Evidence map›Paper›PMID 40281354›Full record

ArticleInternational journal of clinical oncology2025

Primary tumor location is a risk factor for postoperative development of sarcopenia as a predictive marker for unfavorable outcomes in patients with colorectal cancer.

Shinya Abe, Hiroaki Nozawa, Kazuhito Sasaki, Koji Murono, Shigenobu Emoto, Yuichiro Yokoyama, Hiroyuki Matsuzaki, Yuzo Nagai, Takahide Shinagawa, Hirofumi Sonoda and 1 more

Abstract read
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Article in International journal of clinical oncology, 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

11 authors.

Shinya AbeDepartment of Surgical Oncology, Graduate School of Medicine, The University of Tokyo, Bunkyo-Ku, 7-3-1 Hongo, Bunkyo-Ku, Tokyo, 113-0033, Japan. sa61451689@gmail.com.ORCID http://orcid.org/0000-0002-2432-3141
Hiroaki NozawaDepartment of Surgical Oncology, Graduate School of Medicine, The University of Tokyo, Bunkyo-Ku, 7-3-1 Hongo, Bunkyo-Ku, Tokyo, 113-0033, Japan.
Kazuhito SasakiDepartment of Surgical Oncology, Graduate School of Medicine, The University of Tokyo, Bunkyo-Ku, 7-3-1 Hongo, Bunkyo-Ku, Tokyo, 113-0033, Japan.
Koji MuronoDepartment of Surgical Oncology, Graduate School of Medicine, The University of Tokyo, Bunkyo-Ku, 7-3-1 Hongo, Bunkyo-Ku, Tokyo, 113-0033, Japan.
Shigenobu EmotoDepartment of Surgical Oncology, Graduate School of Medicine, The University of Tokyo, Bunkyo-Ku, 7-3-1 Hongo, Bunkyo-Ku, Tokyo, 113-0033, Japan.
Yuichiro YokoyamaDepartment of Surgical Oncology, Graduate School of Medicine, The University of Tokyo, Bunkyo-Ku, 7-3-1 Hongo, Bunkyo-Ku, Tokyo, 113-0033, Japan.
Hiroyuki MatsuzakiDepartment of Surgical Oncology, Graduate School of Medicine, The University of Tokyo, Bunkyo-Ku, 7-3-1 Hongo, Bunkyo-Ku, Tokyo, 113-0033, Japan.
Yuzo NagaiDepartment of Surgical Oncology, Graduate School of Medicine, The University of Tokyo, Bunkyo-Ku, 7-3-1 Hongo, Bunkyo-Ku, Tokyo, 113-0033, Japan.
Takahide ShinagawaDepartment of Surgical Oncology, Graduate School of Medicine, The University of Tokyo, Bunkyo-Ku, 7-3-1 Hongo, Bunkyo-Ku, Tokyo, 113-0033, Japan.
Hirofumi SonodaDepartment of Surgical Oncology, Graduate School of Medicine, The University of Tokyo, Bunkyo-Ku, 7-3-1 Hongo, Bunkyo-Ku, Tokyo, 113-0033, Japan.
Soichiro IshiharaDepartment of Surgical Oncology, Graduate School of Medicine, The University of Tokyo, Bunkyo-Ku, 7-3-1 Hongo, Bunkyo-Ku, Tokyo, 113-0033, Japan.

Funding

Grants-in-Aid for Scientific Research 18K07194Grants-in-Aid for Scientific Research 19K09114Grants-in-Aid for Scientific Research 19K09115Grants-in-Aid for Scientific Research 20K09051Grants-in-Aid for Scientific Research 21H02778Grants-in-Aid for Scientific Research B: grant numberGrants-in-Aid for Scientific Research C: grant numberGrants-in-Aid for Scientific Research Challenging ResearchGrants-in-Aid for Scientific Research Exploratory: 20K21626the Project for Cancer Research and Therapeutic Evolution JP 19cm0106502
6 · The paper itself

Abstract

backgroundThe impact of the skeletal muscle volume after colorectal cancer surgery is unclear. Thus, we investigated the change of skeletal muscle mass after surgery and its effects on long-term outcomes.

methodsThis retrospective analysis included clinical stage I-IV colorectal cancer patients who underwent curative resection between April 2012 and March 2014 in our hospital. The psoas muscle area at the third lumbar vertebra level was evaluated by computed tomography and was divided by the square of height to obtain the psoas muscle mass index (PMI). Sarcopenia was defined using the PMI cut-off values for Asian adults of 6.36 cm

resultsAmong eligible 354 patients, 166 and 145 had pre- and postoperative sarcopenia one year after surgery, respectively. Five-year disease-free survival (DFS) and overall survival (OS) rates were 81.7% and 94.5%, respectively. In multivariate analysis, postoperative sarcopenia was an independent risk factor for shorter DFS [hazard ratio (HR) 1.71, p = 0.0171] and OS (HR 2.42, p = 0.0455), respectively, but preoperative sarcopenia was not a prognosticactor for either. One year after colorectal resection, 24 patients (6.8%) were newly diagnosed with sarcopenia, while 45 (12.7%) recovered from sarcopenia. Rectal cancer was identified as an independent risk factor for the postoperative development of sarcopenia (odds ratio 3.12, p = 0.0440).

conclusionPostoperative sarcopenia one year after surgery was associated with poor DFS and OS. Thus, clinicians need to consider skeletal muscle loss during postoperative surveillance, particularly in rectal cancer patients without sarcopenia before surgery.

Indexed as

Colorectal NeoplasmsPostoperative ComplicationsSarcopeniaAdultAgedAged, 80 and overDisease-Free SurvivalFemaleHumansMaleMiddle AgedPrognosisPsoas MusclesRetrospective StudiesRisk FactorsTomography, X-Ray ComputedColorectal cancerOutcomePostoperativeSarcopenia

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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.