Psoas density - an optimal sarcopaenic indicator associated
with postoperative complications after colorectal resection for
cancer?

J 2021

Psoas density - an optimal sarcopaenic indicator associated with postoperative complications after colorectal resection for cancer?

PEKAŘOVÁ, Anna, Matej PEKAŘ, Marek SOLTES, Lucia HAVRLENTOVA, Tereza CHOVANCOVA et. al.

Základní údaje

Originální název

Psoas density - an optimal sarcopaenic indicator associated with postoperative complications after colorectal resection for cancer?

Autoři

PEKAŘOVÁ, Anna (203 Česká republika, garant, domácí), Matej PEKAŘ (703 Slovensko, domácí), Marek SOLTES (703 Slovensko), Lucia HAVRLENTOVA (203 Česká republika) a Tereza CHOVANCOVA (203 Česká republika)

Vydání

VIDEOSURGERY AND OTHER MINIINVASIVE TECHNIQUES, POZNAN, TERMEDIA PUBLISHING HOUSE LTD, 2021, 1895-4588

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30212 Surgery

Stát vydavatele

Polsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 1.627

Kód RIV

RIV/00216224:14110/21:00120956

Organizační jednotka

Lékařská fakulta

DOI

http://dx.doi.org/10.5114/wiitm.2020.100880

UT WoS

000624132700012

Klíčová slova anglicky

complications; colorectal cancer; computed tomography; sarcopaenia; psoas density

Štítky

14110515, rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 2. 6. 2021 13:17, Mgr. Tereza Miškechová

Anotace

V originále

Introduction: Sarcopaenia seems to be predictive factor for postoperative morbidity and mortality after colorectal resection for cancer. Nevertheless, an ideal sarcopaenic indicator is still to be identified. Aim: To evaluate computed tomography (CT) measured total abdominal muscle area (TAMA), total psoas muscle area (TPA), and psoas density (PD) – previously described sarcopaenia indicators – as possible risk factors for postop- erative complications in patients after curative colon and rectal resections for colorectal cancer. Material and methods: Consecutive patients after elective curative colon or rectal resection for cancer at a sin- gle institution were divided into cohorts with uncomplicated postoperative course or complications Clavien-Dindo grade I-II (Cl-Di 0-II) and complications Clavien-Dindo grade III-V (Cl-Di III-V). Cohorts were statistically tested for significant differences in TAMA, TPA, and PD calculated from preoperative staging CT scans at the level of the third lumbar vertebra. Results: Data of 112 patients were analysed from a prospectively run database; 65 underwent colon and 47 rectal resections. PD was significantly higher in the Cl-Di 0-II cohort compared to the Cl-Di III-V for both colon (42.67 ±6.52 vs. 40.11 ±7.57 HU, p = 0.002) and rectal resections (44.08 ±5.86 vs. 43.03 ±5.70HU, p = 0.016). TAMA and TPA failed to show significant differences. Conclusions: Psoas density is significantly decreased in patients with Clavien-Dindo grade III-V complications after curative resection for colon and rectal cancer. Due to the simplicity and affordability of its assessment from preop- erative staging CT scan, it might be considered an optimal sarcopaenic indicator to be utilised in everyday practice.

Návaznosti

MUNI/A/1307/2019, interní kód MU

Název: Kardiovaskulární systém od A do Z (Akronym: KAVASAZ)

Investor: Masarykova univerzita, Kardiovaskulární systém od A do Z, DO R. 2020_Kategorie A - Specifický výzkum - Studentské výzkumné projekty

Citovat

PEKAŘOVÁ, Anna, Matej PEKAŘ, Marek SOLTES, Lucia HAVRLENTOVA a Tereza CHOVANCOVA. Psoas density - an optimal sarcopaenic indicator associated with postoperative complications after colorectal resection for cancer? VIDEOSURGERY AND OTHER MINIINVASIVE TECHNIQUES. POZNAN: TERMEDIA PUBLISHING HOUSE LTD, 2021, roč. 16, č. 1, s. 91-97. ISSN 1895-4588. Dostupné z: https://dx.doi.org/10.5114/wiitm.2020.100880.

@article{1727347,
   author = {Pekařová, Anna and Pekař, Matej and Soltes, Marek and Havrlentova, Lucia and Chovancova, Tereza},
   article_location = {POZNAN},
   article_number = {1},
   doi = {http://dx.doi.org/10.5114/wiitm.2020.100880},
   keywords = {complications; colorectal cancer; computed tomography; sarcopaenia; psoas density},
   language = {eng},
   issn = {1895-4588},
   journal = {VIDEOSURGERY AND OTHER MINIINVASIVE TECHNIQUES},
   title = {Psoas density - an optimal sarcopaenic indicator associated with postoperative complications after colorectal resection for cancer?},
   url = {https://doi.org/10.5114/wiitm.2020.100880},
   volume = {16},
   year = {2021}
}

TY  - JOUR
ID  - 1727347
AU  - Pekařová, Anna - Pekař, Matej - Soltes, Marek - Havrlentova, Lucia - Chovancova, Tereza
PY  - 2021
TI  - Psoas density - an optimal sarcopaenic indicator associated with postoperative complications after colorectal resection for cancer?
JF  - VIDEOSURGERY AND OTHER MINIINVASIVE TECHNIQUES
VL  - 16
IS  - 1
SP  - 91-97
EP  - 91-97
PB  - TERMEDIA PUBLISHING HOUSE LTD
SN  - 18954588
KW  - complications
KW  - colorectal cancer
KW  - computed tomography
KW  - sarcopaenia
KW  - psoas density
UR  - https://doi.org/10.5114/wiitm.2020.100880
L2  - https://doi.org/10.5114/wiitm.2020.100880
N2  - Introduction: Sarcopaenia seems to be predictive factor for postoperative morbidity and mortality after colorectal resection for cancer. Nevertheless, an ideal sarcopaenic indicator is still to be identified. Aim: To evaluate computed tomography (CT) measured total abdominal muscle area (TAMA), total psoas muscle area (TPA), and psoas density (PD) – previously described sarcopaenia indicators – as possible risk factors for postop- erative complications in patients after curative colon and rectal resections for colorectal cancer. Material and methods: Consecutive patients after elective curative colon or rectal resection for cancer at a sin- gle institution were divided into cohorts with uncomplicated postoperative course or complications Clavien-Dindo grade I-II (Cl-Di 0-II) and complications Clavien-Dindo grade III-V (Cl-Di III-V). Cohorts were statistically tested for significant differences in TAMA, TPA, and PD calculated from preoperative staging CT scans at the level of the third lumbar vertebra. Results: Data of 112 patients were analysed from a prospectively run database; 65 underwent colon and 47 rectal resections. PD was significantly higher in the Cl-Di 0-II cohort compared to the Cl-Di III-V for both colon (42.67 ±6.52 vs. 40.11 ±7.57 HU, p = 0.002) and rectal resections (44.08 ±5.86 vs. 43.03 ±5.70HU, p = 0.016). TAMA and TPA failed to show significant differences. Conclusions: Psoas density is significantly decreased in patients with Clavien-Dindo grade III-V complications after curative resection for colon and rectal cancer. Due to the simplicity and affordability of its assessment from preop- erative staging CT scan, it might be considered an optimal sarcopaenic indicator to be utilised in everyday practice.
ER  -

PEKAŘOVÁ, Anna, Matej PEKAŘ, Marek SOLTES, Lucia HAVRLENTOVA a Tereza CHOVANCOVA. Psoas density - an optimal sarcopaenic indicator associated with postoperative complications after colorectal resection for cancer? \textit{VIDEOSURGERY AND OTHER MINIINVASIVE TECHNIQUES}. POZNAN: TERMEDIA PUBLISHING HOUSE LTD, 2021, roč.~16, č.~1, s.~91-97. ISSN~1895-4588. Dostupné z: https://dx.doi.org/10.5114/wiitm.2020.100880.

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