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The impact of properly diagnosed sarcopenia on postoperative outcomes after gastrointestinal surgery: A systematic review and meta-analysis

Author

Listed:
  • Leonardo Zumerkorn Pipek
  • Carlos Guilherme Baptista
  • Rafaela Farias Vidigal Nascimento
  • João Victor Taba
  • Milena Oliveira Suzuki
  • Fernanda Sayuri do Nascimento
  • Diego Ramos Martines
  • Fernanda Nii
  • Leandro Ryuchi Iuamoto
  • Luiz Augusto Carneiro-D’Albuquerque
  • Alberto Meyer
  • Wellington Andraus

Abstract

Background: Sarcopenia is defined as the loss of muscle mass combined with loss of muscle strength, with or without loss of muscle performance. The use of this parameter as a risk factor for complications after surgery is not currently used. This meta-analysis aims to assess the impact of sarcopenia defined by radiologically and clinically criteria and its relationship with complications after gastrointestinal surgeries. Materials and methods: A review of the literature was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines (PROSPERO registration number: CRD42019132221). Articles were selected from the PUBMED and EMBASE databases that adequately assessed sarcopenia and its impact on postoperative complications in gastrointestinal surgery patients. Pooled estimates of pre-operative outcome data were calculated using the odds ratio (OR) and 95% confidence interval (CI). Subgroup analysis were performed to assess each type of surgery. Results: The search strategy returned 1323, with 11 studies meeting the inclusion criteria. A total of 4265 patients were analysed. The prevalence of sarcopenia between studies ranged from 6.8% to 35.9%. The meta-analysis showed an OR for complications after surgery of 3.01 (95% CI 2.55–3.55) and an OR of 2.2 (95% CI 1.44–3.36) for hospital readmission (30 days). Conclusion: Sarcopenia, when properly diagnosed, is associated with an increase in late postoperative complications, as well as an increase in the number of postoperative hospital readmissions for various types of gastrointestinal surgery. We believe that any preoperative evaluation should include, in a patient at risk, tests for the diagnosis of sarcopenia and appropriate procedures to reduce its impact on the patient’s health.

Suggested Citation

  • Leonardo Zumerkorn Pipek & Carlos Guilherme Baptista & Rafaela Farias Vidigal Nascimento & João Victor Taba & Milena Oliveira Suzuki & Fernanda Sayuri do Nascimento & Diego Ramos Martines & Fernanda N, 2020. "The impact of properly diagnosed sarcopenia on postoperative outcomes after gastrointestinal surgery: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 15(8), pages 1-17, August.
    • Handle: RePEc:plo:pone00:0237740
    DOI: 10.1371/journal.pone.0237740
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    References listed on IDEAS

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    1. Alessandro Liberati & Douglas G Altman & Jennifer Tetzlaff & Cynthia Mulrow & Peter C Gøtzsche & John P A Ioannidis & Mike Clarke & P J Devereaux & Jos Kleijnen & David Moher, 2009. "The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies That Evaluate Health Care Interventions: Explanation and Elaboration," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-28, July.
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    1. Thinakaran Kandayah & Nazarudin Safian & Shamsul Azhar Shah & Mohd Rizal Abdul Manaf, 2023. "Challenges in the Management of Sarcopenia in the Primary Care Setting: A Scoping Review," IJERPH, MDPI, vol. 20(6), pages 1-9, March.

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