SynthesisLangenbeck's archives of surgery2014
Core muscle size assessed by perioperative abdominal CT scan is related to mortality, postoperative complications, and hospitalization after major abdominal surgery: a systematic review.
Synthesis in Langenbeck's archives of surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 5 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
41 citing papers in PubMed, 5 syntheses or guidelines pooled it, 107 citations in OpenAlex.
- Sarcopenia in Patients With Spinal Metastasis: A Systematic Review and Meta-Analysis of Retrospective Cohort Studies.Frontiers in oncology · 2022Pooled it
- The immense heterogeneity of frailty in neurosurgery: a systematic literature review.Neurosurgical review · 2021Pooled it
- The emerging role of sarcopenia as a prognostic indicator in patients undergoing abdominal wall hernia repairs: a systematic review of the literature.Hernia : the journal of hernias and abdominal wall surgery · 2020Pooled it
- Guideline
- 3rd Guideline for Perioperative Cardiovascular Evaluation of the Brazilian Society of Cardiology.Arquivos brasileiros de cardiologiaGuideline
- Relationship between rectus abdominis muscle thickness and metabolic syndrome in middle-aged men.PloS one · 2017Trial
- Limited Prognostic Value of Psoas Muscle Indices in Patients Undergoing Revascularization for Chronic Limb-Threatening Ischemia.Medical sciences (Basel, Switzerland) · 2025Article
- Article
- Psoas muscle density predicts elective colorectal surgical outcomes more accurately than psoas muscle area or indexed area.The Journal of frailty & aging · 2025Article
- Sarcopenia as a Prognostic Factor for the Outcomes of Surgical Treatment of Colorectal Carcinoma.Healthcare (Basel, Switzerland) · 2025Review
- Muscle matters: Skeletal muscle index and body mass index impact on complications and survival in renal cancer.BJUI compass · 2024Article
- Impact of clinical frailty on surgical and non-surgical complications after major emergency abdominal surgery.BJS open · 2024Article
- Psoas muscle area is an independent survival prognosticator in patients undergoing surgery for long-bone metastases.Cancer medicine · 2024Article
- Reading a preoperative CT scan to guide complex abdominal wall reconstructive surgery.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- Article
- Body Composition Predictors of Adverse Postoperative Events in Patients Undergoing Surgery for Long Bone Metastases.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2022Article
- Sarcopenia, Precardial Adipose Tissue and High Tumor Volume as Outcome Predictors in Surgically Treated Pleural Mesothelioma.Diagnostics (Basel, Switzerland) · 2022Article
- Association of SARC-F Score and Rockwood Clinical Frailty Scale with CT-Derived Muscle Mass in Patients with Aortic Aneurysms.The journal of nutrition, health & aging · 2022Article
- Article
- Impact of Sarcopenia on Early Postoperative Complications in Early-Stage Non-Small-Cell Lung Cancer.The Korean journal of thoracic and cardiovascular surgery · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeRisk stratification of patients prior to surgery is important for reduction of postoperative morbidity and mortality. The frailty concept has been put forward as a good predictor of surgical outcomes. Sarcopenia (depletion of muscle mass) can be used to measure frailty. We aimed to systematically review the literature where core muscle size measurements have been used for risk assessment of patients undergoing major abdominal surgery.
methodsPubMed and EMBASE databases were searched for studies that investigated core muscle size measured with abdominal CT scans and outcomes after major abdominal surgery.
resultsEight studies were found. Four studies investigated postoperative complications related to core muscle area. Three of these studies found significantly increased risk of complications related to low core muscle area. Three studies investigated length of hospitalization, and two of these found significantly longer length of stay related to low core muscle area. Seven studies investigated 1-year and long-term mortality after surgery, whereof only one did not find significantly increased mortality related to low core muscle area. Furthermore, one study found increased short-term (<30 days from surgery) mortality related to low core muscle area.
conclusionsAssessment of core muscle size on preoperative CT scans is an easily obtainable, objective, and robust prognostic risk indicator of postoperative complications and mortality.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.