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November 1, 2025Thoracic CancerOpen Access

Revisiting Cancer Cachexia Staging: Introducing an “At Risk” Category Based on AWGC Components

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Authors

TSTatsuma SakaguchiKMKeisuke MaedaMYMakoto Yamasaki

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Overview

This framework identifies 'at risk' individuals by weight loss and systemic inflammation in palliative cancer, suggesting targeted interventions may improve outcomes.

Key Points

  • To establish an 'at risk' category for cancer cachexia based on the AWGC components for better identification and intervention.
  • Evaluated components like weight loss, BMI, and systemic inflammation in 364 patients with palliative cancer.
  • Categorized patients into non-cachectic, at risk, and cachectic groups.
  • Conducted survival analyses to assess prognosis across groups.
  • Median overall survival was not reached in non-cachectic, 381 days in at-risk, and 157 days in cachectic groups.
  • Weight loss and low BMI were significant for those without edema.
  • Anorexia, low handgrip strength, and elevated CRP predicted poor prognosis in both cohorts.

Cite This Study

Sakaguchi et al. (2025) studied this question.

synapsesocial.com/papers/69254f7dc0ce034ddc359115https://doi.org/10.1111/1759-7714.70188
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Identification of Hidden Cachexia Subgroup in PD‐L1‐High NSCLC: Comparative Analysis of the AWGC vs. Fearon Criteria2026
  2. 2The cachexia hematologic severity score (CHeSS): Use of a laboratory-based tool to predict survival and mutation-associated wasting in Acute Myeloid Leukemia and myelodysplastic syndrome2025
  3. 312 Cancer cachexia: a multidisciplinary approach to explore the prevalence of cachexia2024
  4. 4Association Between Cachexia Defined by the Asian Working Group for Cachexia Criteria and One-Year Post-Discharge Mortality in Older Adults with Acute Decompensated Heart Failure2026
  5. 5Diagnosis and outcomes of cachexia in Asia: Working Consensus Report from the Asian Working Group for Cachexia2023 · 103 citations