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Cited by 270

The DOI matches its Crossref record; 58 of the 58 references it cites were found in a registry or an index.

Systematic review of sarcopenia in patients operated on for gastrointestinal and hepatopancreatobiliary malignancies

Levolger, S, van Vugt, J L A, de Bruin, R W F, IJzermans, J N M·2015·British Journal of Surgery

Abstract

Background: Preoperative risk assessment in cancer surgery is of importance to improve treatment and outcome. The aim of this study was to assess the impact of CT-assessed sarcopenia on short- and long-term outcomes in patients undergoing surgical resection of gastrointestinal and hepatopancreatobiliary malignancies. Methods: A systematic search of Embase, PubMed and Web of Science was performed to identify relevant studies published before 30 September 2014. PRISMA guidelines for systematic reviews were followed. Screening for inclusion, checking the validity of included studies and data extraction were carried out independently by two investigators. Results: After screening 692 records, 13 observational studies with a total of 2884 patients were included in the analysis. There was wide variation in the reported prevalence of sarcopenia (17·0–79 per cent). Sarcopenia was independently associated with reduced overall survival in seven of ten studies, irrespective of tumour site. Hazard ratios (HRs) of up to 3·19 (hepatic cancer), 1·63 (pancreatic cancer), 1·85 (colorectal cancer) and 2·69 (colorectal liver metastases, CLM) were reported. For oesophageal cancer, the HR was 0·31 for increasing muscle mass. In patients with colorectal cancer and CLM, sarcopenia was independently associated with postoperative mortality (colorectal cancer: odds ratio (OR) 43·3), complications (colorectal cancer: OR 0·96 for increasing muscle mass; CLM: OR 2·22) and severe complications (CLM: OR 3·12). Conclusion: Sarcopenia identified before surgery by single-slice CT is associated with impaired overall survival in gastrointestinal and hepatopancreatobiliary malignancies, and increased postoperative morbidity in patients with colorectal cancer with or without hepatic metastases.

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Metadata

Authors
Levolger, S., van Vugt, J. L. A., de Bruin, R. W. F., & IJzermans, J. N. M.
Venue
British Journal of Surgery
Published
2015-09-16
Volume
102
Issue
12
Pages
1448-1458
ISSN
  • 0007-1323 (ISSN-L)
  • 1365-2168
OpenAlex
W1828411566
Cited by
270
References
58
FWCI
3.12
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Systematic review of sarcopenia in patients operated on for gastrointestinal and hepatopancreatobiliary malignancies. https://app.cochat.ai/papers/10.1002/bjs.9893
The paper
Levolger, S., van Vugt, J. L. A., de Bruin, R. W. F., & IJzermans, J. N. M. (2015). Systematic review of sarcopenia in patients operated on for gastrointestinal and hepatopancreatobiliary malignancies. British Journal of Surgery. https://doi.org/10.1002/bjs.9893

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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.