Evidence map›Paper›PMID 34122736›Full record

ArticleWorld journal of gastrointestinal surgery2021

Comparison of effects of six main gastrectomy procedures on patients' quality of life assessed by Postgastrectomy Syndrome Assessment Scale-45.

Koji Nakada, Yoshiyuki Kawashima, Shinichi Kinami, Ryoji Fukushima, Hiroshi Yabusaki, Akiyoshi Seshimo, Naoki Hiki, Keisuke Koeda, Mikihiro Kano, Yoshikazu Uenosono and 2 more

Open access · diamondAbstract read
In one paragraph

Article in World journal of gastrointestinal surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.9field-weighted citation impact, top 8% 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

13 citing papers in PubMed, 24 citations in OpenAlex.

  1. Longitudinal assessment of quality-of-life after gastrectomy for gastric cancer: a prospective study.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2026
    Article
  2. Review
  3. Long-term quality of life, financial toxicity, and decision regret following therapeutic and prophylactic gastrectomy for cancer.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2026
    Article
  4. Article
  5. Observational
  6. Symptom Cluster Assessment Tools for Gastric Cancer Care in China: A Comprehensive Review.Medical science monitor : international medical journal of experimental and clinical research · 2024
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. 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

12 authors at 7 institutions in 1 country.

Koji NakadaDepartment of Laboratory Medicine, The Jikei University School of Medicine, Tokyo 105-8461, Japan. nakada@jikei.ac.jp.
Yoshiyuki KawashimaDepartment of Gastroenterological Surgery, Saitama Cancer Center, Saitama 362-0806, Japan.
Shinichi KinamiDepartment of Surgical Oncology, Kanazawa Medical University, Kahoku-gun 920-0293, Ishikawa, Japan.
Ryoji FukushimaDepartment of Surgery, Teikyo University School of Medicine, Tokyo 173-8605, Japan.
Hiroshi YabusakiDepartment of Surgery, Niigata Cancer Center Hospital, Niigata 951-8566, Japan.
Akiyoshi SeshimoDepartment of Gastrointestinal and Pediatric Surgery, Tokyo Medical University, Tokyo 160-0023, Japan.
Naoki HikiDepartment of Upper Gastrointestinal Surgery, Kitasato University School of Medicine, Kanagawa 252-0374, Japan.
Keisuke KoedaDepartment of Medical Safety Science, Iwate Medical University, Iwate 028-3695, Japan.
Mikihiro KanoDepartment of Surgery, Hiroshima City Asa Citizens Hospital, Hiroshima 731-0293, Japan.
Yoshikazu UenosonoDepartment of Digestive Surgery, Imamura General Hospital, Kagoshima 890-0064, Japan.
Atsushi OshioFaculty of Letters, Arts and Sciences, Waseda University, Tokyo 162-8644, Japan.
Yasuhiro KoderaDepartment of Gastroenterological Surgery, Nagoya University Graduate School of Medicine, Nagoya 466-8550, Japan.
Hiroshima City Asa Citizens Hospital · JPNagoya University · JPNiigata Cancer Center Hospital · JPSaitama Cancer Center · JPTeikyo University · JPTokyo Medical University · JPWaseda University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe effects of various gastrectomy procedures on the patient's quality of life (QOL) are not well understood. Thus, this nationwide multi-institutional cross-sectional study using the Postgastrectomy Syndrome Assessment Scale-45 (PGSAS-45), a well-established questionnaire designed to clarify the severity and characteristics of the postgastrectomy syndrome, was conducted.

aimTo compare the effects of six main gastrectomy procedures on the postoperative QOL.

methodsEligible questionnaires retrieved from 2368 patients who underwent either of six gastrectomy procedures [total gastrectomy with Roux-en-Y reconstruction (TGRY;

resultsTGRY and PG significantly impaired the QOL of postoperative patients. Postoperative QOL was excellent in LR (cardia and pylorus were preserved with minimal resection). In procedures removing the distal stomach, diarrhea subscale (SS) and dumping SS were less frequent in PPG than in DGBI and DGRY. However, there was no difference in the postoperative QOL between DGBI and DGRY. The most noticeable adverse effects caused by gastrectomy were meal-related distress SS, dissatisfaction at the meal, and weight loss, with significant differences among the surgical procedures.

conclusionPostoperative QOL greatly differed among six gastrectomy procedures. The severity and characteristics of postgastrectomy syndrome should be considered to select gastrectomy procedures, overcome surgical shortcomings, and enhance postoperative care.

Indexed as

GastrectomyPatient reported outcome measuresPostgastrectomy syndromesQuality of life

Identifiers

PMID34122736
PMCPMC8167845
OpenAlexW3161531056

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.