Evidence map›Paper›PMID 40083521›Full record

ArticleJournal of thoracic disease2025

Psoas muscle index as a novel measure of frailty and predictor of post-operative outcome in octogenarians with non-small cell lung cancer.

Hiral Jhala, Mathew Thomas, Leanne Ashrafian

Abstract read
In one paragraph

Article in Journal of thoracic disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. 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

3 authors.

Hiral JhalaDepartment of Cardiothoracic Surgery, Golden Jubilee National Hospital, Clydebank, UK.ORCID https://orcid.org/0000-0002-1267-5254
Mathew ThomasDepartment of Cardiothoracic Surgery, Golden Jubilee National Hospital, Clydebank, UK.
Leanne AshrafianDepartment of Thoracic Surgery, Guy's Hospital, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: High body mass index (BMI) is a prevalent risk factor in a growing octogenarian population undergoing curative surgery for non-small cell lung cancer (NSCLC). Whilst BMI is paradoxically protective, its correlation with clinical frailty or objective fitness is unclear, due to the discrepancy of the ratio between muscle and adipose tissue. We aim to assess the relationship between sarcopenia and post operative survival and complications. Methods: Demographic and clinical outcome data from octogenarians undergoing resections for primary NSCLC (January 2016-December 2021) was analysed retrospectively. Routine pre-operative positron emission tomography-computed tomography (PET-CT) scan was used to derive psoas muscle index (PMI) (bilateral measurement of cross-sectional psoas muscle area at the level of L3, divided by height-squared) as a measure of sarcopenia. Results: A total of 189 patients were recruited with a mean age 82 years. Median overall survival (OS) was 2.7 Conclusions: Radiologically derived PMI is an easily replicable marker which may be a useful adjunct to BMI in identifying high-risk octogenarians in whom prehabilitation may achieve superior outcomes post-surgery for NSCLC. Additionally, the method we describe avoids additional imaging to derive these measurements and can be safely incorporated into pre-operative imaging protocols.

Indexed as

Body mass index (BMI)lung canceroctogenariansprognosispsoas muscle index (PMI)

Identifiers

PMID40083521
PMCPMC11898385

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.