Evidence map›Paper›PMID 27149460›Full record

Observational studyMedicine2016

Clinical Significance of the Prognostic Nutritional Index for Predicting Short- and Long-Term Surgical Outcomes After Gastrectomy: A Retrospective Analysis of 7781 Gastric Cancer Patients.

Jee Youn Lee, Hyoung-Il Kim, You-Na Kim, Jung Hwa Hong, Saeed Alshomimi, Ji Yeong An, Jae-Ho Cheong, Woo Jin Hyung, Sung Hoon Noh, Choong-Bai Kim

Registry-linked trialOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in Medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07007494 (The Relationship Between Preoperative Nutritional and Inflammatory Markers and Early Postoperative Clinical Outcomes in Patients Undergoing Bariatric Surgery), which is not on this map. Cited by 51 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 1 pooled it
7.7field-weighted citation impact, top 2% of its field
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.

NCT07007494 recruitingnot on this mapstarted 2025, after this paper: background citation

The Relationship Between Preoperative Nutritional and Inflammatory Markers and Early Postoperative Clinical Outcomes in Patients Undergoing Bariatric Surgery

TypeobservationalSponsorIstinye UniversityRan2025 to 2025Enrolled86ConditionsPostoperative Complications, Preoperative Nutritional MarkersArmsNutritional and Inflammatory Marker Evaluation
3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 1 synthesis or guideline pooled it, 101 citations in OpenAlex.

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  20. The prognostic nutritional index (PNI) is independently associated with 90-day and 12-month mortality after metastatic spinal tumor surgery.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2023
    Article
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

10 authors at 1 institution in 1 country.

Jee Youn LeeFrom the Department of Surgery (JYL, HIK, YNK, JYA, JHC, WJH, SHN, CBK), Yonsei University College of Medicine; Open NBI Convergence Technology Research Laboratory (HIK), Severance Hospital; Biostatistics Collaboration Unit (JHH), Yonsei University College of Medicine, Yonsei University Health System, Seoul, Korea; Department of Surgery (SA), King Fahd Hospital of the University Khobar, Khobar, Saudi Arabia; Brain Korea 21 Project for Medical Science (WJH, SHN), Yonsei University College of Medicine; and Robot and Minimally Invasive Surgery Center (WJH), Yonsei University Health System, Seoul, Korea.
Hyoung-Il Kim
You-Na Kim
Jung Hwa Hong
Saeed Alshomimi
Ji Yeong An
Jae-Ho Cheong
Woo Jin Hyung
Sung Hoon Noh
Choong-Bai Kim
Yonsei University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To evaluate the predictive and prognostic significance of the prognostic nutritional index (PNI) in a large cohort of gastric cancer patients who underwent gastrectomy.Assessing a patient's immune and nutritional status, PNI has been reported as a predictive marker for surgical outcomes in various types of cancer.We retrospectively reviewed data from a prospectively maintained database of 7781 gastric cancer patients who underwent gastrectomy from January 2001 to December 2010 at a single center. From this data, we analyzed clinicopathologic characteristics, PNI, and short- and long-term surgical outcomes for each patient. We used the PNI value for the 10th percentile (46.70) of the study cohort as a cut-off for dividing patients into low and high PNI groups.Regarding short-term outcomes, multivariate analysis showed a low PNI (odds ratio [OR] = 1.505, 95% CI = 1.212-1.869, P <0.001), old age, male sex, high body mass index, medical comorbidity, total gastrectomy, and combined resection to be independent predictors of postoperative complications. Among these, only low PNI (OR = 4.279, 95% CI = 1.760-10.404, P = 0.001) and medical comorbidity were independent predictors of postoperative mortality. For long-term outcomes, low PNI was a poor prognostic factor for overall survival, but not recurrence (overall survival: hazard ratio [HR] = 1.383, 95% CI = 1.221-1.568, P < 0.001; recurrence-free survival: HR = 1.142, 95% CI = 0.985-1.325, P = 0.078).PNI can be used to predict patients at increased risk of postoperative morbidity and mortality. Although PNI was an independent prognostic factor for overall survival, the index was not associated with cancer recurrence.

Indexed as

Long Term Adverse EffectsNutrition AssessmentStomach NeoplasmsFemaleGastrectomyHumansKaplan-Meier EstimateMaleMiddle AgedNutritional StatusPostoperative ComplicationsPredictive Value of TestsPrognosisRepublic of KoreaRetrospective StudiesRisk Factors

Identifiers

PMID27149460
PMCPMC4863777
OpenAlexW2463939017

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.