Title |
Sarcopenia is associated with severe postoperative complications in elderly gastric cancer patients undergoing gastrectomy
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Published in |
Gastric Cancer, September 2015
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DOI | 10.1007/s10120-015-0546-4 |
Pubmed ID | |
Authors |
Yasunari Fukuda, Kazuyoshi Yamamoto, Motohiro Hirao, Kazuhiro Nishikawa, Yukiko Nagatsuma, Tamaki Nakayama, Sugano Tanikawa, Sakae Maeda, Mamoru Uemura, Masakazu Miyake, Naoki Hama, Atsushi Miyamoto, Masataka Ikeda, Shoji Nakamori, Mitsugu Sekimoto, Kazumasa Fujitani, Toshimasa Tsujinaka |
Abstract |
Malignancy is a secondary cause of sarcopenia, which is associated with impaired cancer treatment outcomes. The aim of this study was to investigate the prevalence of preoperative sarcopenia among elderly gastric cancer patients undergoing gastrectomy and the differences in preoperative dietary intake and postoperative complications between sarcopenic and non-sarcopenic patients. Ninety-nine patients over 65 years of age who underwent gastrectomy for gastric cancer were analyzed. All patients underwent gait and handgrip strength testing, and whole-body skeletal muscle mass was measured using a bioimpedance analysis technique based on the European Working Group on Sarcopenia in Older People (EWGSOP) algorithm for the evaluation of sarcopenia before surgery. Preoperative dietary intake was assessed using a food frequency questionnaire. Of these patients, 21 (21.2 %) were diagnosed with sarcopenia. Sarcopenic patients consumed fewer calories and less protein preoperatively (23.9 vs. 27.8 kcal/kg ideal weight/day and 0.86 vs. 1.04 g/kg ideal weight/day; P = 0.001 and 0.0005, respectively). Although the overall incidence of postoperative complications was similar in the two groups (57.1 % vs. 35.9 %; P = 0.08), the incidence of severe (Clavien-Dindo grade ≥ IIIa) complications was significantly higher in the sarcopenic group than in the non-sarcopenic group (28.6 % vs. 9.0 %; P = 0.029). In the multivariate analysis, sarcopenia alone was identified as a risk factor for severe postoperative complications (odds ratio, 4.76; 95 % confidence interval, 1.03-24.30; P = 0.046). Preoperative sarcopenia as defined by the EWGSOP algorithm is a risk factor for severe postoperative complications in elderly gastric cancer patients undergoing gastrectomy. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Japan | 1 | 33% |
Unknown | 2 | 67% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 2 | 67% |
Scientists | 1 | 33% |
Mendeley readers
Geographical breakdown
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Japan | 1 | <1% |
Brazil | 1 | <1% |
Unknown | 163 | 99% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Ph. D. Student | 23 | 14% |
Student > Master | 17 | 10% |
Student > Bachelor | 16 | 10% |
Other | 15 | 9% |
Researcher | 13 | 8% |
Other | 31 | 19% |
Unknown | 50 | 30% |
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Medicine and Dentistry | 69 | 42% |
Nursing and Health Professions | 11 | 7% |
Agricultural and Biological Sciences | 7 | 4% |
Sports and Recreations | 5 | 3% |
Psychology | 3 | 2% |
Other | 10 | 6% |
Unknown | 60 | 36% |