Evidence map›Paper›PMID 37386398›Full record

ArticleBMC surgery2023

A prospective clinical study evaluating short-term changes in body composition and quality of life after gastrectomy in elderly patients receiving postoperative exercise and nutritional therapies.

Yasunori Nishida, Mai Tokunaga, Akira Kameyama, Masatake Miyamoto, Seijiro Yoshifuku, Kotaro Sasahara, Noriaki Otagiri, Katsunori Tauchi

Abstract read
In one paragraph

Article in BMC surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Effects of branched-chain amino acids on changes in body composition during the recovery period following tonsillectomy.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
    Trial
  4. Quality of life dynamics in the gastric cancer dyad: an actor-partner interdependence model analysis guiding the development of a family-centered nursing framework.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Article
  5. Simple clinical parameters to identify sarcopenia 1 year after gastrectomy for gastric cancer.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2026
    Article
  6. Nutritional rehabilitation strategies in abdominal surgery.Current opinion in clinical nutrition and metabolic care · 2026
    Review
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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.

Yasunori NishidaDepartment of Surgery, Aizawa Hospital, 2-5-1 Honjou Matsumoto, Nagano, 390-8510, Japan. yasunori.198129@gmail.com.
Mai TokunagaRehabilitation Center, Aizawa Hospital, 2-5-1 Honjou Matsumoto, Nagano, 390-8510, Japan.
Akira KameyamaDepartment of Surgery, Aizawa Hospital, 2-5-1 Honjou Matsumoto, Nagano, 390-8510, Japan.
Masatake MiyamotoDepartment of Surgery, Aizawa Hospital, 2-5-1 Honjou Matsumoto, Nagano, 390-8510, Japan.
Seijiro YoshifukuDepartment of Surgery, Aizawa Hospital, 2-5-1 Honjou Matsumoto, Nagano, 390-8510, Japan.
Kotaro SasaharaDepartment of Surgery, Aizawa Hospital, 2-5-1 Honjou Matsumoto, Nagano, 390-8510, Japan.
Noriaki OtagiriDepartment of Surgery, Aizawa Hospital, 2-5-1 Honjou Matsumoto, Nagano, 390-8510, Japan.
Katsunori TauchiDepartment of Surgery, Aizawa Hospital, 2-5-1 Honjou Matsumoto, Nagano, 390-8510, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMuscle mass loss after gastrectomy is associated with a negative impact on quality of life (QOL) and long-term prognosis following gastric cancer treatment, especially in elderly patients. We conducted a prospective study to examine short-term changes in body composition and QOL after gastrectomy in elderly patients with gastric cancer who received exercise and nutritional therapies.

methodsPatients over aged 65 years of age who underwent gastrectomies for gastric cancer were enrolled in our study. Patients received exercise and nutritional therapies with branched-chain amino acid (BCAA)-rich supplements during 1 month after surgery. Body composition was evaluated using InBody S10 before surgery, and at 1 week and 1 month postoperatively. Other variables including QOL status (EQ-5D-5 L), serum albumin level, hand grip strength, and gait speed were evaluated at the same time.

resultsEighteen patients were analyzed. The mean loss of skeletal muscle mass index (SMI) was 4.6% (1 week) and 2.1% (1 month) compared to the preoperative period. QOL scores showed almost the same degree of recovery at 1 month after gastrectomy as preoperative scores. Serum albumin levels, hand grip strength, and gait speed decreased at 1 week and then increased at 1 month after surgery, similar to the changes seen in SMI.

conclusionsMultidisciplinary approaches play key role in the surgical treatment of elderly patients. Postoperative exercise and nutritional therapies with BCAA-rich supplements may benefit elderly patients after gastrectomy by reducing loss of SMI and decreases in QOL.

trial registrationUMIN Clinical Trials Registry; UMIN000034374 (registration date: 10/10/2018).

Indexed as

Quality of LifeStomach NeoplasmsAgedBody CompositionGastrectomyHand StrengthHumansProspective StudiesSerum AlbuminSerum AlbuminBCAABody compositionElderlyGastric cancerRehabilitation

Identifiers

PMID37386398
PMCPMC10311715

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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.