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Published on: September 27, 2024
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ADDUCTOR POLLICIS MUSCLE THICKNESS AND PREDICTION OF POSTOPERATIVE MORTALITY IN PATIENTS WITH STOMACH CANCER
Aline Kirjner Poziomyck1, Oly Campos Corleta1, Leandro Totti Cavazzola1
1Program of Post-Graduation in Surgical Sciences. Federal University of Rio Grande do Sul - UFRGS. Porto Alegre. RS.
Summary
Adductor pollicis muscle thickness (APMT) effectively identifies malnutrition in gastric cancer patients. This noninvasive measure also accurately predicts postoperative mortality risk, outperforming other nutritional assessments.
Area of Science:
- Oncology
- Nutrition Science
- Surgical Assessment
Background:
- Malnutrition is a significant concern in gastric cancer patients, increasing morbidity and mortality risks.
- Adductor pollicis muscle thickness (APMT) is a practical, noninvasive method for assessing muscle mass.
Purpose of the Study:
- To compare APMT with established nutritional assessment tools.
- To evaluate the correlation between APMT and other methods with postoperative mortality in gastric cancer patients.
Main Methods:
- A cohort of 44 gastric cancer patients (stage II-IIIa) undergoing gastrectomies were preoperatively assessed.
- Nutritional status was evaluated using APMT, Patient Generated Subjective Global Assessment (PG-SGA), anthropometry, and laboratory markers.
Main Results:
- APMT demonstrated a strong predictive value for postoperative death (p<0.001) for both dominant and non-dominant hands.
- APMT showed significant correlations with serum albumin levels (p=0.039) and PG-SGA scores (p=0.007).
Conclusions:
- APMT is a reliable indicator for detecting malnutrition in gastric cancer patients.
- APMT serves as a valuable tool for predicting the risk of mortality following gastric cancer surgery.
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