Evidence map›Paper›PMID 33606786›Full record

ArticlePloS one2021

Low skeletal muscle radiodensity is the best predictor for short-term major surgical complications in gastrointestinal surgical cancer: A cohort study.

Ana Lúcia Miranda de Carvalho, Maria Cristina Gonzalez, Iasmin Matias de Sousa, Isabel Pinto Amorim das Virgens, Galtieri Otavio Cunha de Medeiros, Marília Nelo Oliveira, Jeane Cristina Alves de Souza Dantas, Ana Paula Trussardi Fayh

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 3 pooled it
4.0field-weighted citation impact, top 5% 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.

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

24 citing papers in PubMed, 3 syntheses or guidelines pooled it, 43 citations in OpenAlex.

  1. Pooled it
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  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
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  14. Age-adjusted Charlson comorbidity index and its association with body composition and overall survival in patients with colorectal cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 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

8 authors at 2 institutions in 1 country.

Ana Lúcia Miranda de CarvalhoPostgraduate Program in Nutrition, Health Sciences Center, Federal University of Rio Grande do Norte, Natal, State of Rio Grande do Norte, Brazil.
Maria Cristina GonzalezPostgraduate Program in Health and Behavior, Catholic University of Pelotas, Pelotas, State of Rio Grande do Sul, Brazil.
Iasmin Matias de SousaPostgraduate Program in Health Sciences Center, Federal University of Rio Grande do Norte, Natal, State of Rio Grande do Norte, Brazil.
Isabel Pinto Amorim das VirgensPostgraduate Program in Health Sciences Center, Federal University of Rio Grande do Norte, Natal, State of Rio Grande do Norte, Brazil.
Galtieri Otavio Cunha de MedeirosPostgraduate Program in Health Sciences Center, Federal University of Rio Grande do Norte, Natal, State of Rio Grande do Norte, Brazil.ORCID 0000-0002-8672-0126
Marília Nelo OliveiraNutrition Department, Luiz Antônio Hospital, Liga Contra o Câncer, Natal, State of Rio Grande do Norte, Brazil.
Jeane Cristina Alves de Souza DantasNutrition Department, Luiz Antônio Hospital, Liga Contra o Câncer, Natal, State of Rio Grande do Norte, Brazil.
Ana Paula Trussardi FayhPostgraduate Program in Nutrition, Health Sciences Center, Federal University of Rio Grande do Norte, Natal, State of Rio Grande do Norte, Brazil.ORCID 0000-0002-9130-9630
Universidade Federal do Rio Grande do Norte · BRUniversidade Católica de Pelotas · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this study was to evaluate whether body composition, muscle function, and their association are predictive factors for short-term postoperative complications in patients with gastric and colorectal cancer. A prospective cohort study was conducted with patients undergoing resection of gastric and colorectal tumors. Nutritional status was assessed using Patient-Generated Subjective Global Assessment (PG-SGA) and anthropometric techniques. Low handgrip strength (HGS) was observed when <16kg for women, and <27kg for men. Computed tomography images were used to measure visceral adipose tissue, skeletal muscle index (SMI), and skeletal muscle radiodensity (SMD). Complications of grade II or above (according to Clavien-Dindo's classification) were considered in a follow-up period of up to 30 days after surgery. Major complications were defined when they reached grade III or above. A total of 84 patients were analyzed (57.1% female, 59.7 ± 12.6 years) and 19% were diagnosed with low HGS + low SMI or SMD. Postoperative complications occurred in 51.2%, and these patients presented significantly longer duration of surgery and hospital stay. Major complications were observed in 16.7% of the total number of patients. Binary logistic regression adjusted by age, sex, and tumor staging showed that low SMD, low HGS + low SMI or SMD, and obesity were independent risk factors for postoperative complications, but only low SMD was an independent risk factor for major postoperative complications. Low SMD is an independent risk factor for short-term major complications following surgery in patients with gastric and colorectal cancer.

Indexed as

AgedFemaleGastrointestinal NeoplasmsHumansLength of StayMaleMiddle AgedMuscle, SkeletalNeoplasm GradingNutritional StatusPostoperative ComplicationsProspective StudiesRisk FactorsSarcopeniaTomography, X-Ray Computed

Identifiers

PMID33606786
PMCPMC7894883
OpenAlexW3132430747

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.