Effect of skeletal muscle area and prognostic nutritional index in periampullary tumors
CIRUGIA Y CIRUJANOS, cilt.91, sa.1, ss.73-78, 2023 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 91 Sayı: 1
- Basım Tarihi: 2023
- Doi Numarası: 10.24875/ciru.21000563
- Dergi Adı: CIRUGIA Y CIRUJANOS
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, Directory of Open Access Journals
- Sayfa Sayıları: ss.73-78
- Dokuz Eylül Üniversitesi Adresli: Hayır
Özet
Introduction: The skeletal muscle area (SMA) and prognostic nutritional index (PNI) are both considered as predictive param-eters for mortality and morbidity for various type of cancer. In this study, we aimed to identify the effects of pre-operative SMA and PNI values on post-operative mortality and morbidity in patients with periampullary region tumors (PRT). Methods: Patients between 2010 and 2020 were retrospectively analyzed and divided into two groups according to SMA and PNI cutoff values. Univariate and multivariate analysis was performed to find potential risk factors. Results: The mean age was 65.94 +/- 11.242 and 54 (60.6%) of the patients were male. Hypertension was found a reducing factor for morbidity in both univariate and multivariate analysis (p = 0.039; p = 0.045). Chronic obstructive pulmonary disease and low PNI were found as factors affect-ing mortality in univariate analysis (p = 0.046; p = 0.014). However, only low PNI was found as an enhancing factor for mortal-ity in multivariate analysis. Conclusion: Although SMA is not a risk factor for post-operative morbidity and mortality, PNI can be considered as a risk factor for mortality in patients with PRT.