Evidence map›Paper›PMID 30348732›Full record

ArticleIn vivo (Athens, Greece)

The Preoperative Geriatric Nutritional Risk Index Predicts Postoperative Complications in Elderly Patients with Gastric Cancer Undergoing Gastrectomy.

Syuhei Kushiyama, Katsunobu Sakurai, Naoshi Kubo, Yutaka Tamamori, Takafumi Nishii, Akiko Tachimori, Toru Inoue, Kiyoshi Maeda

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PubMed Full text at PMC Publisher
In one paragraph

Article in In vivo (Athens, Greece). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 5 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

49 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  16. Geriatric nutritional risk index as the prognostic factor in older patients with fragility hip fractures.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2023
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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

8 authors.

Syuhei KushiyamaDepartment of Gastroenterological Surgery, Osaka City General Hospital, Osaka, Japan.
Katsunobu SakuraiDepartment of Gastroenterological Surgery, Osaka City General Hospital, Osaka, Japan m1157473@med.osaka-cu.ac.jp.
Naoshi KuboDepartment of Gastroenterological Surgery, Osaka City General Hospital, Osaka, Japan.
Yutaka TamamoriDepartment of Gastroenterological Surgery, Osaka City General Hospital, Osaka, Japan.
Takafumi NishiiDepartment of Gastroenterological Surgery, Osaka City General Hospital, Osaka, Japan.
Akiko TachimoriDepartment of Gastroenterological Surgery, Osaka City General Hospital, Osaka, Japan.
Toru InoueDepartment of Gastroenterological Surgery, Osaka City General Hospital, Osaka, Japan.
Kiyoshi MaedaDepartment of Gastroenterological Surgery, Osaka City General Hospital, Osaka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimThe relationship between the preoperative Geriatric Nutritional Risk Index (GNRI) and morbidity of patients with gastric cancer (GC) undergoing gastrectomy has not yet been reported. Our study aimed to investigate whether preoperative GNRI is associated with short-term outcomes in elderly patients with GC. PATIENTS AND

methodsThis study enrolled 348 elderly patients with GC who were more than 75 years old and underwent curative gastrectomy for GC at our Institution between January 2006 and December 2015. GNRI was invoked to stratify patients as high (GNRI≥92; n=190) or low (GNRI<92; n=158) GNRI nutritional status. The clinicopathologic features and short-term outcomes were compared.

resultsIn multivariate analysis, low GNRI emerged as an independent predictor of postoperative complications (Clavien Dindo classification grade II≤). Low GNRI demonstrated significantly more frequent extra-surgical complications than high GNRI. Significantly more patients with low GNRI suffered from postoperative pneumoniae than patients with high GNRI (p=0.013). On the other hand, the incidence of surgical field complications such as leakage, pancreatic fistula and intraabdominal abscess did not differ significantly between the groups.

conclusionGNRI is useful in predicting postoperative complications of elderly patients with GC undergoing gastrectomy. Preoperative GNRI has merit as a gauge of postoperative complications in the extra-surgical field, especially pneumonia. There was no relationship between preoperative GNRI and surgical field complications in this setting.

Indexed as

Nutritional StatusPrognosisAgedAged, 80 and overGastrectomyGeriatric AssessmentHumansPostoperative ComplicationsPreoperative PeriodStomach NeoplasmscomplicationselderlyGastric cancerGNRIoutcomes

Identifiers

PMID30348732
PMCPMC6365747

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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.