Evidence map›Paper›PMID 33481124›Full record

ArticleAnnals of surgical oncology2021

Prediction Model for Screening Patients at Risk of Malnutrition After Gastric Cancer Surgery.

Ji-Hyeon Park, Eunjung Kim, Eun-Mi Seol, Seong-Ho Kong, Do Joong Park, Han-Kwang Yang, Jong-Ho Choi, Shin-Hoo Park, Hwi-Nyeong Choe, Meera Kweon and 3 more

Registry-linked trialAbstract read
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In one paragraph

Article in Annals of surgical oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05253716 (The Effects of Immunonutritional Supplement After Total Gastrectomy in Patients With Stage III Gastric Cancer on Long-term Disease-free Survival After Total Gastrectomy in Patients With Stage III Gastric Cancer), which is not on this map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
7.0field-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.

NCT05253716 naunknown statusnot on this mapstarted 2022, after this paper: background citation

The Effects of Immunonutritional Supplement After Total Gastrectomy in Patients With Stage III Gastric Cancer on Long-term Disease-free Survival After Total Gastrectomy in Patients With Stage III Gastric Cancer

TypeinterventionalSponsorJinling Hospital, ChinaRan2022 to 2026Enrolled696ConditionsStage III Gastric CancerArmsONS
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 2 syntheses or guidelines pooled it, 70 citations in OpenAlex.

  1. Pooled it
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  3. Enteral nutrition support in patients with cancer: association of short-term prognosis and medical costs with inflammation.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
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  17. A nomogram for predicting nutritional risk before gastric cancer surgery.Asia Pacific journal of clinical nutrition · 2024
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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

13 authors at 3 institutions in 1 country.

Ji-Hyeon Park *Department of Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
Eunjung KimNutritional Support Team, Seoul National University Hospital, Seoul, Korea.
Eun-Mi SeolNutritional Support Team, Seoul National University Hospital, Seoul, Korea.
Seong-Ho KongDepartment of Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
Do Joong ParkDepartment of Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
Han-Kwang YangDepartment of Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
Jong-Ho ChoiDepartment of Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
Shin-Hoo ParkDivision of Foregut Surgery, Department of Surgery, Korea University College of Medicine, Seoul, Korea.
Hwi-Nyeong ChoeDepartment of Nursing, Seoul National University Hospital, Seoul, Korea.
Meera KweonDepartments of Food Service and Nutrition Care, Seoul National University Hospital, Seoul, Korea.
Jiwon ParkDepartment of Medical Research Collaborating Center, Seoul National University Hospital, Seoul, Korea.
Yunhee ChoiDepartment of Medical Research Collaborating Center, Seoul National University Hospital, Seoul, Korea.
Hyuk-Joon LeeDepartment of Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea. appe98@snu.ac.kr.
Seoul National University Hospital · KRSeoul National University · KRKorea University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMalnutrition after gastrectomy is associated with a poor prognosis; however, no accurate model for predicting post-gastrectomy malnutrition exists. Hence, we conducted a retrospective study to develop a prediction model identifying gastric cancer patients at high risk of malnutrition after gastrectomy.

methodGastric cancer patients who underwent curative gastrectomy with more than one weight measurement during a 3-year follow-up period were included. Malnutrition was defined as body mass index (BMI) < 18.5 kg/m

resultsOverall, 1421 patients were examined. The BMI-loss trajectory model showed significant BMI loss at 6 months after gastrectomy. Severe BMI loss (mean 21.5%; n = 109) was significantly associated with the elderly, female sex, higher preoperative BMI, advanced cancer stage, open surgery, total gastrectomy, Roux-en-Y reconstruction, chemotherapy, and postoperative complications (all p < 0.05). Malnutrition 6 months after gastrectomy was observed in 152 (11.9%) of 1281 patients. Preoperative BMI, sex, and type of operation were included in the final prediction model as predictive factors (p < 0.05). The C-index of the developmental set and bootstrap validation of the prediction model was 0.91 (95% confidence interval 0.89-0.94) and 0.91, respectively.

conclusionThe prediction model for the risk of malnutrition 6 months after gastrectomy was accurately developed, with three independent risk factors: low preoperative BMI, female sex, and total or proximal gastrectomy.

Indexed as

MalnutritionStomach NeoplasmsAgedBody Mass IndexEarly Detection of CancerFemaleGastrectomyHumansRetrospective StudiesTreatment Outcome

Identifiers

PMID33481124
OpenAlexW3121257365

What OpenQuestion holds

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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.