Comparative analysis of the sarcopenia and HALP score on postoperative outcomes in pancreatic cancer patients after pancreatoduodenectomy

Tazeoğlu, Deniz; Benli, Sami; Çolak, Tahsin; Apaydın, Feramuz Demir

doi:10.1016/j.pan.2023.05.006

Cited by 3 publications

(1 citation statement)

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“…Of note, this study included both benign and malignant pancreatic diseases, thereby incorporating all possible reasons for pancreatic resection. Consistent with most previous study findings ( 13 , 32 ), the present meta-analysis demonstrates that sarcopenia was associated with a poor prognosis in patients who underwent pancreatic surgery. Patients with sarcopenia have significantly shorter long-term OS in univariate or multivariate analyses than those without sarcopenia.…”

Section: Discussionsupporting

confidence: 92%

Effect of sarcopenia on survival in patients after pancreatic surgery: a systematic review and meta-analysis

Zhong,

Liu,

Xia

et al. 2024

Front. Nutr.

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BackgroundNumerous studies have reported sarcopenia to be associated with unfavorable outcomes in patients who have undergone pancreatectomy. Therefore, in this meta-analysis, we examined the relationship between sarcopenia and survival after pancreatic surgery.MethodsPubMed, Embase, and Cochrane Library were searched for studies that examined the association between sarcopenia and survival after pancreatic surgery from the inception of the database until June 1, 2023. Hazard ratio (HR) for overall survival (OS) and/or progression-free survival (PFS) of sarcopenia and pancreatic surgery were extracted from the selected studies and random or fixed-effect models were used to summarize the data according to the heterogeneity. Publication bias was assessed using Egger’s linear regression test and a funnel plot.ResultsSixteen studies met the inclusion criteria. For 13 aggregated univariate and 16 multivariate estimates, sarcopenia was associated with decreased OS (univariate analysis: HR 1.69, 95% CI 1.48–1.93; multivariate analysis: HR 1.69; 95% CI 1.39–2.05, I2 = 77.4%). Furthermore, sarcopenia was significantly associated with poor PFS of pancreatic resection (Change to univariate analysis: HR 1.74, 95% CI 1.47–2.05; multivariate analysis: HR 1.54; 95% CI 1.23–1.93, I2 = 63%).ConclusionSarcopenia may be a significant prognostic factor for a shortened survival following pancreatectomy since it is linked to an elevated risk of mortality. Further studies are required to understand how sarcopenia affects long-term results after pancreatic resection.Systematic review registrationRegistration ID: CRD42023438208 https://www.crd.york.ac.uk/PROSPERO/#recordDetails.

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Section: Discussionsupporting

confidence: 92%