Evidence map›Paper›PMID 42060251›Full record

ArticleAnnals of surgical oncology2026

Defining Recovery After Gastrectomy: Insights from Longitudinally Collected Patient-Reported Outcomes.

Maho Takayama, Koichi Tomita, Paula Marincola Smith, Shu-En Shen, Xin Shelley Wang, Xuemei Wang, Laura R Prakash, Elsa Melissa Arvide, Connie To, Paul Mansfield and 2 more

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In one paragraph

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.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Maho TakayamaDepartment of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Koichi TomitaDepartment of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Paula Marincola SmithDepartment of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Shu-En ShenDepartment of Symptom Research, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Xin Shelley WangDepartment of Symptom Research, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Xuemei WangDepartment of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Laura R PrakashDepartment of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Elsa Melissa ArvideDepartment of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Connie ToDepartment of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Paul MansfieldDepartment of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Brian D BadgwellDepartment of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Naruhiko IkomaDepartment of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. nikoma@mdanderson.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLongitudinal patient-reported outcomes (PROs) can capture symptom burden and functional recovery, but benchmarks across gastrectomy, including the impact of bodyweight loss on quality of life, remain unclear.

methodsWe prospectively collected PRO data (October 2020-January 2025) from patients undergoing gastrectomy who completed the MD Anderson Symptom Inventory at eight time points, from preoperative through postoperative month (POM) 6. Symptom and interference composite scores were calculated as the mean of the top five symptoms and top three interference items identified at postoperative day (POD) 3. Recovery was defined as achieving mild scores (≤3) on both composites. Logistic regression identified factors associated with recovery at POM 1. Bodyweight changes from preoperative baseline were assessed at POM 1, 3, and 6, and their associations with the "enjoyment-of-life" score were examined using Spearman correlation.

resultsWe analyzed patients who underwent total (TG, n = 44), distal (DG, n = 44), proximal (PrG, n = 22), and partial gastrectomy (n = 14). Symptom burden was greatest around POD 3 across groups. TG patients showed persistently elevated scores in multiple symptoms even at POM 6. Recovery rates at POM 1, 3, and 6 were 63, 72, and 75% after TG and 79, 90, and 96% after other gastrectomies. In multivariable analysis, open TG was independently associated with failure to recover (odds ratio 0.28 [reference: robotic DG]; p = 0.048), whereas robotic TG was not (odds ratio 0.8; p = 0.742). TG and PrG patients experienced 15% BW loss through POM6; however, the enjoyment-of-life score showed no association with BW.

conclusionsUsing PRO-based recovery definition, TG was associated with delayed recovery, and postoperative course varied among gastrectomy types.

Indexed as

GastrectomyPatient Reported Outcome MeasuresQuality of LifeRecovery of FunctionStomach NeoplasmsAgedFemaleHumansLongitudinal StudiesMaleMiddle AgedProspective StudiesSymptom BurdenGastrectomyMD Anderson Symptom Inventory SurveyPatient-reported outcomesPostoperative symptom recoveryRobotic approaches

Identifiers

PMID42060251
PMCPMC13337917

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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.