Academic Journal
Low skeletal muscle radiodensity is the best predictor for short-term major surgical complications in gastrointestinal surgical cancer: A cohort study
| العنوان: | Low skeletal muscle radiodensity is the best predictor for short-term major surgical complications in gastrointestinal surgical cancer: A cohort study |
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| المؤلفون: | Carvalho, Ana Lúcia Miranda de, Gonzalez, Maria Cristina, Sousa, Iasmin Matias de, das Virgens, Isabel Pinto Amorim, Medeiros, Galtieri Otavio Cunha de, Oliveira, Marília Nelo, Dantas, Jeane Cristina Alves de Souza, Trussardi Fayh, Ana Paula |
| المساهمون: | Lanza, Ezio, Coordenação de Aperfeiçoamento de Pessoal de Nível Superior |
| المصدر: | PLOS ONE ; volume 16, issue 2, page e0247322 ; ISSN 1932-6203 |
| بيانات النشر: | Public Library of Science (PLoS) |
| سنة النشر: | 2021 |
| المجموعة: | PLOS Publications (via CrossRef) |
| الوصف: | The aim of this study was to evaluate whether body composition, muscle function, and their association are predictive factors for short-term postoperative complications in patients with gastric and colorectal cancer. A prospective cohort study was conducted with patients undergoing resection of gastric and colorectal tumors. Nutritional status was assessed using Patient-Generated Subjective Global Assessment (PG-SGA) and anthropometric techniques. Low handgrip strength (HGS) was observed when <16kg for women, and <27kg for men. Computed tomography images were used to measure visceral adipose tissue, skeletal muscle index (SMI), and skeletal muscle radiodensity (SMD). Complications of grade II or above (according to Clavien-Dindo’s classification) were considered in a follow-up period of up to 30 days after surgery. Major complications were defined when they reached grade III or above. A total of 84 patients were analyzed (57.1% female, 59.7 ± 12.6 years) and 19% were diagnosed with low HGS + low SMI or SMD. Postoperative complications occurred in 51.2%, and these patients presented significantly longer duration of surgery and hospital stay. Major complications were observed in 16.7% of the total number of patients. Binary logistic regression adjusted by age, sex, and tumor staging showed that low SMD, low HGS + low SMI or SMD, and obesity were independent risk factors for postoperative complications, but only low SMD was an independent risk factor for major postoperative complications. Low SMD is an independent risk factor for short-term major complications following surgery in patients with gastric and colorectal cancer. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1371/journal.pone.0247322 |
| الاتاحة: | http://dx.doi.org/10.1371/journal.pone.0247322 https://dx.plos.org/10.1371/journal.pone.0247322 |
| Rights: | http://creativecommons.org/licenses/by/4.0/ |
| رقم الانضمام: | edsbas.B9F995A1 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1371/journal.pone.0247322 |
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