150:complications* / Q000401:mortality / Q000473:pathology; D008875:Middle Aged; D012004:Rectal Neoplasms / Q000150:complications* / Q000378:metabolism / Q000473:pathology; D012307:Risk Factors; D016019:Survival Analysis; D055815:Young Adult