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ワカバヤシ ヒデタカ
Wakabayashi Hidetaka
若林 秀隆 所属 医学部 医学科（東京女子医科大学病院） 職種 教授・基幹分野長 |
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| 論文種別 | 原著 |
| 言語種別 | 英語 |
| 査読の有無 | 査読あり |
| 表題 | Body mass index affects postoperative daily activities of older patients after gastrectomy. |
| 掲載誌名 | 正式名：European geriatric medicine 略 称：Eur Geriatr Med ISSNコード：18787649/18787649 |
| 掲載区分 | 国外 |
| 巻・号・頁 | 12,pp.1-11 |
| 著者・共著者 | Inoue Tatsuro, Wakabayashi Hidetaka, Maeda Keisuke, Momosaki Ryo |
| 担当区分 | 2nd著者 |
| 発行年月 | 2021/02 |
| 概要 | PURPOSE:This study aimed to examine the impact of preoperative body mass index (BMI) on postoperative activities of daily living (ADL) and clinical outcomes in older patients who underwent curative gastrectomy.METHODS:This was a retrospective observational study using a nationwide inpatient database in Japan. The study included 1769 patients with gastric cancer, aged ≥ 65 years old, who underwent gastrectomy. BMI was defined as per the World Health Organization classifications for Asian populations. Primary outcome was ADL at discharge, assessed by Barthel index. Secondary outcomes included postoperative complications and length of hospital stay.RESULTS:Patients analyzed included 890 (50.3%) aged 65-74 years, 745 (42.1%) aged 75-84 years, and 134 (7.6%) aged ≥ 85 years; 71.5% were male. According to BMI classification, 11.9% patients were considered underweight (< 18.5 kg/m2), 46.7% were in the standard range (18.5 to < 23 kg/m2), 34.1% were classified as overweight (23-27.5 kg/m2), and 7.3% were in the obese group (≥ 27.5 kg/m2). In multivariate analysis, a significant association was observed between BMI and Barthel index scores (underweight group: standardized coefficient, - 0.040; compared with standard group; p = 0.013), postoperative complication (obese group: odds ratio, 1.562; compared with standard group; p = 0.034), and length of hospital stay (obese group: standardized coefficient, 0.047; compared with standard group; p = 0.019).CONCLUSION:Perioperative management with a focus on BMI is important in older patients undergoing elective curative gastrectomy. |
| DOI | 10.1007/s41999-021-00458-8 |
| PMID | 33587279 |