Evidence map›Paper›PMID 41688948›Full record

ArticleBMC geriatrics2026

Long-term outcomes in elderly colorectal cancer patients with presarcopenia: a single center retrospective cohort study.

Kil-Yong Lee, Jaeim Lee, Seong Taek Oh

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Article in BMC geriatrics, 2026. 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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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Kil-Yong LeeDivision of Coloproctology, Department of Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 271, Cheonbo-Ro, Uijeongbu, Gyeonggi-Do, 11765, South Korea.
Jaeim LeeDivision of Coloproctology, Department of Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 271, Cheonbo-Ro, Uijeongbu, Gyeonggi-Do, 11765, South Korea. lji96@catholic.ac.kr.
Seong Taek OhDivision of Coloproctology, Department of Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 271, Cheonbo-Ro, Uijeongbu, Gyeonggi-Do, 11765, South Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInsufficient evidence exists regarding the characteristics of elderly patients with presarcopenia and their prognosis. Therefore, we aim to investigate the impact of preoperative presarcopenia on postoperative outcomes in elderly patients with resectable colorectal cancer.

methodsWe included patients aged ≥ 75 years who underwent curative resection between June 2009 and December 2019. The psoas muscle index was calculated based on the computed tomography scan at the L3 level (lumbar area). The primary outcome was the difference in overall survival based on the presence or absence of presarcopenia. The secondary outcomes included differences in the occurrence of postoperative complications, tumor recurrence, and the impact of adjuvant chemotherapy on survival rates in high-risk stage II cancer.

resultsWe included 325 patients (presarcopenia: 63) in this study. The presarcopenia group was older than the normal group (p = 0.02), with a lower body mass index (p < 0.001). Preoperative blood test results indicated a higher frequency of anemia (p = 0.002), hypoalbuminemia (p = 0.009), and a higher neutrophil-to-lymphocyte ratio (p = 0.012) in the presarcopenia group. Postoperative complications did not differ significantly between the two groups (p = 0.989). In multivariate analysis, presarcopenia emerged as a significant factor affecting overall survival (HR 1.75, 95% CI 1.15–2.67, p = 0.009), but not recurrence-free survival (HR 1.48, 95% CI 0.86–2.55, p = 0.156). Presarcopenia in high-risk stage II colorectal cancer appeared to be a factor where adjuvant chemotherapy did not influence overall survival (HR 1.70, 95% CI 0.40 – 7.26, p = 0.475).

conclusionIn patients with poor overall survival associated with presarcopenia, adjuvant chemotherapy should be selectively considered.

Indexed as

Colorectal NeoplasmsSarcopeniaAgedAged, 80 and overChemotherapy, AdjuvantCohort StudiesColorectal Surgical ProceduresFemaleHumansMalePostoperative ComplicationsPrognosisRetrospective StudiesSurvival RateTreatment OutcomeAdjuvant chemotherapyColorectal neoplasmsPostoperative complicationsRecurrenceSarcopeniaSurvival

Identifiers

PMID41688948
PMCPMC13005342

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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.