Title |
Long-Term Outcomes of Gastric Cancer Patients with Preoperative Sarcopenia
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Published in |
Annals of Surgical Oncology, April 2018
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DOI | 10.1245/s10434-018-6452-3 |
Pubmed ID | |
Authors |
Taiichi Kawamura, Rie Makuuchi, Masanori Tokunaga, Yutaka Tanizawa, Etsuro Bando, Hiroshi Yasui, Takashi Aoyama, Toshimi Inano, Masanori Terashima |
Abstract |
There are few reports of long-term outcomes of gastric cancer patients with sarcopenia. The purpose of this study was to assess the impact of sarcopenia on long-term outcomes in gastric cancer patients who underwent curative resection. A total of 951 patients aged 65 years or older who underwent R0 resection for gastric cancer were investigated. Sarcopenia was defined as a decreased arm muscle area < 38.05 cm2 in men and < 27.87 cm2 in women combined with a decline in grip strength to < 26 kgf in men and < 18 kgf in women. Of 951 patients, 111 (11.7%) were diagnosed with sarcopenia. Reduced surgery was performed significantly more frequently in patients with sarcopenia (p = 0.006). The incidence of eligible patients who received adjuvant chemotherapy was significantly lower in patients with sarcopenia than in those without sarcopenia (p = 0.030). Mortality due to gastric cancer and aging-associated multiple organ failure rates without obvious diseases were higher in patients with sarcopenia (p = 0.036 and p < 0.001, respectively). Overall survival (OS) and cause-specific survival (CSS) were significantly worse in patients with sarcopenia (p < 0.001 and p = 0.005, respectively). Multivariate analysis for OS and CSS revealed that sarcopenia was an independent prognostic factor in gastric cancer patients (p < 0.001 and p = 0.043, respectively). Sarcopenia is related to poor survival in gastric cancer patients and appears to be a significant negative prognostic factor in patients with gastric cancer who underwent curative resection. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United States | 1 | 25% |
Unknown | 3 | 75% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 3 | 75% |
Scientists | 1 | 25% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 67 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 9 | 13% |
Student > Doctoral Student | 7 | 10% |
Student > Ph. D. Student | 5 | 7% |
Researcher | 5 | 7% |
Student > Master | 5 | 7% |
Other | 9 | 13% |
Unknown | 27 | 40% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 23 | 34% |
Nursing and Health Professions | 3 | 4% |
Biochemistry, Genetics and Molecular Biology | 2 | 3% |
Sports and Recreations | 2 | 3% |
Agricultural and Biological Sciences | 2 | 3% |
Other | 3 | 4% |
Unknown | 32 | 48% |