Evidence map›Paper›PMID 40824416›Full record

ArticleAnnals of surgical oncology2026

Postoperative Step Count Predicts Unplanned Readmission After Radical Esophagectomy: A Retrospective Cohort Study.

Shin Kondo, Masakazu Goto, Takashi Saito, Motomu Kamada, Seiya Inoue, Satoshi Fujiwara, Nori Sato, Hiromitsu Takizawa, Tetsuya Matsuura

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Article in Annals of surgical oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

What it found

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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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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Nutritional rehabilitation strategies in abdominal surgery.Current opinion in clinical nutrition and metabolic care · 2026
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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Shin KondoDivision of Rehabilitation, Tokushima University Hospital, Tokushima, Japan. skondo@tokushima-u.ac.jp.
Masakazu GotoDepartment of Thoracic, Endocrine Surgery and Oncology, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan.
Takashi SaitoDivision of Rehabilitation, Tokushima University Hospital, Tokushima, Japan.
Motomu KamadaDivision of Rehabilitation, Tokushima University Hospital, Tokushima, Japan.
Seiya InoueDepartment of Thoracic, Endocrine Surgery and Oncology, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan.
Satoshi FujiwaraDepartment of Thoracic, Endocrine Surgery and Oncology, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan.
Nori SatoDepartment of Rehabilitation Medicine, Tokushima University Hospital, Tokushima, Japan.
Hiromitsu TakizawaDepartment of Thoracic, Endocrine Surgery and Oncology, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan.
Tetsuya MatsuuraDepartment of Rehabilitation Medicine, Tokushima University Hospital, Tokushima, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUnplanned readmission after esophagectomy is associated with increased health care costs and poorer survival outcomes. Postoperative physical activity during hospitalization may help mitigate this risk. This study evaluated the association between postoperative step count and 90-day unplanned readmission after curative thoracic esophagectomy and identified an optimal step count threshold for predicting readmission.

methodsThis retrospective cohort study analyzed 128 participants who underwent curative thoracic esophagectomy between 2016 and 2024. Step counts were recorded using a wearable activity tracker during the final 7 days before discharge. The primary outcome was unplanned readmission within 90 days after discharge. Multivariable logistic regression was used to identify independent predictors of readmission. A receiver operating characteristic curve determined the optimal step count cutoff.

resultsUnplanned readmission occurred for 27 participants (21.1%). Multivariable analysis indicated that a higher step count was independently associated with reduced readmission risk (odds ratio, 0.76 per 1000 steps; 95% confidence interval, 0.58-0.99 per 1000 steps; p = 0.044). The optimal cutoff for predicting readmission was 2446 steps per day (area under the curve, 0.691; sensitivity, 59.3%; specificity, 76.2%).

conclusionsA lower pre-discharge step count independently predicted unplanned readmission after thoracic esophagectomy. A threshold of approximately 2500 or more steps per day may represent a practical target for postoperative rehabilitation and strategies to prevent readmission.

Indexed as

Esophageal NeoplasmsEsophagectomyExercisePatient ReadmissionPostoperative ComplicationsAgedFemaleFollow-Up StudiesHumansMaleMiddle AgedPrognosisRetrospective StudiesRisk FactorsROC CurveEsophageal cancerEsophagectomyPhysical activityReadmissionStep count

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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.