Observational studyMedicine2025
Retrospective study comparing 30-day surgical outcomes of pancreaticoduodenectomy for pancreatic head adenocarcinoma in patients with and without malnutrition defined by the GLIM criteria.
Observational study in Medicine, 2025. 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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Authors and funding
5 authors.
Funding
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Abstract
This single-center study conducted in Turkey aims to assess the impact of preoperative nutritional status based on global leadership initiative on malnutrition criteria on 30-day postoperative surgical outcomes in patients undergoing pancreaticoduodenectomy (PD) for pancreatic head adenocarcinoma. A retrospective analysis was conducted on patients who underwent PD. Patients were classified into 2 groups based on preoperative nutritional assessments of global leadership initiative on malnutrition criteria: malnourished (n = 23; 46%) and nonmalnourished (n = 27; 54%). Preoperative data, including demographics, comorbidities, intraoperative data, final pathological results, and postoperative 30-day outcomes, including overall and major (Clavien-Dindo > II) complications, length of hospital stay (LOS), and 30-day mortality rates, were recorded and compared. A total of 50 patients were included in the study. Demographics, American Society of Anesthesiologists scores, and comorbidities were similar between the groups (P > .05). The mean Clavien-Dindo grade was 3 in the malnourished group and 2 in the nonmalnourished group (P = .001). Malnourished patients had a significantly higher rate of major complications (73.9%) compared to nonmalnourished patients (14.8%)(P = .001). The median LOS was similar between the 2 groups. The rate of postoperative transfusions was higher in the malnourished group (P = .033). Postoperative 30-day mortality was significantly higher in the malnourished group (26.1%) compared to the nonmalnourished group (0%) (P = .006). Multivariate logistic regression analysis confirmed that malnutrition was an independent predictor of postoperative major complications (OR: 16.3, 95% CI: 3.9-66.8, P = .001). Preoperative malnutrition is a strong predictor of 30-day postoperative major complications and mortality following PD in patients with pancreatic head adenocarcinoma.
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