The geriatric nutritional risk index predicts complications after nephrectomy for renal cancer

Riveros, Carlos; Chalfant, Victor; Bazargani, Soroush; Bandyk, Mark; Balaji, K.C.

doi:10.1590/s1677-5538.ibju.2022.0380

Cited by 6 publications

(6 citation statements)

References 29 publications

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“…The sample sizes of these studies ranged from 62 to 7863 participants. Six studies were from Japan ( 14 , 19 , 22 – 25 ), three studies were from China ( 8 , 18 , 20 ), one study from USA ( 17 ) and one study from Korea ( 21 ). Three studies reported colorectal cancer ( 8 , 20 , 23 ), two studies reported Esophageal cancer ( 14 , 25 ), two studies reported Gastric cancer ( 22 , 24 ), two studies reported renal cancer ( 17 , 19 ), one study reported liver cancer ( 21 ) and one study reported prostate cancer ( 18 ).…”

Section: Resultsmentioning

confidence: 99%

“…Four studies were lacked relevant outcomes. Therefore, our metaanalysis included 11 studies involving 11,002patients (8,14,(17)(18)(19)(20)(21)(22)(23)(24)(25).…”

Section: Literature Searchmentioning

confidence: 99%

“…The baseline information of the 11 eligible studies is presented in Table 1. Out of these studies, 10 were single-center retrospective studies (8,14,(18)(19)(20)(21)(22)(23)(24)(25)(26)(27), while one study was based on a retrospective analysis of a database (17). All of the included studies in this analysis were published between 2015 and 2023.…”

Section: Study Characteristicsmentioning

confidence: 99%

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Geriatric nutritional risk index as a predictor for postoperative complications in patients with solid cancers: a meta-analysis

Liu,

Li,

Lian

et al. 2024

Front. Oncol.

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BackgroundThe geriatric nutritional risk index (GNRI) has been wildly used to predict the prognosis of patients with solid cancer, but it’s value in postoperative complications remains unclear. The aim of our study was to systematically explore the value of the GNRI in postoperative complications in patients with solid cancer.MethodThe study conducted a systematic literature search using electronic databases to investigate the influence of the GNRI on postoperative complications in patients with solid cancer. The search covered articles published up until May 2023. The odds ratio (OR) with a 95% confidence interval (CI) was employed to assess the effect of GNRI on postoperative complications.ResultA total of 11 studies with 11,002 patients were enrolled in our meta-analysis. The results suggested that patients with a low GNRI have a higher risk of experiencing postoperative complications (OR=2.51, 95%CI 2.05–3.02, z=9.86, p<0.001), a higher risk of suffering Clavien-Dindo (CD) grades≥2 complications(OR=2.24, 95%CI 1.84–2.73, z=8.01, p<0.001), a higher risk of suffering infection (OR=1.85, 95%CI 1.18–2.88, z=2.70, p=0.007) and a higher risk of suffering respiratory complications(OR = 2.94, 95%CI: 1.56-5.55, z=3.31, p=0.001).ConclusionBased on existing evidence, the GNRI was a valuable predictor of postoperative complications in patients with solid cancer.Systematic review registrationhttps://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=434299, identifier CRD42023434299.

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Section: Resultsmentioning

confidence: 99%

“…Four studies were lacked relevant outcomes. Therefore, our metaanalysis included 11 studies involving 11,002patients (8,14,(17)(18)(19)(20)(21)(22)(23)(24)(25).…”

Section: Literature Searchmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

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Geriatric nutritional risk index as a predictor for postoperative complications in patients with solid cancers: a meta-analysis

Liu,

Li,

Lian

et al. 2024

Front. Oncol.

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“…17 Our results also support preexisting literature on GNRI showing that older age and dependent functional status were associated demographics among moderate and severe malnutrition cohorts. 7,11,18 Systemic diseases like diabetes, disseminated cancer, and bleeding disorders were also comorbidities associated with malnutrition. These conditions were controlled for in our multivariate analysis.…”

Section: Discussionmentioning

confidence: 99%

Low Geriatric Nutritional Risk Index Predicts Early Complications following Distal Radius Fracture Open Reduction Internal Fixation

Liu,

Cerri-Droz,

Loyst

et al. 2024

J Wrist Surg

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Background While previous studies have investigated the association between the Geriatric Nutritional Risk Index (GNRI) and functional outcomes following distal radius fracture (DRF), no large-scale studies have investigated the associations between GNRI and postoperative outcomes following DRFs. Objectives The purpose of this study is to investigate the association between GNRI, a simple multifaceted measure of malnutrition risk, and 30-day postoperative complications following DRF open reduction internal fixation (ORIF). Materials and Methods The American College of Surgeons National Surgical Quality Improvement Program database was queried for patients who underwent DRF ORIF from 2015 to 2021. Patients were organized into three groups based on preoperative GNRI: normal/reference (GNRI > 98), moderate malnutrition (92 ≤ GNRI ≤ 98), and severe malnutrition (GNRI < 92). Logistic regression analysis was conducted to investigate the relationship between preoperative GNRI and postoperative complications. Results Severe malnutrition was independently associated with a greater likelihood of any complication (odds ratio [OR]: 3.22, 95% confidence interval [CI]: 2.48–4.17; p < 0.001), sepsis (OR: 15.41, 95% CI: 1.66–143.32; p = 0.016), cardiac arrest or myocardial infarction (OR: 20.58, 95% CI: 1.62–261.26; p = 0.020), pulmonary embolism (OR: 9.40, 95% CI: 1.76–50.11; p = 0.009), surgical site infection (OR: 7.73, 95% CI: 1.99–30.02; p = 0.003), nonhome discharge (OR: 2.55, 95% CI: 1.87–3.49; p < 0.001), readmission (OR: 2.47, 95% CI: 1.47–4.14; p < 0.001), and length of stay > 2 days (OR: 3.51, 95% CI: 2.67–4.62; p < 0.001). Conclusions Malnutrition is an independent significant predictor of early complications following DRF ORIF. Level of Evidence Level III; retrospective cohort comparison; prognosis study.

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“…The GNRI is a beneficial tool for assessing nutritional status in clinical practice. There are several cancers for which the GNRI comprises serum albumin levels, BW, and height, which are identified as efficient prognostic factors ( 13 , 23 , 24 ). The correlation mechanism between the GNRI and DLBCL prognosis was interpreted based on components of the GNRI for cancer cases.…”

Section: Discussionmentioning

confidence: 99%

Prognostic and clinicopathological role of geriatric nutritional risk index in patients with diffuse large B-cell lymphoma: A meta-analysis

Cao

Zhang

2023

Front. Oncol.

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BackgroundPrevious studies have explored the relationship between the geriatric nutritional risk index (GNRI) and survival outcomes of diffuse large B-cell lymphoma (DLBCL) cases, but the results were inconsistent. Consequently, the present meta-analysis was conducted to investigate how GNRI affects DLBCL and its function in terms of prognosis.MethodsThe Web of Science, PubMed, Embase, and Cochrane Library databases were thoroughly searched until January 18, 2023. We calculated combined hazard ratios (HRs) and 95% confidence intervals (CIs) to estimate the relationship between the GNRI and survival outcomes of patients with DLBCL.ResultsThis meta-analysis included seven articles involving 2,353 cases. A lower level of GNRI predicted dismal overall survival (HR=1.40, 95% CI=1.25–1.56, p<0.001) and inferior progression-free survival (HR=1.46, 95% CI=1.19-1.80, p<0.001) of DLBCL patients. Moreover, a low GNRI was significantly related to Eastern Cooperative Oncology Group Performance Status ≥2 (odds ratio [OR]=4.55, 95% CI=2.75–7.54, p<0.001), Ann Arbor stage III–IV (OR=2.91, 95% CI=2.38–3.57, p<0.001), B symptoms (OR=3.51, 95% CI=2.34–5.29, p<0.001), and extranodal disease (OR=2.90, 95% CI=2.32–3.63, p<0.001).ConclusionA lower GNRI level predicted poorer short- and long-term prognosis in patients with DLBCL. A low GNRI was correlated with clinical factors of disease progression in DLBCL patients.

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The geriatric nutritional risk index predicts complications after nephrectomy for renal cancer

Cited by 6 publications

References 29 publications

Geriatric nutritional risk index as a predictor for postoperative complications in patients with solid cancers: a meta-analysis

Geriatric nutritional risk index as a predictor for postoperative complications in patients with solid cancers: a meta-analysis

Low Geriatric Nutritional Risk Index Predicts Early Complications following Distal Radius Fracture Open Reduction Internal Fixation

Prognostic and clinicopathological role of geriatric nutritional risk index in patients with diffuse large B-cell lymphoma: A meta-analysis

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