Evidence map›Paper›PMID 40075586›Full record

ArticleCancers2025

Postoperative Changes in Body Composition Predict Long-Term Prognosis in Patients with Gastric Cancer.

Kiyohiko Shuto, Yoshihiro Nabeya, Mikito Mori, Masato Yamazaki, Chihiro Kosugi, Kazuo Narushima, Akihiro Usui, Hiroyuki Nojima, Hiroaki Shimizu, Keiji Koda

Abstract read
In one paragraph

Article in Cancers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. 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

10 authors.

Kiyohiko ShutoDepartment of Surgery, Teikyo Chiba Medical Center, 3426-3 Anesaki, Ichihara-shi, Chiba 299-0111, Japan.ORCID 0000-0001-7265-8117
Yoshihiro NabeyaDivision of Esophago-Gastrointestinal Surgery, Chiba Cancer Center, Nitona-cho, Chiba 260-8717, Japan.ORCID 0000-0002-0438-860X
Mikito MoriDepartment of Surgery, Teikyo Chiba Medical Center, 3426-3 Anesaki, Ichihara-shi, Chiba 299-0111, Japan.ORCID 0000-0001-8946-3471
Masato YamazakiDepartment of Surgery, Teikyo Chiba Medical Center, 3426-3 Anesaki, Ichihara-shi, Chiba 299-0111, Japan.
Chihiro KosugiDepartment of Surgery, Teikyo Chiba Medical Center, 3426-3 Anesaki, Ichihara-shi, Chiba 299-0111, Japan.ORCID 0000-0003-3719-6425
Kazuo NarushimaDivision of Esophago-Gastrointestinal Surgery, Chiba Cancer Center, Nitona-cho, Chiba 260-8717, Japan.
Akihiro UsuiDepartment of Surgery, Teikyo Chiba Medical Center, 3426-3 Anesaki, Ichihara-shi, Chiba 299-0111, Japan.
Hiroyuki NojimaDepartment of Surgery, Teikyo Chiba Medical Center, 3426-3 Anesaki, Ichihara-shi, Chiba 299-0111, Japan.ORCID 0000-0003-0149-7154
Hiroaki ShimizuDepartment of Surgery, Teikyo Chiba Medical Center, 3426-3 Anesaki, Ichihara-shi, Chiba 299-0111, Japan.
Keiji KodaDepartment of Surgery, Teikyo Chiba Medical Center, 3426-3 Anesaki, Ichihara-shi, Chiba 299-0111, Japan.

Funding

Grants-in-Aid for Scientific Research of Japan Society for the Promotion of Science 24K11856
6 · The paper itself

Abstract

backgroundPostoperative changes in body composition (BC) have not been clearly defined. The aim of this study was to clarify the impact of postoperative comprehensive changes in BC on long-term prognosis in gastric cancer (GC) patients.

methodsA total of 366 GC patients who underwent radical gastrectomy were included. Postoperative changes in skeletal muscle volume, body fat volume, and skeletal muscle density were investigated at six months postoperatively using computed tomography and evaluated their association with long-term survival.

resultsPatients with decreased muscle volume, decreased fat volume, and increased muscle density had a poor prognosis, respectively. When the risk scores based on these three BC parameters were applied, patients were classified from score 0 to 4, with survival rate declining as the scores improved: score 0, interim 5-year overall survival 94%; score 1, 82%; score 2, 73%; score 3, 56%; and score 4, 20%. BC change (score > 2) was an independent poor prognosticator (HR, 3.086;

conclusionsEach of postoperative skeletal muscle loss, body fat loss, and muscle hyperdensity negatively affected prognosis of GC patients after surgery, and the BC risk scoring assessment well predicted the prognosis of postoperative patients with GC.

Indexed as

body fatcomputed tomographygastric cancerprognosisskeletal muscle

Identifiers

PMID40075586
PMCPMC11898653

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.