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Monitoring the effect of perioperative nutritional care on body composition and functional status in patients with carcinoma of gastrointestinal and hepatobiliary system and pancreas Cover

Monitoring the effect of perioperative nutritional care on body composition and functional status in patients with carcinoma of gastrointestinal and hepatobiliary system and pancreas

Open Access
|Jul 2023

Figures & Tables

FIGURE 1.

Consolidated Standards of Reporting Trials (CONSORT) flow diagram.
Consolidated Standards of Reporting Trials (CONSORT) flow diagram.

Baseline demographic and clinical characteristics of patients (n = 47)

Variable All participantsN = 47G1N = 27G2N = 20P
SexMale, N (%)33 (70.2)21 (77.8)12 (60.0)0.214
Female, N (%)14 (29.8)6 (22.2)8 (40.0)
AgeYears, mean ± SD70.5 ± 11.270.3 ± 8.770.7 ± 12.90.477
DiagnosisGIT tumours, N (%)27 (57.4)15 (55.6)12 (60.0)1.000
Tumours of liver, gallbladder, biliary system and pancreas, N (%)20 (42.6)12 (44.4)8 (40.0)

Clinical characteristics of patients at different time points

VariableAfter 7 daysAfter 14 daysAfter 4 weeks

G1N = 11 [16]G2N = 18 [2]PG1N = 19 [8]G2N = 18 [2]PG1N = 15 [12]G2N = 13 [7]P
Body masskg median (25–75%)72.0 (67.8–93.2)76.4 (68.5–85.6)0.91273.0 (65.0–92.0)75.5 (70–84.5)0.86969.4 (66–76.8)75 (72.5–86.5)0.130
BMIkg/m2 median (25–75%)25.4 (22.7–36.1)26.8 (24.1–29.0)0.80825 (22.5–34.1)26.4 (22–28.9)0.62023.8 (21.7–27.2)26 (23–29.5)0.413
Lean massKg median (25–75%)52.0 (48.2–53.2)52.0 (41.9–57.1)0.84250.1 (46.4–52.1)53.2 (45–58)0.70748.4 (41.7–50.6)55 (46.5–60.2)0.065
FFMImedian (25–75%)17.8 (16.5–20.8)17.4 (15.8–19.0)0.34016.8 (15.8–19.4)17.4 (15.6–19.6)1.00016.5 (15.1–17.5)18.8 (15.9–19.8)0.118
Phase anglemedian (25–75%)4.3 (3.5–4.9)4.4 (3.3–5.1)0.9474.4 (4.1–5)4.2 (3.6–4.7)0.4614.8 (3.7–5.3)4.4 (3.3–4.7)0.201
3rd space waterL median (25–75%)0.7 (−0.3–1.6)0.4(−0.6–1.0)0.6420.5 (−0.–1.4)0.2 (−0.1–1)0.9880.4 (−0.2 do 1.1)0.4 (−0.2–1.3)0.928
NRS 2002**Points median (25–75%)/4 (3–4.3)4 (3–4.5)0.9614 (3–5)3 (3–4)0.235

Clinical characteristics of patients upon enrolment into the study

Variable G1N = 27G2N = 20P
Body masskg, median (25–75%)82.0 (70.0–98.0)78.5 (72.3–88.3)0.268
BMIkg/m2, median (25–75%)26.2 (23.4–34.5)27.5 (24.3–29.6)0.569
Lean masskg, median (25–75%)53.1 (47.1–64.2)53.9 (45.0–59.6)0.505
FFMImedian (25–75%)17.8 (16.4–20.3)17.6 (15.9–20.4)0.561
Phase angle°, median (25–75%)4.7 (4.3–5.4)4.6 (4.0–5.5)0.846
3rd space waterL, median (25–75%)−0.1 (−0.8–1.0)0.4 (−0.4–0.9)0.425
NRS 2002Points, median (25–75%)2 (0–3)3 (3–3,8)0.012
Malnutrition according to GLIMNo, N (%)14 (51.9)16 (80.0)0.067
Yes, N (%)13 (48.1)4 (20.0)

Handgrip strength data

VariableUpon enrolmentAfter 7 daysAfter 14 daysAfter 4 weeks

G1N = 27G2 G1N = 19 [8]G2N = 18 [2]PG1N = 15 [12]G2N = 13 [7]P
Hand grip strengthkg, median (25–75%)34.1 (28.5–41.6)//30.2 (25–35.3)30.3 (25.8–36.8)0.78229.7 (23.6–32.7)32.6 (27.3–35.6)0.254
Hand grip strength: normNo, N (%)19 (70.4)/11 (61.1)9 (52.9)0.7388 (53.3)8 (61.5)0.718
Yes, N (%)8 (29.6)/8 (47.1)7 (38.9) 7 (46.7)5 (38.5)
Hand grip strength: deviationmedian (25–75%)0.2 (−0.1–1.2)/0 (−0.5–0.5)0.3 (−0.4–1)0.3690.1 (−0.7–0.3)0.3 (−0.8–.8)0.683
DOI: https://doi.org/10.2478/raon-2023-0028 | Journal eISSN: 1581-3207 | Journal ISSN: 1318-2099
Language: English
Page range: 371 - 379
Submitted on: Mar 31, 2023
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Accepted on: May 17, 2023
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Published on: Jul 13, 2023
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2023 Andrej Gyergyek, Nada Rotovnik Kozjek, Jasna Klen, published by Association of Radiology and Oncology
This work is licensed under the Creative Commons Attribution 4.0 License.