Evidence map›Paper›PMID 42043494›Full record

ArticleGastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association2026

Simple clinical parameters to identify sarcopenia 1 year after gastrectomy for gastric cancer.

Ji Yoon Jeong, Jawon Hwang, Sung Hyun Park, Minah Cho, Yoo Min Kim, Woo Jin Hyung, Yun Ho Roh, Hyoung-Il Kim

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Article in Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association, 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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1citing papers 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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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Ji Yoon JeongDepartment of Surgery, Yonsei University College of Medicine, 50-1 Yonsei-ro Seodaemun-gu, Seoul, 03722, Republic of Korea.
Jawon HwangDepartment of Surgery, Yonsei University College of Medicine, 50-1 Yonsei-ro Seodaemun-gu, Seoul, 03722, Republic of Korea.
Sung Hyun ParkDepartment of Surgery, Yonsei University College of Medicine, 50-1 Yonsei-ro Seodaemun-gu, Seoul, 03722, Republic of Korea.
Minah ChoDepartment of Surgery, Yonsei University College of Medicine, 50-1 Yonsei-ro Seodaemun-gu, Seoul, 03722, Republic of Korea.
Yoo Min KimDepartment of Surgery, Yonsei University College of Medicine, 50-1 Yonsei-ro Seodaemun-gu, Seoul, 03722, Republic of Korea.
Woo Jin HyungDepartment of Surgery, Yonsei University College of Medicine, 50-1 Yonsei-ro Seodaemun-gu, Seoul, 03722, Republic of Korea.
Yun Ho RohBiostatistics Collaboration Unit, Department of Biomedical Systems Informatics, Yonsei University College of Medicine, Seoul, Republic of Korea.
Hyoung-Il KimDepartment of Surgery, Yonsei University College of Medicine, 50-1 Yonsei-ro Seodaemun-gu, Seoul, 03722, Republic of Korea. CAIRUS@yuhs.ac.ORCID 0000-0002-6134-4523

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNew-onset sarcopenia may develop after gastrectomy even in patients with normal muscle mass, but its detection in routine practice remains challenging. This study evaluated body composition changes after gastrectomy and identified clinical parameters associated with sarcopenia development.

methodsThis retrospective study included gastric cancer patients who underwent gastrectomy between 2009 and 2023. Body composition, including body weight (BW), skeletal muscle index (SMI), visceral fat area (VFA), and subcutaneous fat area (SFA), was assessed using CT images obtained preoperatively and 1 year postoperatively. Postoperative sarcopenia was defined as new-onset sarcopenia in patients without preoperative sarcopenia.

resultsAmong 1932 patients, mean percent changes in BW, SMI, VFA, and SFA at 1 year after gastrectomy were - 9.8%, + 1.0%, - 52.8%, and - 34.3%, respectively. Of 1259 preoperative non-sarcopenic patients, 145 (11.5%) developed postoperative sarcopenia and had significantly worse overall survival than those who maintained non-sarcopenia (HR, 2.516; 95% CI, 1.560-4.058; P < 0.001). Among these patients, recurrence incidence in those with stage II or III disease did not differ (Gray's test, P = 0.294), whereas post-recurrence survival was significantly worse in those with postoperative sarcopenia (log-rank, P < 0.001). Four clinical parameters (sex, age ≥ 60, extent of gastrectomy, and BW loss ≥ 8 kg) showed acceptable discrimination for identifying postoperative sarcopenia (simplified risk model; AUROC, 0.792; 95% CI, 0.755-0.829; P < 0.001).

conclusionsNew-onset sarcopenia 1 year after gastrectomy was independently associated with poor survival, underscoring its oncologic relevance. Simple clinical parameters may help identify high-risk patients and guide nutritional or exercise interventions.

Indexed as

GastrectomyPostoperative ComplicationsSarcopeniaStomach NeoplasmsAgedBody CompositionFemaleHumansMaleMiddle AgedPrognosisRetrospective StudiesSurvival RateBody compositionGastrectomySarcopeniaStomach neoplasmsWeight loss

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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.