The impact of properly diagnosed sarcopenia on postoperative outcomes after gastrointestinal surgery: a systematic review and meta-analysis
Open accessAbstract
BACKGROUND: Sarcopenia is defined as the loss of muscle mass combined with loss of muscle strength, with or without loss of muscle performance. The use of this parameter as a risk factor for complications after surgery is not currently used. This meta-analysis aims to assess the impact of sarcopenia defined by radiologically and clinically criteria and its relationship with complications after gastrointestinal surgeries. MATERIALS AND METHODS: A review of the literature was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines (PROSPERO registration number: CRD42019132221). Articles were selected from the PUBMED and EMBASE databases that adequately assessed sarcopenia and its impact on postoperative complications in gastrointestinal surgery patients. Pooled estimates of pre-operative outcome data were calculated using the odds ratio (OR) and 95% confidence interval (CI). Subgroup analysis were performed to assess each type of surgery. RESULTS: The search strategy returned 1323, with 11 studies meeting the inclusion criteria. A total of 4265 patients were analysed. The prevalence of sarcopenia between studies ranged from 6.8% to 35.9%. The meta-analysis showed an OR for complications after surgery of 3.01 (95% CI 2.55-3.55) and an OR of 2.2 (95% CI 1.44-3.36) for hospital readmission (30 days). CONCLUSION: Sarcopenia, when properly diagnosed, is associated with an increase in late postoperative complications, as well as an increase in the number of postoperative hospital readmissions for various types of gastrointestinal surgery. We believe that any preoperative evaluation should include, in a patient at risk, tests for the diagnosis of sarcopenia and appropriate procedures to reduce its impact on the patient's health.
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Sarcopenia is a well-documented risk factor for surgical complications.
“Sarcopenia is a well-documented risk factor for surgical complications,61,62”
From Evaluation of safety of preoperative GLP-1 receptor agonists in patients undergoing elective surgery: a systematic review, meta-analysis and meta-regression (2025) · cites this paper as [61]
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Effect of Sarcopenia on the Increase in Liver Volume and Function After Portal Vein Embolization
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Patients Having Major Abdominal Cancer Surgery Exhibit Significant Acute Muscle Wasting
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The Role of Adipokines in Spinal Disease: A Narrative Review
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Treating incarcerated inguinal hernias with TEP is a viable option for experienced surgeons
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Muscle Mass Matters in Patients with Renal Cell Carcinoma, but That Is Only the Beginning…
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The risk factors for low back pain following oblique lateral interbody fusion: focus on sarcopenia
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Postoperative Stress, Metabolism, and Catabolism
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Predictors of non-home discharge after pancreatoduodenectomy in patients aged 80 years and above
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Commentary: Identifying sarcopenia—can the pectoralis do the heavy lifting?
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C1q and mobility score in predicting sarcopenia in an Australian cohort of cancer surgery patients
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La recuperación empieza antes de la Cirugía
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Artificial Intelligence Applications in Pancreatic Cancer Imaging
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- Authors
- Pipek, L. Z., Baptista, C. G., Nascimento, R. F. V., Taba, J. V., Suzuki, M. O., do Nascimento, F. S., Martines, D. R., Nii, F., Iuamoto, L. R., Carneiro-D’Albuquerque, L. A., Meyer, A., & Andraus, W.
- Affiliations
- Universidade de São Paulo (BR)
- Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (BR)
- Faculdade de Medicina do ABC (BR)
- Corresponding author
- Meyer, Alberto
- ORCID
- Venue
- PLoS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2020-08-21
- Volume
- 15
- Issue
- 8
- Pages
- e0237740
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC7446889
- OpenAlex
- W3080624394
- Cited by
- 71
- References
- 58
- Citations by year
- 2026: 7 · 2025: 12 · 2024: 12 · 2023: 10 · 2022: 16 · 2021: 12 · 2020: 2
- FWCI
- 1.27
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Fundação de Amparo à Pesquisa do Estado de São Paulo
- Topics
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
- Health Sciences › Medicine › Surgery › Enhanced Recovery After Surgery
- Keywords
- sarcopenia, gastrointestinal surgery, postoperative complications, postoperative readmission, preoperative assessment, sarcopenia diagnosis, surgical risk factors, muscle mass loss
- MeSH terms
- Gastrointestinal Diseases, Humans, Postoperative Complications, Postoperative Period, Risk Factors, Digestive System Surgical Procedures, Prevalence, Sarcopenia
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