Nutritional assessment methods as predictors of postoperative mortality in gastric cancer patients submitted to gastrectomy

Detalhes bibliográficos
Autor(a) principal: Poziomyck,Aline Kirjner
Data de Publicação: 2017
Outros Autores: Cavazzola,Leandro Totti, Coelho,Luisa Jussara, Lameu,Edson Braga, Weston,Antonio Carlos, Moreira,Luis Fernando
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista do Colégio Brasileiro de Cirurgiões
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912017000500482
Resumo: ABSTRACT Objectives: to determine the nutritional evaluation method that best predicts mortality in 90 days of patients submitted to gastrectomy for gastric cancer. Methods: we conducted a prospective study with 44 patients with gastric cancer, stages II to IIIa, of whom nine were submitted to partial gastrectomy, 34 to total gastrectomy, and one to esophago-gastrectomy. All patients were nutritionally evaluated through the same protocol, up to 72h after hospital admission. The parameters used were Patient-Generated Subjective Global Assessment (PGSGA), classical anthropometry, current weight and height, percentage of weight loss (%WL) and body mass index (BMI). We also measured the thickness of the thumb adductor muscle (TAM) in both hands, dominant hand (TAMD) and non-dominant hand (TAMND), as well as the calculated the prognostic nutritional index (PNI). The laboratory profile included serum levels of albumin, erythrocytes, hemoglobin, hematocrit, leukocytes, and total lymphocytes count (TLC). Results: of the 44 patients studied, 29 (66%) were malnourished by the subjective method, 15 being grade A, 18 grade B and 11 grade C. Cases with PGSGA grade B and TAMD 10.2±2.9 mm were significantly associated with higher mortality. The ROC curves (95% confidence interval) of both PGSGA and TAMD thickness reliably predicted mortality at 30 and 90 days. No laboratory method allowed predicting mortality at 90 days. Conclusion: PGSGA and the TAMD thickness can be used as preoperative parameters for risk of death in patients undergoing gastrectomy for gastric cancer.
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spelling Nutritional assessment methods as predictors of postoperative mortality in gastric cancer patients submitted to gastrectomyNutrition AssessmentStomach NeoplasmsMortalityPrognosisABSTRACT Objectives: to determine the nutritional evaluation method that best predicts mortality in 90 days of patients submitted to gastrectomy for gastric cancer. Methods: we conducted a prospective study with 44 patients with gastric cancer, stages II to IIIa, of whom nine were submitted to partial gastrectomy, 34 to total gastrectomy, and one to esophago-gastrectomy. All patients were nutritionally evaluated through the same protocol, up to 72h after hospital admission. The parameters used were Patient-Generated Subjective Global Assessment (PGSGA), classical anthropometry, current weight and height, percentage of weight loss (%WL) and body mass index (BMI). We also measured the thickness of the thumb adductor muscle (TAM) in both hands, dominant hand (TAMD) and non-dominant hand (TAMND), as well as the calculated the prognostic nutritional index (PNI). The laboratory profile included serum levels of albumin, erythrocytes, hemoglobin, hematocrit, leukocytes, and total lymphocytes count (TLC). Results: of the 44 patients studied, 29 (66%) were malnourished by the subjective method, 15 being grade A, 18 grade B and 11 grade C. Cases with PGSGA grade B and TAMD 10.2±2.9 mm were significantly associated with higher mortality. The ROC curves (95% confidence interval) of both PGSGA and TAMD thickness reliably predicted mortality at 30 and 90 days. No laboratory method allowed predicting mortality at 90 days. Conclusion: PGSGA and the TAMD thickness can be used as preoperative parameters for risk of death in patients undergoing gastrectomy for gastric cancer.Colégio Brasileiro de Cirurgiões2017-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912017000500482Revista do Colégio Brasileiro de Cirurgiões v.44 n.5 2017reponame:Revista do Colégio Brasileiro de Cirurgiõesinstname:Colégio Brasileiro de Cirurgiões (CBC)instacron:CBC10.1590/0100-69912017005010info:eu-repo/semantics/openAccessPoziomyck,Aline KirjnerCavazzola,Leandro TottiCoelho,Luisa JussaraLameu,Edson BragaWeston,Antonio CarlosMoreira,Luis Fernandoeng2018-03-08T00:00:00Zoai:scielo:S0100-69912017000500482Revistahttp://www.scielo.br/rcbcONGhttps://old.scielo.br/oai/scielo-oai.php||revistacbc@cbc.org.br1809-45460100-6991opendoar:2018-03-08T00:00Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC)false
dc.title.none.fl_str_mv Nutritional assessment methods as predictors of postoperative mortality in gastric cancer patients submitted to gastrectomy
title Nutritional assessment methods as predictors of postoperative mortality in gastric cancer patients submitted to gastrectomy
spellingShingle Nutritional assessment methods as predictors of postoperative mortality in gastric cancer patients submitted to gastrectomy
Poziomyck,Aline Kirjner
Nutrition Assessment
Stomach Neoplasms
Mortality
Prognosis
title_short Nutritional assessment methods as predictors of postoperative mortality in gastric cancer patients submitted to gastrectomy
title_full Nutritional assessment methods as predictors of postoperative mortality in gastric cancer patients submitted to gastrectomy
title_fullStr Nutritional assessment methods as predictors of postoperative mortality in gastric cancer patients submitted to gastrectomy
title_full_unstemmed Nutritional assessment methods as predictors of postoperative mortality in gastric cancer patients submitted to gastrectomy
title_sort Nutritional assessment methods as predictors of postoperative mortality in gastric cancer patients submitted to gastrectomy
author Poziomyck,Aline Kirjner
author_facet Poziomyck,Aline Kirjner
Cavazzola,Leandro Totti
Coelho,Luisa Jussara
Lameu,Edson Braga
Weston,Antonio Carlos
Moreira,Luis Fernando
author_role author
author2 Cavazzola,Leandro Totti
Coelho,Luisa Jussara
Lameu,Edson Braga
Weston,Antonio Carlos
Moreira,Luis Fernando
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Poziomyck,Aline Kirjner
Cavazzola,Leandro Totti
Coelho,Luisa Jussara
Lameu,Edson Braga
Weston,Antonio Carlos
Moreira,Luis Fernando
dc.subject.por.fl_str_mv Nutrition Assessment
Stomach Neoplasms
Mortality
Prognosis
topic Nutrition Assessment
Stomach Neoplasms
Mortality
Prognosis
description ABSTRACT Objectives: to determine the nutritional evaluation method that best predicts mortality in 90 days of patients submitted to gastrectomy for gastric cancer. Methods: we conducted a prospective study with 44 patients with gastric cancer, stages II to IIIa, of whom nine were submitted to partial gastrectomy, 34 to total gastrectomy, and one to esophago-gastrectomy. All patients were nutritionally evaluated through the same protocol, up to 72h after hospital admission. The parameters used were Patient-Generated Subjective Global Assessment (PGSGA), classical anthropometry, current weight and height, percentage of weight loss (%WL) and body mass index (BMI). We also measured the thickness of the thumb adductor muscle (TAM) in both hands, dominant hand (TAMD) and non-dominant hand (TAMND), as well as the calculated the prognostic nutritional index (PNI). The laboratory profile included serum levels of albumin, erythrocytes, hemoglobin, hematocrit, leukocytes, and total lymphocytes count (TLC). Results: of the 44 patients studied, 29 (66%) were malnourished by the subjective method, 15 being grade A, 18 grade B and 11 grade C. Cases with PGSGA grade B and TAMD 10.2±2.9 mm were significantly associated with higher mortality. The ROC curves (95% confidence interval) of both PGSGA and TAMD thickness reliably predicted mortality at 30 and 90 days. No laboratory method allowed predicting mortality at 90 days. Conclusion: PGSGA and the TAMD thickness can be used as preoperative parameters for risk of death in patients undergoing gastrectomy for gastric cancer.
publishDate 2017
dc.date.none.fl_str_mv 2017-10-01
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dc.publisher.none.fl_str_mv Colégio Brasileiro de Cirurgiões
publisher.none.fl_str_mv Colégio Brasileiro de Cirurgiões
dc.source.none.fl_str_mv Revista do Colégio Brasileiro de Cirurgiões v.44 n.5 2017
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