Etiologies and 12-month mortality in patients with isolated involuntary weight loss at a rapid diagnostic unit.

<h4>Background</h4>Numerous studies on involuntary weight loss (IWL) have been published since the 1980s, although most of them have included small samples of patients with specific symptoms. The aim of the present study was to determine the causes, demographic and clinical characteristi...

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Autores principales:	Jordi Aligué, Mireia Vicente, Anna Arnau, Jaume Trapé, Eva Martínez, Mariona Bonet, Andrés Abril, Omar El Boutrouki, Roser Ordeig, Domingo Ruiz, Josep Ordeig, Antonio San José
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/f4aaea51c4ec4f9f982f1089eb91c5a1
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spelling	oai:doaj.org-article:f4aaea51c4ec4f9f982f1089eb91c5a12021-12-02T20:14:14ZEtiologies and 12-month mortality in patients with isolated involuntary weight loss at a rapid diagnostic unit.1932-620310.1371/journal.pone.0257752https://doaj.org/article/f4aaea51c4ec4f9f982f1089eb91c5a12021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0257752https://doaj.org/toc/1932-6203<h4>Background</h4>Numerous studies on involuntary weight loss (IWL) have been published since the 1980s, although most of them have included small samples of patients with specific symptoms. The aim of the present study was to determine the causes, demographic and clinical characteristics and mortality at 12 months in patients attended at a rapid diagnostic unit (RDU) for isolated IWL.<h4>Methods</h4>A single-center retrospective observational study including all patients presenting to the RDU for isolated IWL between 2005 and 2013. The following data were recorded: demographic and clinical variables, results of complementary tests (blood tests, x-rays, computed tomography scan and digestive endoscopy), main diagnosis and vital status at 12 months.<h4>Results</h4>Seven hundred and ninety-one patients met the criteria for IWL. Mean age was 67.9 years (SD 4.7), 50.4% were male and mean weight loss was 8.3 kg (SD 4.7). The cause for IWL was malignant disease in 23.6% of patients, non-malignant organic disease in 44.5%, psychiatric disorder in 29.0% and unknown in 3.2%. Overall mortality at 12 months was 18.6% (95%CI: 16.1-21.6). The mortality rate was highest in the group with malignancy (61.1%; 95%CI: 54.2-68.2).<h4>Conclusions</h4>Almost a quarter of all patients attended at the RDU for IWL were diagnosed with cancer. Mortality at 12 months was higher in this group than in the other three. Malignancy should therefore be ruled out during the first visit for patients attended for IWL.Jordi AliguéMireia VicenteAnna ArnauJaume TrapéEva MartínezMariona BonetAndrés AbrilOmar El BoutroukiRoser OrdeigDomingo RuizJosep OrdeigAntonio San JoséPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 9, p e0257752 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Jordi Aligué Mireia Vicente Anna Arnau Jaume Trapé Eva Martínez Mariona Bonet Andrés Abril Omar El Boutrouki Roser Ordeig Domingo Ruiz Josep Ordeig Antonio San José Etiologies and 12-month mortality in patients with isolated involuntary weight loss at a rapid diagnostic unit.
description	<h4>Background</h4>Numerous studies on involuntary weight loss (IWL) have been published since the 1980s, although most of them have included small samples of patients with specific symptoms. The aim of the present study was to determine the causes, demographic and clinical characteristics and mortality at 12 months in patients attended at a rapid diagnostic unit (RDU) for isolated IWL.<h4>Methods</h4>A single-center retrospective observational study including all patients presenting to the RDU for isolated IWL between 2005 and 2013. The following data were recorded: demographic and clinical variables, results of complementary tests (blood tests, x-rays, computed tomography scan and digestive endoscopy), main diagnosis and vital status at 12 months.<h4>Results</h4>Seven hundred and ninety-one patients met the criteria for IWL. Mean age was 67.9 years (SD 4.7), 50.4% were male and mean weight loss was 8.3 kg (SD 4.7). The cause for IWL was malignant disease in 23.6% of patients, non-malignant organic disease in 44.5%, psychiatric disorder in 29.0% and unknown in 3.2%. Overall mortality at 12 months was 18.6% (95%CI: 16.1-21.6). The mortality rate was highest in the group with malignancy (61.1%; 95%CI: 54.2-68.2).<h4>Conclusions</h4>Almost a quarter of all patients attended at the RDU for IWL were diagnosed with cancer. Mortality at 12 months was higher in this group than in the other three. Malignancy should therefore be ruled out during the first visit for patients attended for IWL.
format	article
author	Jordi Aligué Mireia Vicente Anna Arnau Jaume Trapé Eva Martínez Mariona Bonet Andrés Abril Omar El Boutrouki Roser Ordeig Domingo Ruiz Josep Ordeig Antonio San José
author_facet	Jordi Aligué Mireia Vicente Anna Arnau Jaume Trapé Eva Martínez Mariona Bonet Andrés Abril Omar El Boutrouki Roser Ordeig Domingo Ruiz Josep Ordeig Antonio San José
author_sort	Jordi Aligué
title	Etiologies and 12-month mortality in patients with isolated involuntary weight loss at a rapid diagnostic unit.
title_short	Etiologies and 12-month mortality in patients with isolated involuntary weight loss at a rapid diagnostic unit.
title_full	Etiologies and 12-month mortality in patients with isolated involuntary weight loss at a rapid diagnostic unit.
title_fullStr	Etiologies and 12-month mortality in patients with isolated involuntary weight loss at a rapid diagnostic unit.
title_full_unstemmed	Etiologies and 12-month mortality in patients with isolated involuntary weight loss at a rapid diagnostic unit.
title_sort	etiologies and 12-month mortality in patients with isolated involuntary weight loss at a rapid diagnostic unit.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/f4aaea51c4ec4f9f982f1089eb91c5a1
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Etiologies and 12-month mortality in patients with isolated involuntary weight loss at a rapid diagnostic unit.

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