Evidence map›Paper›PMID 41331116›Full record

ArticleInternational journal of colorectal disease2025

Nomogram predicting short- and long-term outcomes in colon cancer based on CT body composition.

Zechen Lu, Wenchang Yang, Hanyu Yang, Xin Sui, Shuo Liu, Wenda Xu, Wenzhi Wu, Zhenying Xu, Yun Lu

Abstract read
In one paragraph

Article in International journal of colorectal disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
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1citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Zechen Lu *Department of Gastrointestinal Surgery, Affiliated Hospital of Qingdao University, Qingdao, 266400, Shandong Province, China.
Wenchang Yang *Department of Gastrointestinal Surgery, Affiliated Hospital of Qingdao University, Qingdao, 266400, Shandong Province, China.
Hanyu YangDepartment of Gastrointestinal Surgery, Affiliated Hospital of Qingdao University, Qingdao, 266400, Shandong Province, China.
Xin SuiDepartment of Gastrointestinal Surgery, Weihai Central Hospital Affiliated to Qingdao University, Weihai, 264400, Shandong Province, China.
Shuo LiuDepartment of Gastrointestinal Surgery, Affiliated Hospital of Qingdao University, Qingdao, 266400, Shandong Province, China.
Wenda XuDepartment of Gastrointestinal Surgery, Affiliated Hospital of Qingdao University, Qingdao, 266400, Shandong Province, China.
Wenzhi WuDepartment of Gastrointestinal Surgery, Affiliated Hospital of Qingdao University, Qingdao, 266400, Shandong Province, China.
Zhenying XuDepartment of Gastrointestinal Surgery, Affiliated Hospital of Qingdao University, Qingdao, 266400, Shandong Province, China.
Yun LuDepartment of Gastrointestinal Surgery, Affiliated Hospital of Qingdao University, Qingdao, 266400, Shandong Province, China. luyun@qdu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe investigated the relationship between sarcopenia (low skeletal muscle index, SMI) and myosteatosis (high intermuscular adipose tissue, IMAT) accompanied by post-surgical adverse events and recurrence-free survival (RFS) in patients with colon cancer (CC) undergoing radical resection.

methodsThis retrospective study included 475 patients from the Affiliated Hospital of Qingdao University (original cohort) and 209 patients from Weihai Central Hospital Affiliated to Qingdao University (validation cohort) with CC who underwent radical surgical resection. Cox proportional hazards and logistic regression models were used to analyze the correlation between body composition and postoperative complications, as well as RFS. A nomogram was developed based on independent predictors of RFS, and its performance was evaluated.

resultThe original cohort comprised 475 patients (272 males, 203 females; mean age 64.8 ± 11.9 years). Postoperative complications occurred in 85 patients (17.8%). Multivariate analysis revealed low SMI (P = 0.025) and hypoalbuminemia (P = 0.048) were independent risk variables for these complications. The median follow-up was 51 months (IQR, 37.5-62.25). Low IMAT (HR 2.919, 95% CI: 1.423-5.985, P = 0.003) and high SMI (HR 0.450, 95% CI: 0.247-0.821, P = 0.009) were independent prognostic variables for RFS. Considering the original cohort, the AUCs for 1-, 3-, and 5-year RFS were 0.885, 0.867, and 0.868, and for the validation cohort, the AUCs for 1-, 3-, and 5-year RFS were 0.784, 0.817, and 0.897. The nomogram demonstrated strong predictive performance for RFS.

conclusionSarcopenia is a standalone predictor for postoperative complications and RFS in patients with CC, whereas myosteatosis independently predicts RFS. The nomogram provides valuable support for clinical decision-making and holds the potential to improve patient outcomes.

Indexed as

Body CompositionColonic NeoplasmsNomogramsTomography, X-Ray ComputedAgedDisease-Free SurvivalFemaleHumansMaleMiddle AgedMultivariate AnalysisPostoperative ComplicationsProportional Hazards ModelsRetrospective StudiesRisk FactorsSarcopeniaColon cancerMyosteatosisPostoperative complicationsRecurrence-free survivalSarcopenia

Identifiers

PMID41331116
PMCPMC12764682

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LicenceCC BY-NC-ND
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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.