Open Access

Prevalence of sarcopenia among patients with hepatocellular carcinoma: A systematic review and meta‑analysis

  • Authors:
    • Jiye Liu
    • Hanyong Luo
    • Letian Huang
    • Jiahe Wang
  • View Affiliations

  • Published online on: May 18, 2023     https://doi.org/10.3892/ol.2023.13869
  • Article Number: 283
  • Copyright: © Liu et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Sarcopenia is a common condition in patients with hepatocellular carcinoma (HCC). Sarcopenia affects the prognosis of patients with HCC and reduces their quality of life. However, to date, there has been no systematic review and meta‑analysis to assess the prevalence of sarcopenia in patients with HCC, to the best of our knowledge. PubMed, Embase, Web of Science and the Cochrane Library were comprehensively screened for relevant literature published from March 2001 to June 2022. A random effect analysis was conducted to pool the incidence rates for each study. Subgroup and meta‑regression analyses were used to investigate the latent sources of heterogeneities. The Newcastle‑Ottawa Scale was used to estimate the quality of the included studies. The I2 statistic was used to evaluate heterogeneity between studies. In total, 48 studies encompassing 8,959 patients were included in the meta‑analysis. The results of the present meta‑analysis showed that nearly half (42%) of the patients with HCC had sarcopenia (95% CI, 0.36‑0.48). The morbidity of sarcopenia in studies with a high proportion of males (45%) was higher compared with the morbidity observed in studies with a lower proportion of males (37%). In addition, the incidence rate in younger patients (46%) was found to be higher compared with the incidence rate in older patients (39%). In conclusion, the findings in the present systematic review revealed that a large number of patients with HCC suffer from sarcopenia, indicating the necessity of developing screening and intervention measures to improve the outcome in these patients.
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July-2023
Volume 26 Issue 1

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Spandidos Publications style
Liu J, Luo H, Huang L and Wang J: Prevalence of sarcopenia among patients with hepatocellular carcinoma: A systematic review and meta‑analysis. Oncol Lett 26: 283, 2023
APA
Liu, J., Luo, H., Huang, L., & Wang, J. (2023). Prevalence of sarcopenia among patients with hepatocellular carcinoma: A systematic review and meta‑analysis. Oncology Letters, 26, 283. https://doi.org/10.3892/ol.2023.13869
MLA
Liu, J., Luo, H., Huang, L., Wang, J."Prevalence of sarcopenia among patients with hepatocellular carcinoma: A systematic review and meta‑analysis". Oncology Letters 26.1 (2023): 283.
Chicago
Liu, J., Luo, H., Huang, L., Wang, J."Prevalence of sarcopenia among patients with hepatocellular carcinoma: A systematic review and meta‑analysis". Oncology Letters 26, no. 1 (2023): 283. https://doi.org/10.3892/ol.2023.13869