Systematic Review and Meta-Analysis of the Prognostic Value of Serum High-Density Lipoprotein Cholesterol Levels for Solid Tumors.

Numerous studies have demonstrated that serum high-density lipoprotein cholesterol (HDL-C) levels correlate strongly with cancer patient survival. However, other studies have had the opposite results. We therefore conducted a systematic review and meta-analysis to assess the prognostic value of HDL-...

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Published in:Nutrition & Cancer Vol. 71; no. 4; pp. 547 - 557
Main Authors: Hao, Bo, Bi, Baochen, Sang, Chen, Yu, Miaomei, Di, Dongmei, Luo, Guanghua, Zhang, Xiaoying
Format: meta analysis research systematic review tables/charts Journal Article
Published: Taylor & Francis Ltd 2019
Online Access:View this record in EBSCOhost
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      dt: 2019
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        136130678
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        136130678
        10.1080/01635581.2019.1577983
        136130678
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        atl: Systematic Review and Meta-Analysis of the Prognostic Value of Serum High-Density Lipoprotein Cholesterol Levels for Solid Tumors.
      aug:
        au:
          Hao, Bo
          Bi, Baochen
          Sang, Chen
          Yu, Miaomei
          Di, Dongmei
          Luo, Guanghua
          Zhang, Xiaoying
        affil: Department of Cardiothoracic Surgery, The Third Affiliated Hospital of Soochow University, Changzhou, People's Republic of China
      sug:
        subj:
          Lipoproteins, HDL Blood
          Neoplasms Prognosis
          Survival
          Human
          Systematic Review
          Meta Analysis
          PubMed
          Embase
          Cochrane Library
          Confidence Intervals
          Nasopharyngeal Neoplasms
      ab: Numerous studies have demonstrated that serum high-density lipoprotein cholesterol (HDL-C) levels correlate strongly with cancer patient survival. However, other studies have had the opposite results. We therefore conducted a systematic review and meta-analysis to assess the prognostic value of HDL-C levels in people with cancer. We searched PubMed, Embase, and the Cochrane Library (last update by December 28, 2017) for studies evaluating the effect of serum HDL-C levels on cancer patient prognosis. Data from 25 studies covering13,140 patients were included. Combined hazard ratios (HRs) for overall survival (OS) and disease-free survival (DFS) were assessed using fixed-effects and random-effects models. High serum HDL-C levels were associated with better OS (pooled HR = 0.70; 95% confidence interval (CI) (0.60–0.82). In the subgroup, the relative high level of HDL-C yielded a favorable outcome in most of tumor types. However, in the nasopharyngeal carcinoma subgroup, the correlation was not significant (combined HR = 1.31; 95% CI (0.91–1.90)). High serum HDL-C levels were associated with better DFS (pooled HR = 0.64; 95% confidence interval (CI) (0.50–0.81)). This meta-analysis demonstrates that high serum HDL-C levels are associated with better OS in patients with solid tumors, but not nasopharyngeal carcinoma; and high serum HDL-C levels are associated with better DFS.
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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