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Sarcopenia is associated with postoperative infection and delayed recovery from colorectal cancer resection surgery
Open accessAbstract
BACKGROUND: Skeletal muscle depletion (sarcopenia) predicts morbidity and mortality in the elderly and cancer patients. METHODS: We tested whether sarcopenia predicts primary colorectal cancer resection outcomes in stage II-IV patients (n=234). Sarcopenia was assessed using preoperative computed tomography images. Administrative hospitalisation data encompassing the index surgical admission, direct transfers for inpatient rehabilitation care and hospital re-admissions within 30 days was searched for International Classification of Disease (ICD)-10 codes for postoperative infections and inpatient rehabilitation care and used to calculate length of stay (LOS). RESULTS: Overall, 38.9% were sarcopenic; 16.7% had an infection and 9.0% had inpatient rehabilitation care. Length of stay was longer for sarcopenic patients overall (15.9 ± 14.2 days vs 12.3 ± 9.8 days, P=0.038) and especially in those ≥ 65 years (20.2 ± 16.9 days vs 13.1 ± 8.3 days, P=0.008). Infection risk was greater for sarcopenic patients overall (23.7% vs 12.5%; P=0.025), and especially those ≥ 65 years (29.6% vs 8.8%, P=0.005). Most (90%) inpatient rehabilitation care was in patients ≥ 65 years. Inpatient rehabilitation was more common in sarcopenic patients overall (14.3% vs 5.6%; P=0.024) and those ≥ 65 years (24.1% vs 10.7%, P=0.06). In a multivariate model in patients ≥ 65 years, sarcopenia was an independent predictor of both infection (odds ratio (OR) 4.6, (95% confidence interval (CI) 1.5, 13.9) P<0.01) and rehabilitation care (OR 3.1 (95% CI 1.04, 9.4) P<0.04). CONCLUSION: Sarcopenia predicts postoperative infections, inpatient rehabilitation care and consequently a longer LOS.
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Epidemiology of Sarcopenia among the Elderly in New Mexico
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Self-citationShen, W., Punyanitya, M., Wang, Z., Gallagher, D., St.-Onge, M.-P., Albu, J., Heymsfield, S. B., & Heshka, S. (2004) · Journal of Applied Physiology · doi:10.1152/japplphysiol.00744.2004 · Cited by 1,692
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Self-citationThe advantages and limitations of cross-sectional body composition analysis
MacDonald, A. J., Greig, C. A., & Baracos, V. (2011) · Current Opinion in Supportive & Palliative Care · doi:10.1097/spc.0b013e32834c49eb · Cited by 101
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Aubrey, J., Esfandiari, N., Baracos, V. E., Buteau, F. A., Frenette, J., Putman, C. T., & Mazurak, V. C. (2014) · Acta Physiologica · doi:10.1111/apha.12224 · Cited by 720
Self-citationLean Tissue Imaging: A New Era for Nutritional Assessment and Intervention
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“Older persons with low muscle mass experience higher rates of surgical complications and infections (48), delayed recovery (49), chemotherapy toxicity (50), and disease-specific and all-cause mortality (51).”
Background
Metadata
- Authors
- Lieffers, J. R., Bathe, O. F., Fassbender, K., Winget, M., & Baracos, V. E.
- Venue
- British Journal of Cancer
- Published
- 2012-08-07
- Volume
- 107
- Issue
- 6
- Pages
- 931-936
- ISSN
- 0007-0920 (ISSN-L)
- 1532-1827
- OpenAlex
- W1985388571
- Cited by
- 811
- References
- 6
- FWCI
- 21.70
- Type
- journal article
- Language
- en
- Open access
- hybrid
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- Lieffers, J. R., Bathe, O. F., Fassbender, K., Winget, M., & Baracos, V. E. (2012). Sarcopenia is associated with postoperative infection and delayed recovery from colorectal cancer resection surgery. British Journal of Cancer. https://doi.org/10.1038/bjc.2012.350
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