Review Article

Positive Effect of Higher Adult Body Mass Index on Overall Survival of Digestive System Cancers Except Pancreatic Cancer: A Systematic Review and Meta-Analysis

Table 2

Random-effect summary estimates of the hazard ratios (HRs) of the association of OS of DSC except pancreatic cancer with highest versus lowest BMI comparison and site-specific analysis of digestive system cancers.

StudyHR (95% CI)I-squared

Region
 North America110.77 (0.65, 0.89)32.5%0.139
 Other regions130.84 (0.70, 0.99)72.2%<0.001
Number of patients
 ≤500110.76 (0.55, 0.96)81.4%<0.001
 >500130.87 (0.76, 0.98)33.5%0.115
Study type
 Retrospective80.77 (0.53, 1.01)79.8%<0.001
 Prospective160.84 (0.72, 0.95)49.3%0.014
Adjusted for covariates
 Yes180.80 (0.68, 0.93)54.2%0.003
 No60.86 (0.70, 1.02)67.7%0.008
Adjusted for weight loss
 Yes40.78 (0.52, 1.05)58.0%0.068
 No200.83 (0.71, 0.94)68.3%<0.001
Adjusted for tumor grade
 Yes60.99 (0.70, 1.28)51.9%0.065
 No180.78 (0.67, 0.90)74.2%<0.001
Site-specific analysis of digestive system cancers
 Oropharynx30.84 (0.37–1.32)77.7%0.011
 Esophagus120.77 (0.66–0.89)35.7%0.105
 Stomach40.82 (0.40–1.25)81.6%0.001
 Colorectum40.87 (0.73–1.01)0.0%0.685

HR = hazard ratio.