Nutritional Risk versus Risk of Sarcopenia Associated to Postoperative Complications and Mortality in Cancer Patients Undergoing Major Surgery

Authors

  • Hadassa Hillary Novaes Pereira Rodrigues Universidade Federal de Mato Grosso. Faculdade de Medicina. Programa de Pós-Graduação em Ciências da Saúde. Cuiabá (MT), Brasil. https://orcid.org/0000-0002-3553-4999
  • Maristela Luft Palauro Universidade Federal de Mato Grosso. Faculdade de Medicina. Programa de Pós-Graduação em Ciências da Saúde. Cuiabá (MT), Brasil. https://orcid.org/0000-0002-4657-5219
  • Thayse Emanuelli Godoy Behne Universidade Federal de Mato Grosso. Faculdade de Medicina. Programa de Pós-Graduação em Ciências da Saúde. Cuiabá (MT), Brasil. https://orcid.org/0000-0002-7835-9318
  • Jessika Cadavid Sierra Universidade Federal de Mato Grosso. Faculdade de Medicina. Programa de Pós-Graduação em Ciências da Saúde. Cuiabá (MT), Brasil.
  • Francilene Oliveira Andreo Universidade Federal de Mato Grosso. Faculdade de Medicina. Programa de Pós-Graduação em Ciências da Saúde. Cuiabá (MT), Brasil. https://orcid.org/0000-0002-1223-7625
  • Mariana Borges Silva Thé Centro Universitário de Várzea Grande (Univag). Várzea Grande (MT), Brasil. https://orcid.org/0000-0003-2945-5570
  • José Eduardo de Aguilar-Nascimento Universidade Federal de Mato Grosso. Faculdade de Medicina. Programa de Pós-Graduação em Ciências da Saúde. Cuiabá (MT), Brasil. Centro Universitário de Várzea Grande (Univag). Várzea Grande (MT), Brasil. https://orcid.org/0000-0002-3583-6612
  • Diana Borges Dock-Nascimento Universidade Federal de Mato Grosso. Faculdade de Medicina. Programa de Pós-Graduação em Ciências da Saúde. Cuiabá (MT), Brasil. https://orcid.org/0000-0003-0205-6676

DOI:

https://doi.org/10.32635/2176-9745.RBC.2021v67n1.1201

Keywords:

Surgical Oncology, Nutritional Status, Sarcopenia, Postoperative Complications, Mortality

Abstract

Introduction: Surgical patients who are at either nutritional or sarcopenia risk may have worst outcomes in the postoperative period. Objective: To investigate whether nutritional or sarcopenia risk is associated with mortality and postoperative complications in cancer patients undergoing major operations. Method: Prospective cohort bicentrical study enrolling 220 adult oncological patients submitted to major surgeries at Cancer Hospital and Santa Casa de Misericordia in Cuiaba-MT. Patients were classified with or without nutritional risk per the Nutritional Risk Screening 2002 and sarcopenia risk according to the Strength, Assistance with walking, Rise from a chair, Climb stairs - and Falls questionnaire preoperatively. The outcomes variables were postoperative infectious complications and death. Results: Patients with nutritional risk showed higher risk of infectious complications (24.6 vs. 5.1%; RR=4.8 CI95% 1.94-12; p<0.001) or die (11.5 vs. 1.0%; RR=11.2 CI95% 1.5-84.0; p=0.002) in post-operation when compared to patients without nutritional risk. There was no association between sarcopenia risk with infectious complications or mortality during post-operation (p>0.05). Conclusion: Oncological patients with nutritional risk have higher risk of developing postoperative infectious complications or die when compared with patients without nutritional risk or in risk of sarcopenia.

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Published

2021-01-27

How to Cite

1.
Rodrigues HHNP, Palauro ML, Behne TEG, Sierra JC, Andreo FO, Thé MBS, Aguilar-Nascimento JE de, Dock-Nascimento DB. Nutritional Risk versus Risk of Sarcopenia Associated to Postoperative Complications and Mortality in Cancer Patients Undergoing Major Surgery. Rev. Bras. Cancerol. [Internet]. 2021 Jan. 27 [cited 2025 Apr. 2];67(1):e-151201. Available from: https://rbc.inca.gov.br/index.php/revista/article/view/1201

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Section

ORIGINAL ARTICLE