Motivo de consultapérdida de peso

  1. M. Martín Asenjo 1
  2. J.M. Martín Guerra 1
  3. C. Rodríguez Martín 1
  4. L.A. Sánchez Muñoz 1
  5. M. Martín-Luquero Ibáñez 1
  6. J.M. Prieto de Paula 1
  1. 1 Hospital Clínico Universitario de Valladolid, Valladolid, España
Journal:
Semergen: revista española de medicina de familia

ISSN: 1138-3593

Year of publication: 2018

Issue: 4

Pages: 257-261

Type: Article

DOI: 10.1016/J.SEMERG.2017.08.004 DIALNET GOOGLE SCHOLAR

More publications in: Semergen: revista española de medicina de familia

Abstract

Background and objective Unintentional weight loss is frequent reason to visit a doctor and it has multiple diagnostic possibilities. The objective of this study is to examine the background of the patients who seek consultation for weight loss and to establish the relationship between weight loss and neoplasia. Method An analysis was performed on the demographic data, quantified weight loss, accompanying symptomatology, and diagnosis of patients who sought medical advice for unintentional weight loss during the year 2015. Results A total of 226 patients were included, of whom 44.2% of them had an intentional weight loss ≥ 5% in 6 months. The most frequent diagnosis in this group was a neoplasia, whereas in the rest of patients the most common diagnosis was a gastrointestinal disease. In light of this study we can conclude that there is a relationship between unintentional weight loss≥5% and the presence of neoplasia. Conclusion An unintentional weight loss greater than 5% in the previous 6 months is associated with the presence of neoplastic diseases, and therefore requires further diagnostic study.

Bibliographic References

  • J. Bilbao-Garay, R. Barba, J.E. Losa-García, H. Martín, G. García de Casasola, V. Castilla, et al. Assessing clinical probability of organic disease in patients with involuntary weight loss: A simple score Eur J Intern Med, 13 (2002), pp. 240-245 ArticleDownload PDFView Record in ScopusGoogle Scholar
  • J.L. Hernández, J.A. Riancho, P. Matorras, J. González Macías Clinical evaluation for cancer in patients with involuntary weight loss without specific symptoms Am J Med, 114 (2003), pp. 631-637 ArticleDownload PDFView Record in ScopusGoogle Scholar
  • N.R. Sahyoun, M.K. Serdula, D.A. Galuska The epidemiology of recent involuntary weight loss in the United States population J Nutr Health Aging, 8 (2004), pp. 510-517 View Record in ScopusGoogle Scholar
  • K.I. Marton, H.C. Sox, J.R. Krupp Involuntary weight loss: Diagnostic and prognostic significance Ann Intern Med, 95 (1981), pp. 568-574 CrossRefView Record in ScopusGoogle Scholar
  • M. Rabinovitz, S.D. Pitlik, M. Leifer, M. Garty, J.B. Rosenfeld Unintentional weight loss: A retrospective analysis of 154 cases Arch Intern Med, 146 (1986), pp. 186-187 CrossRefView Record in ScopusGoogle Scholar
  • M.P. Thompson, L.K. Morris Unexplained weight loss in the ambulatory elderly J Am Geriatr Soc, 39 (1991), pp. 497-500 CrossRefView Record in ScopusGoogle Scholar
  • P.G. Lankisch, M. Gerzmann, J.F. Gerzmann, D. Lehnick Unintentional weight loss: Diagnosis and prognosis. The first prospective follow-up study from a secondary referral centre J Intern Med, 249 (2001), pp. 41-46 View Record in ScopusGoogle Scholar
  • C. Metalidis, D.C. Knockaert, H. Bobbaers, S. Vanderschueren Involuntary weight loss. Does a negative baseline evaluation provide adequate reassurance? Eur J Intern Med, 19 (2008), pp. 345-349 ArticleDownload PDFView Record in ScopusGoogle Scholar
  • J.M. Wu, M.H. Lin, L.N. Peng, L.K. Chen, S.J. Hwang Evaluating diagnostic strategy of older patients with unexplained unintentional body weight loss: A hospital-based study Arch Gerontol Geriatr, 53 (2011), pp. e51-e54 ArticleDownload PDFView Record in ScopusGoogle Scholar
  • S.P. Chen, L.N. Peng, M.H. Lin, H.Y. Lai, S.J. Hwang, L.K. Chen Evaluating probability of cancer among older people with unexplained, unintentional weight loss Arch Gerontol Geriatr, 50 (Suppl 1) (2010), pp. S27-S29 ArticleDownload PDFView Record in ScopusGoogle Scholar