Evidence map›Paper›PMID 26466832›Full record

ArticleGastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association2016

Impact of preoperative hand grip strength on morbidity following gastric cancer surgery.

Tsutomu Sato, Toru Aoyama, Tsutomu Hayashi, Kenki Segami, Taiichi Kawabe, Hirohito Fujikawa, Takanobu Yamada, Naoto Yamamoto, Takashi Oshima, Yasushi Rino and 4 more

Abstract read
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In one paragraph

Article in Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 9 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 9 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Predictive value of preoperative handgrip strength on postoperative outcomes in patients with gastrointestinal tumors: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Pooled it
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  6. Body composition assessment and sarcopenia in patients with gastric cancer: a systematic review and meta-analysis.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2019
    Pooled it
  7. Predictive Value of Preoperative Sarcopenia in Patients with Gastric Cancer: a Meta-analysis and Systematic Review.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2018
    Pooled it
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  10. Trial
  11. Multi-institutional prospective feasibility study to explore tolerability and efficacy of oral nutritional supplements for patients with gastric cancer undergoing gastrectomy (CCOG1301).Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2017
    Trial
  12. Preoperative albumin grip index as a novel biomarker predicting prognosis and postoperative complications after gastrectomy for gastric cancer.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2026
    Article
  13. Article
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  17. Association between reduced physical performance measures and short-term consequences after major emergency abdominal surgery: a prospective cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Tsutomu SatoDepartment of Gastrointestinal Surgery, Kanagawa Cancer Center, 2-3-2 Nakao, Asahi-ku, Yokohama-Shi, Kanagawa-ken, 241-8515, Japan.
Toru AoyamaDepartment of Gastrointestinal Surgery, Kanagawa Cancer Center, 2-3-2 Nakao, Asahi-ku, Yokohama-Shi, Kanagawa-ken, 241-8515, Japan.
Tsutomu HayashiDepartment of Surgery, Yokohama City University, 3-9 Fukuura, Kanazawa-ku, Yokohama-Shi, Kanagawa-ken, 236-0004, Japan.
Kenki SegamiDepartment of Gastrointestinal Surgery, Kanagawa Cancer Center, 2-3-2 Nakao, Asahi-ku, Yokohama-Shi, Kanagawa-ken, 241-8515, Japan.
Taiichi KawabeDepartment of Gastrointestinal Surgery, Kanagawa Cancer Center, 2-3-2 Nakao, Asahi-ku, Yokohama-Shi, Kanagawa-ken, 241-8515, Japan.
Hirohito FujikawaDepartment of Gastrointestinal Surgery, Kanagawa Cancer Center, 2-3-2 Nakao, Asahi-ku, Yokohama-Shi, Kanagawa-ken, 241-8515, Japan.
Takanobu YamadaDepartment of Surgery, Yokohama City University, 3-9 Fukuura, Kanazawa-ku, Yokohama-Shi, Kanagawa-ken, 236-0004, Japan.
Naoto YamamotoDepartment of Surgery, Yokohama City University, 3-9 Fukuura, Kanazawa-ku, Yokohama-Shi, Kanagawa-ken, 236-0004, Japan.
Takashi OshimaDepartment of Surgery, Yokohama City University, 3-9 Fukuura, Kanazawa-ku, Yokohama-Shi, Kanagawa-ken, 236-0004, Japan.
Yasushi RinoDepartment of Surgery, Yokohama City University, 3-9 Fukuura, Kanazawa-ku, Yokohama-Shi, Kanagawa-ken, 236-0004, Japan.
Munetaka MasudaDepartment of Surgery, Yokohama City University, 3-9 Fukuura, Kanazawa-ku, Yokohama-Shi, Kanagawa-ken, 236-0004, Japan.
Takashi OgataDepartment of Gastrointestinal Surgery, Kanagawa Cancer Center, 2-3-2 Nakao, Asahi-ku, Yokohama-Shi, Kanagawa-ken, 241-8515, Japan.
Haruhiko ChoDepartment of Gastrointestinal Surgery, Kanagawa Cancer Center, 2-3-2 Nakao, Asahi-ku, Yokohama-Shi, Kanagawa-ken, 241-8515, Japan.
Takaki YoshikawaDepartment of Gastrointestinal Surgery, Kanagawa Cancer Center, 2-3-2 Nakao, Asahi-ku, Yokohama-Shi, Kanagawa-ken, 241-8515, Japan. yoshikawat@kcch.jp.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSarcopenia is a decrease in both muscle mass and strength. It remains unclear whether sarcopenia is associated with morbidity after gastric cancer surgery. This study evaluated the impact of sarcopenia on the morbidity of gastric cancer surgery.

methodsA total of 293 gastric cancer patients who underwent curative surgery between May 2011 and June 2013 were retrospectively examined. Patients with performance status 3 or 4 were excluded. Preoperative lean body mass (LBM) was evaluated by bioelectrical impedance analysis and expressed as LBM index. Preoperative muscle function was measured by hand grip strength (HGS). The cutoff values were the gender-specific lowest 20 %. Grade 2 or higher morbidities, as retrospectively evaluated by the Clavien-Dindo classification, were obtained from the patient record. The risk factors for morbidity were examined by univariate and multivariate analyses.

resultsMorbidity was observed in 39 patients (13.3 %), including 7 with pancreatic leakage, 12 with anastomotic leakage, and 4 with intraabdominal abscesses, but no mortality was observed. The univariate analysis showed that male gender, total gastrectomy, splenectomy, and a low HGS were significant risk factors for morbidity. A low LBM was not a significant risk factor. A low HGS, male gender, and total gastrectomy remained significant in the multivariate analysis.

conclusionsA low hand grip strength was a significant risk factor for morbidity after gastric cancer surgery. The importance of the hand grip strength as a risk factor should be examined in future prospective studies.

Indexed as

Hand StrengthPostoperative ComplicationsAdenocarcinomaAdultAgedAged, 80 and overFemaleFollow-Up StudiesGastrectomyHumansMaleMiddle AgedMorbidityNeoplasm StagingPreoperative CarePrognosisClavien–Dindo classificationGastric cancerHand grip strengthMorbidity (3–5)Sarcopenia

Identifiers

PMID26466832

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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.