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Prognostic significance of body mass index and prognostic nutritional index in stage II/III gastric cancer

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dc.contributor.author송정호-
dc.contributor.author손태일-
dc.contributor.author이세진-
dc.contributor.author권인규-
dc.contributor.author김형일-
dc.contributor.author형우진-
dc.contributor.author최윤영-
dc.contributor.author최승호-
dc.contributor.author최서희-
dc.contributor.author조민아-
dc.contributor.author정재호-
dc.date.accessioned2020-09-28T10:34:23Z-
dc.date.available2020-09-28T10:34:23Z-
dc.date.issued2020-04-
dc.identifier.issn0748-7983-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/179148-
dc.description.abstractIntroduction: Preoperative body weight and nutritional status are related to prognosis in patients with gastric cancer; however, the prognostic impact of postoperative in these variables is unclear. We aimed to investigate the association of preoperative/postoperative body mass index (BMI) and prognostic nutritional index (PNI) with prognosis in patients with gastric cancer. Materials and methods: We retrospectively 1868 patients with stage II/III gastric cancer treated with gastrectomy between January 2006 and December 2010. We divided the populations into 3 groups according to BMI; underweight, normal, and overweight. Patients were divided into 3 groups according to BMI (underweight, normal-weight, overweight). PNI was classified into low and high (cutoff value; 49.7). The association of preoperative BMI/PNI and their changes (6 months postoperatively) with clinicopathologic characteristics were evaluated. Results: Preoperative underweight and low PNI were related to poor prognosis (log-rank p < 0.001 for both). There was a positive correlation between preoperative BMI and PNI (mean preoperative PNI: 51.13 [underweight], 53.37 [normal-weight], and 55.16 [overweight]; p < 0.001). Preoperative BMI and PNI were independent prognostic factors for disease-free survival along with age and TNM stage (p < 0.001 for both). BMI changes from normal-weight to underweight and from overweight to normal/underweight were related to poor prognosis (log-rank p = 0.021 and p = 0.013, respectively). PNI changes were related to prognosis in both the preoperative low and high PNI groups (p < 0.001 and p = 0.019, respectively). Conclusion: Preoperative BMI and PNI and their postoperative changes are related to prognosis in patients with stage II/III gastric cancer. Careful nutritional intervention after gastrectomy can improve prognosis.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherElsevier-
dc.relation.isPartOfEJSO-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.titlePrognostic significance of body mass index and prognostic nutritional index in stage II/III gastric cancer-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Surgery (외과학교실)-
dc.contributor.googleauthorSu Hyung Park-
dc.contributor.googleauthorSejin Lee-
dc.contributor.googleauthorJeong Ho Song-
dc.contributor.googleauthorSeohee Choi-
dc.contributor.googleauthorMinah Cho-
dc.contributor.googleauthorIn Gyu Kwon-
dc.contributor.googleauthorTaeil Son-
dc.contributor.googleauthorHyoung-Il Kim-
dc.contributor.googleauthorJae-Ho Cheong-
dc.contributor.googleauthorWoo Jin Hyung-
dc.contributor.googleauthorSeung Ho Choi-
dc.contributor.googleauthorSung Hoon Noh-
dc.contributor.googleauthorYoon Young Choi-
dc.identifier.doi10.1016/j.ejso.2019.10.024-
dc.contributor.localIdA04763-
dc.contributor.localIdA01998-
dc.contributor.localIdA05933-
dc.contributor.localIdA00243-
dc.contributor.localIdA01154-
dc.contributor.localIdA04382-
dc.contributor.localIdA04138-
dc.contributor.localIdA04102-
dc.contributor.localIdA05052-
dc.contributor.localIdA05418-
dc.contributor.localIdA03717-
dc.relation.journalcodeJ00847-
dc.identifier.eissn1532-2157-
dc.identifier.pmid31668977-
dc.identifier.urlhttps://www.sciencedirect.com/science/article/pii/S0748798319309047-
dc.subject.keywordBody mass index-
dc.subject.keywordGastric cancer-
dc.subject.keywordNutrition-
dc.subject.keywordPrognosis-
dc.subject.keywordPrognostic nutritional index-
dc.contributor.alternativeNameSong, Jeong Ho-
dc.contributor.affiliatedAuthor송정호-
dc.contributor.affiliatedAuthor손태일-
dc.contributor.affiliatedAuthor이세진-
dc.contributor.affiliatedAuthor권인규-
dc.contributor.affiliatedAuthor김형일-
dc.contributor.affiliatedAuthor형우진-
dc.contributor.affiliatedAuthor최윤영-
dc.contributor.affiliatedAuthor최승호-
dc.contributor.affiliatedAuthor최서희-
dc.contributor.affiliatedAuthor조민아-
dc.contributor.affiliatedAuthor정재호-
dc.citation.volume46-
dc.citation.number4 Pt A-
dc.citation.startPage620-
dc.citation.endPage625-
dc.identifier.bibliographicCitationEJSO, Vol.46(4 Pt A) : 620-625, 2020-04-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

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