Evidence map›Paper›PMID 38848475›Full record

ArticleThe British journal of radiology2024

The role of CT-assessed sarcopenia and visceral adipose tissue in predicting long-term survival in patients undergoing elective endovascular infrarenal aortic repair.

Roberta Vaccarino, Melker Wachtmeister, Angelos Karelis, Elisabet Marinko, Jianming Sun, Timothy Resch, Björn Sonesson, Nuno V Dias

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In one paragraph

Article in The British journal of radiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Roberta VaccarinoDepartment of Clinical Sciences Malmö, Lund University, Malmö 21428, Sweden.ORCID 0000-0002-9190-0279
Melker WachtmeisterDepartment of Clinical Sciences Malmö, Lund University, Malmö 21428, Sweden.
Angelos KarelisDepartment of Clinical Sciences Malmö, Lund University, Malmö 21428, Sweden.
Elisabet MarinkoDepartment of Clinical Sciences Malmö, Lund University, Malmö 21428, Sweden.
Jianming SunDepartment of Clinical Sciences Malmö, Lund University, Malmö 21428, Sweden.
Timothy ReschDepartment of Clinical Sciences Malmö, Lund University, Malmö 21428, Sweden.
Björn SonessonDepartment of Clinical Sciences Malmö, Lund University, Malmö 21428, Sweden.
Nuno V DiasDepartment of Clinical Sciences Malmö, Lund University, Malmö 21428, Sweden.

Funding

Governmental Funding of Clinical ResearchHulda Almroth FoundationNational Health ServiceSkåne University Hospital Research
6 · The paper itself

Abstract

objectivesTo evaluate if ileo-psoas muscle size and visceral adipose tissue (VAT) can predict long-term survival after endovascular aneurysm repair (EVAR).

methodsPatients who underwent EVAR between 2004 and 2012 in a single centre were included. Total psoas muscle area (TPA), abdominal VAT area, subcutaneous adipose tissue (SAT), and total adipose tissue were measured on the preoperative CT. Primary endpoint was all-cause mortality. Values are presented as median and interquartile range or absolute number and percentage. Cox regression analyses were performed to assess the associations with mortality.

resultsTwo hundred and eighty-four patients could be included in the study. During a median follow-up of 8 (4-11) years, 223 (79.9%) patients died. Age (P ≤ .001), cardiovascular (P = .041), cerebrovascular (P = .009), renal diseases (P = .002), and chronic obstructive pulmonary disease (P ≤ .001) were independently associated with mortality. TPA was associated with mortality in a univariate (P = .040), but not in a multivariate regression model (P = .764). No significant association was found between mortality and TPA index (P = .103) or any of the adiposity measurements with the exception of SAT (P = .040). However, SAT area loss in a multivariate analysis (P = .875).

conclusionsAssessment of core muscle size and VAT did not contribute to improving the prediction of long-term survival after EVAR. ADVANCES IN KNOWLEDGE: The finding of this study contradicts the previously claimed utility of core muscle size and VAT in predicting long-term survival after EVAR.

Indexed as

Aortic Aneurysm, AbdominalEndovascular ProceduresIntra-Abdominal FatPsoas MusclesSarcopeniaTomography, X-Ray ComputedAgedAged, 80 and overElective Surgical ProceduresFemaleHumansMaleMiddle AgedRetrospective StudiesEVARileo-psoas muscle sizepreoperative risk assessmentvisceral adipose tissue

Identifiers

PMID38848475
PMCPMC11256935

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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.