Evidence map›Paper›PMID 37592262›Full record

SynthesisBMC surgery2023

The impact of sarcopenia on esophagectomy for cancer: a systematic review and meta-analysis.

Amanda Park, Marina Feliciano Orlandini, Daniel José Szor, Ulysses Ribeiro Junior, Francisco Tustumi

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
8.6field-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.

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

19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Post-esophagectomy hiatal hernias: a systematic review and meta-analysis.Esophagus : official journal of the Japan Esophageal Society · 2026
    Pooled it
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  13. The Influence of Muscle Morphology on Oncological Outcomes: A Review.Journal of frailty, sarcopenia and falls · 2025
    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

5 authors at 2 institutions in 1 country.

Amanda ParkDepartment of Gastroenterology, Universidade de São Paulo (USP), São Paulo, São Paulo, Brazil.
Marina Feliciano OrlandiniDepartment of Gastroenterology, Universidade de São Paulo (USP), São Paulo, São Paulo, Brazil.
Daniel José SzorDepartment of Gastroenterology, Universidade de São Paulo (USP), São Paulo, São Paulo, Brazil.
Ulysses Ribeiro JuniorDepartment of Gastroenterology, Universidade de São Paulo (USP), São Paulo, São Paulo, Brazil.
Francisco TustumiDepartment of Gastroenterology, Universidade de São Paulo (USP), São Paulo, São Paulo, Brazil. franciscotustumi@gmail.com.
Hospital Universitário da Universidade de São Paulo · BRCentro Universitário Lusíada · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEsophagectomy is the gold-standard treatment for locally advanced esophageal cancer but has high morbimortality rates. Sarcopenia is a common comorbidity in cancer patients. The exact burden of sarcopenia in esophagectomy outcomes remains unclear. Therefore, this systematic review and meta-analysis were performed to establish the impact of sarcopenia on postoperative outcomes of esophagectomy for cancer.

methodsWe performed a systematic review and meta-analysis comparing sarcopenic with non-sarcopenic patients before esophagectomy for cancer (Registration number: CRD42021270332). An electronic search was conducted on Embase, PubMed, Cochrane, and LILACS, alongside a manual search of the references. The inclusion criteria were cohorts, case series, and clinical trials; adult patients; studies evaluating patients with sarcopenia undergoing esophagectomy or gastroesophagectomy for cancer; and studies that analyze relevant outcomes. The exclusion criteria were letters, editorials, congress abstracts, case reports, reviews, cross-sectional studies, patients undergoing surgery for benign conditions, and animal studies. The meta-analysis was synthesized with forest plots.

resultsThe meta-analysis included 40 studies. Sarcopenia was significantly associated with increased postoperative complications (RD: 0.08; 95% CI: 0.02 to 0.14), severe complications (RD: 0.11; 95% CI: 0.04 to 0.19), and pneumonia (RD: 0.13; 95% CI: 0.09 to 0.18). Patients with sarcopenia had a lower probability of survival at a 3-year follow-up (RD: -0.16; 95% CI: -0.23 to -0.10).

conclusionPreoperative sarcopenia imposes a higher risk for overall complications and severe complications. Besides, patients with sarcopenia had a lower chance of long-term survival.

Indexed as

NeoplasmsSarcopeniaAnimalsCross-Sectional StudiesEsophagectomyPostoperative ComplicationsEsophageal neoplasmsEsophagectomyMeta-analysisSarcopeniaSystematic review

Identifiers

PMID37592262
PMCPMC10433615
OpenAlexW4385954020

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.