Evidence map›Paper›PMID 42379774›Full record

ArticleIn vivo (Athens, Greece)

Computed Tomography-based Assessment of Visceral Fat for Predicting Intra-abdominal Infectious Complications After Gastrectomy in Patients With Gastric Cancer.

Itaru Hashimoto, Yukio Maezawa, Ayako Tamagawa, Kohei Nojima, Rei Hatayama, Mamoru Uchiyama, Aya Kato, Yosuke Atsumi, Keisuke Kazama, Taiichi Kawabe and 2 more

Abstract read
In one paragraph

Article in In vivo (Athens, Greece). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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.

Itaru HashimotoDepartment of Surgery, Yokohama City University, Yokohama, Japan hashimoto.ita.ic@yokohama-cu.ac.jp.
Yukio MaezawaDepartment of Surgery, Yokohama City University, Yokohama, Japan.
Ayako TamagawaDepartment of Surgery, Yokohama City University, Yokohama, Japan.
Kohei NojimaDepartment of Surgery, Yokohama City University, Yokohama, Japan.
Rei HatayamaDepartment of Surgery, Yokohama City University, Yokohama, Japan.
Mamoru UchiyamaDepartment of Surgery, Yokohama City University, Yokohama, Japan.
Aya KatoDepartment of Surgery, Yokohama City University, Yokohama, Japan.
Yosuke AtsumiDepartment of Surgery, Yokohama City University, Yokohama, Japan.
Keisuke KazamaDepartment of Surgery, Yokohama City University, Yokohama, Japan.
Taiichi KawabeDepartment of Surgery, Yokohama City University, Yokohama, Japan.
Aya SaitoDepartment of Surgery, Yokohama City University, Yokohama, Japan.
Norio YukawaDepartment of Surgery, Yokohama City University, Yokohama, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimObesity is associated with an increased risk of postoperative complications after gastrectomy, potentially due to increased visceral fat and greater technical difficulty during surgery. The body mass index (BMI) is commonly used to assess obesity. However, it does not adequately reflect fat distribution. This study evaluated the association between the visceral fat area (VFA) measured on preoperative computed tomography (CT) and intra-abdominal infectious complications (IAIC) after gastrectomy for gastric cancer (GC). PATIENTS AND

methodsA total of 183 patients who underwent gastrectomy for GC between 2015 and 2019 were analyzed retrospectively. IAIC was defined as anastomotic leakage, pancreatic fistula, or an intra-abdominal abscess of Clavien-Dindo grade II or higher. VFA was quantified at the level of the third lumbar vertebra (L3) using preoperative CT images. Associations between clinicopathological factors and IAIC were examined using a multivariate logistic regression analysis. A receiver operating characteristic (ROC) curve analysis was performed to compare the predictive performance of VFA and BMI.

resultsA high VFA was an independent risk factor for IAIC (odds ratio 3.99, 95% confidence interval=1.57-10.10,

conclusionThe preoperative VFA may be a useful indicator of IAIC after gastrectomy for GC.

Indexed as

GastrectomyIntra-Abdominal FatIntraabdominal InfectionsPostoperative ComplicationsStomach NeoplasmsTomography, X-Ray ComputedAgedBody Mass IndexFemaleHumansMaleMiddle AgedRetrospective StudiesRisk FactorsROC Curvecomputed tomographyGastric cancerintra-abdominal infectious complicationsvisceral fat

Identifiers

PMID42379774
PMCPMC13322084

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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.