Evidence map›Paper›PMID 40114153›Full record

ArticleWorld journal of surgical oncology2025

CT-based body composition analysis to study the effect of visceral obesity on postoperative complications in ovarian cancer: implications for young patients.

Shuyue Su, Tianle Weng, Jingying Bai, Chunchun Fang, Rongrong Shao, Mengxiao Sun, Haote Jiang, Yuyang Zhang

Abstract read
In one paragraph

Article in World journal of surgical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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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

2 citing papers in PubMed.

  1. Review
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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Shuyue SuThe First School of Medicine, School of Information and Engineering, Wenzhou Medical University, Wenzhou, 325000, China.
Tianle WengThe First School of Medicine, School of Information and Engineering, Wenzhou Medical University, Wenzhou, 325000, China.
Jingying BaiThe First School of Medicine, School of Information and Engineering, Wenzhou Medical University, Wenzhou, 325000, China.
Chunchun FangThe First School of Medicine, School of Information and Engineering, Wenzhou Medical University, Wenzhou, 325000, China.
Rongrong ShaoDepartment of Radiology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, China.
Mengxiao SunDepartment of Obstetrics, The First Affiliated Hospital of Ningbo University, Ningbo, 315000, China.
Haote JiangDepartment of Ultrasound, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, China.
Yuyang ZhangDepartment of Gynecology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, 325000, China. zhangyuyang@wmu.edu.cn.

Funding

Discipline Cluster of Oncology, Wenzhou Medical University, China NO. z2-2023019the Natural Science Foundation of Zhejiang Province LY18C010003Wenzhou Science and Technology Planning Project Y20140695
6 · The paper itself

Abstract

purposeOvarian cancer is characterized by high morbidity and mortality, with surgery remaining the primary treatment modality. The occurrence of postoperative complications significantly impacts patient prognosis and quality of life. As cancer increasingly affects younger individuals, it is crucial to consider age-related differences. Meanwhile, epidemiology suggests a high prevalence of obesity among females. This study aims to evaluate the effect of visceral obesity (VO), diagnosed using computed tomography (CT)-based body composition analysis, on postoperative complications.

methodsA total of 309 patients operated between 2017 and 2022 were included in this study. Patients were stratified into two age groups: ≤65 years (younger group) and > 65 years (older group). The receiver operating characteristic (ROC) curve was employed to determine the threshold value for VO. Univariate and multivariate analyses were conducted to identify risk factors associated with postoperative complications.

resultsAccording to the cut-off value, the incidence of postoperative complications was significantly higher in younger patients with VO compared to the non-VO group (56% vs. 36%, p < 0.01), whereas no difference was observed in older age groups. VO (OR = 1.980, p = 0.031), total protein < 65 g/L (OR = 3.704, p = 0.045), primary debulking surgery (PDS) (OR = 0.369, p = 0.026), duration of surgery (OR = 1.004, p = 0.006) and intraoperative bleeding volume (OR = 1.003, p < 0.01) were identified as independent predictors of postoperative complications in the younger age group. International Federation of Gynecology and Obstetrics (FIGO) stage for III or IV (OR = 4.00, p = 0.029) remained as the only independent predictor for the older age group.

conclusionsIn young ovarian cancer patients, VO may serve as a predictor for postoperative complications, and appropriate preventive measures may be beneficial in reducing the incidence of postoperative complications.

Indexed as

Body CompositionObesity, AbdominalOvarian NeoplasmsPostoperative ComplicationsTomography, X-Ray ComputedAdultAgedAge FactorsFemaleFollow-Up StudiesHumansIncidenceMiddle AgedPrognosisRetrospective StudiesRisk FactorsComputed tomographyOvarian cancerPostoperative complicationsVisceral fat areaVisceral obesity

Identifiers

PMID40114153
PMCPMC11924775

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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.