Evidence map›Paper›PMID 36632592›Full record

ArticleCancer diagnosis & prognosis

Skeletal Muscle Loss During Neoadjuvant Chemotherapy Predicts the Incidence of Postoperative Infectious Complications in Esophageal Cancer Patients Undergoing Esophagectomy.

Kazuya Higashizono, Shinsuke Sato, Eiji Nakatani, Philip Hawke, Erina Nagai, Yusuke Taki, Masato Nishida, Masaya Watanabe, Noriyuki Oba

Open access · greenAbstract read
In one paragraph

Article in Cancer diagnosis & prognosis. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 40% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

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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

9 authors at 2 institutions in 1 country.

Kazuya HigashizonoDepartment of Gastroenterological Surgery, Shizuoka General Hospital, Shizuoka, Japan.
Shinsuke SatoDepartment of Gastroenterological Surgery, Shizuoka General Hospital, Shizuoka, Japan.
Eiji NakataniGraduate School of Public Health, Shizuoka Graduate University of Public Health, Shizuoka, Japan.
Philip HawkeSchool of Pharmaceutical Sciences, University of Shizuoka, Shizuoka, Japan.
Erina NagaiDepartment of Gastroenterological Surgery, Shizuoka General Hospital, Shizuoka, Japan.
Yusuke TakiDepartment of Gastroenterological Surgery, Shizuoka General Hospital, Shizuoka, Japan.
Masato NishidaDepartment of Gastroenterological Surgery, Shizuoka General Hospital, Shizuoka, Japan.
Masaya WatanabeDepartment of Gastroenterological Surgery, Shizuoka General Hospital, Shizuoka, Japan.
Noriyuki ObaDepartment of Gastroenterological Surgery, Shizuoka General Hospital, Shizuoka, Japan.
Shizuoka General Hospital · JPUniversity of Shizuoka · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimMalnutrition, immune deficiency, and skeletal muscle loss are associated with a risk of postoperative complications in patients with various types of cancer. This study evaluated whether malnutrition, immunological deficiencies, and skeletal muscle loss during neoadjuvant chemotherapy (NAC) predict postoperative complications in patients with esophageal cancer. PATIENTS AND

methodsWe retrospectively reviewed 123 patients with esophageal squamous cell carcinoma treated with NAC and esophagectomy at our hospital between 2014 and 2019. Patients were divided into two groups based on the presence or absence of postoperative infectious complications, such as pneumonia, anastomotic leakage, surgical site infections, pyothorax, acalculous cholecystitis, and peripheral phlebitis. Neutrophil-to-lymphocyte ratio, platelet-to-lymphocyte ratio, and Onodera prognostic nutritional index were used as indicators of systemic inflammation and nutritional status. Skeletal muscle mass was evaluated using the skeletal muscle index (SMI), calculated by evaluating the total cross-sectional area of muscle tissue at the third lumbar level in computed tomography imaging. Univariable and multivariable logistic regression analyses were used to identify predictors of postoperative infectious complications.

resultsPostoperative infectious complications occurred in 41 patients (33.3%). A reduction in SMI was observed in 105 patients (87.8%) during NAC. Univariable and multivariable analyses indicated that the reduction in SMI during NAC was an independent predictor of postoperative complications (odds ratio=0.89; 95% confidence interval=0.79-0.99; p=0.048).

conclusionSkeletal muscle loss during NAC is a useful predictor of postoperative complications in patients with esophageal cancer undergoing esophagectomy.

Indexed as

Esophageal cancerneoadjuvant chemotherapyneutrophil-to-lymphocyte ratioOnodera prognostic nutritional indexskeletal muscle loss

Identifiers

PMID36632592
PMCPMC9801447
OpenAlexW4313318959

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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.