Predictive value of preoperative handgrip strength on postoperative outcomes in patients with gastrointestinal tumors: a systematic review and meta-analysis

Jiang, Xiaoman; Xu, Xinyi; Ding, Lei; Zhu, Hanfei; Lu, Jinling; Zhao, Kang; Zhu, Shuqin; Xu, Qi

doi:10.1007/s00520-022-06983-x

Cited by 7 publications

(4 citation statements)

References 59 publications

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“…To our knowledge, this is the rst study to investigate the association between prolonged preoperative ST and POI in patients with CRC. This association was found even after adjusting for risk factors reported in previous studies [5,6,[12][13][14].…”

Section: Discussionmentioning

confidence: 47%

“…Reports often indicate that risk factors for POI, including intraoperative factors, are di cult to modify, and therefore it is important to explore modi able factors. Consequentially, preoperative BMI, visceral obesity, low serum albumin (Alb), low hand grip strength (HGS), and depression are modi able risk factors for POI [4,5,[12][13][14]. This indicates the possibility of preventing POI by preoperative intervention.…”

Section: Introductionmentioning

confidence: 99%

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Prolonged preoperative sedentary time is a risk factor for postoperative ileus in patients with colorectal cancer: a propensity score-matched retrospective study

Yanagisawa,

Tatematsu,

Horiuchi

et al. 2023

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This study aimed to investigate the association between prolonged preoperative sedentary time (ST) and postoperative ileus (POI) after adjusting for confounders in patients with colorectal cancer (CRC). MethodsThis single-center retrospective study enrolled 155 consecutive patients who underwent surgery for primary CRC. A diagnosis of POI was made by the surgeons if the Clavien-Dindo classi cation (CD) grade is ≥ 2 within 30 days after surgery. Preoperative ST was assessed using the International Physical Activity Questionnaire usual week short version (Japanese version). Patients were classi ed into two groups (ST < 6 h/day and ST ≥ 6 h/day) based on results from the questionnaire, and data were analyzed using a propensity score-matching strategy to adjust for confounders. In addition, receiver operating characteristic (ROC) curve analysis was performed to identify the optimal cutoff value of preoperative ST for predicting POI. ResultsOf the 155 patients, 134 were included in the analysis. POI occurred in 16 (11.9%) patients of overall patients and 11 (12.5%) of the 88 matched patients. The logistic regression analysis after propensity score-matching showed that prolonged preoperative ST (ST ≥ 6 h/day) was associated with POI (odds ratio 5.40 [95% con dence interval: 1.09 − 26.60], p = 0.038). The ROC curve analysis indicated that the optimal cutoff value of preoperative ST for predicting POI was 6 h/day. ConclusionProlonged preoperative ST is a risk factor for POI in patients with CRC. Therefore, reducing preoperative ST may play an important role in preventing POI.

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Section: Discussionmentioning

confidence: 47%

Section: Introductionmentioning

confidence: 99%

Prolonged preoperative sedentary time is a risk factor for postoperative ileus in patients with colorectal cancer: a propensity score-matched retrospective study

Yanagisawa,

Tatematsu,

Horiuchi

et al. 2023

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“…6,[9][10][11][12][13] One possible reason for this controversy may be the variation in HGS measurement protocols across studies. [14][15][16] Recently, our team found that two common measurement protocols recommended by the American Society of Hand Therapists (ASHT) 17 and the National Health and Nutrition Examination Survey (NHANES), 18 respectively, would significantly influence the maximum HGS values but had no significant impact on the identification of HGS weakness in community-dwelling older adults. 19 These findings need to be further validated in patients with cancer.…”

Section: Introductionmentioning

confidence: 99%

Effects of measurement protocols and repetitions on handgrip strength weakness and asymmetry in patients with cancer

Chen,

Xie,

Xia

et al. 2023

J cachexia sarcopenia muscle

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BackgroundThe use of handgrip strength (HGS) in clinical cancer research is surging. The association between HGS and outcomes in patients with cancer varied across studies, which might be due to the different measurement protocols for HGS. We aimed to answer three questions: (1) Did the use of various protocols for HGS, along with different numbers of repetitions, lead to significant differences in maximum HGS values? (2) If yes, were these differences clinically significant? (3) Did the differences in HGS protocols and repetitions affect the identification of HGS weakness or HGS asymmetry?MethodsWe continuously recruited adult patients with solid tumours. Two protocols were used to measure HGS: Method A, following the American Society of Hand Therapists guidelines, and Method B, following the National Health and Nutrition Examination Survey guidelines. To analyse HGS, we used the maximal value obtained from either two or three repetitions of the dominant hand or four or six repetitions of both hands.ResultsWe included 497 patients (326 men and 171 women, median age: 58 years). The maximal HGS values, measured with Method B, were significantly higher than those measured by Method A in both men and women, despite repetitions (all P < 0.05). The maximum HGS values were significantly different across the repetition groups, regardless of measurement protocols and sex (all P < 0.01). The protocol‐induced differences in maximal HGS values might be clinically meaningful in over 60% of men and 40% of women despite repetitions. The repetition‐induced difference was only clinically significant in 4.3–17.8% of men and 4.1–14.6% of women. To identify HGS weakness, using Method A (six repetitions) as the ‘gold’ standard, the other protocols demonstrated an overall accuracy of 0.923–0.997 in men and 0.965–1 in women. To identify HGS asymmetry, using Method A (six repetitions) as the ‘gold’ standard, Method B (six repetitions) demonstrated a diagnostic accuracy of 0.972 in men and 0.971 in women. Method A (four repetitions) showed a diagnostic accuracy of 0.837 in men and 0.825 in women, while Method B (four repetitions) showed a diagnostic accuracy of 0.825 in men and 0.807 in women.ConclusionsBoth measurement protocols and repetitions significantly affect the maximal HGS values. The identification of HGS weakness is not significantly affected by either protocols or repetitions, while the identification of HGS asymmetry may be affected by different repetitions but not protocols.

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“…However, previous studies on the association between HGS and clinical outcomes of cancer have been inconsistent. Jiang et al [9] showed that low HGS is closely related to the mortality of gastrointestinal cancers. Burtin et al [10] found that low HGS is an adverse factor affecting the prognosis of patients with non-small cell lung cancer.…”

Section: Introductionmentioning

confidence: 99%

Comparison of absolute and relative handgrip strength to predict cancer prognosis: A prospective multicenter cohort study

et al. 2022

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Predictive value of preoperative handgrip strength on postoperative outcomes in patients with gastrointestinal tumors: a systematic review and meta-analysis

Cited by 7 publications

References 59 publications

Prolonged preoperative sedentary time is a risk factor for postoperative ileus in patients with colorectal cancer: a propensity score-matched retrospective study

Prolonged preoperative sedentary time is a risk factor for postoperative ileus in patients with colorectal cancer: a propensity score-matched retrospective study

Effects of measurement protocols and repetitions on handgrip strength weakness and asymmetry in patients with cancer

Comparison of absolute and relative handgrip strength to predict cancer prognosis: A prospective multicenter cohort study

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