RT Journal Article
T1 Poor Physical Performance Is Associated with Postoperative Complications and Mortality in Preoperative Patients with Colorectal Cancer
A1 Sánchez-Torralvo, Francisco José
A1 González-Poveda, Iván
A1 García-Olivares, María
A1 Porras, Nuria
A1 Gonzalo-Marín, Montserrat
A1 Tapia Guerrero, María José
A1 Mera-Velasco, Santiago
A1 Toval-Mata, José Antonio
A1 Ruiz López, Manuel
A1 Carrasco-Campos, Joaquín
A1 Santoyo-Santoyo, Julio
K1 Cáncer colorrectal
AB Introduction: Poor physical performance has been shown to be a good predictor of complications in some pathologies. The objective of our study was to evaluate, in patients with colorectal neoplasia prior to surgery, physical performance and its relationship with postoperative complications and in-hospital mortality, at 1 month and at 6 months. Methods: We conducted a prospective study on patients with preoperative colorectal neoplasia, between October 2018 and July 2021. Physical performance was evaluated using the Short Physical Performance Battery (SPPB) test and hand grip strength (HGS). For a decrease in physical performance, SPPB < 10 points or HGS below the EWGSOP2 cut-off points was considered. Nutritional status was evaluated using subjective global assessment (SGA). The prevalence of postoperative complications and mortality during admission, at 1 month, and at 6 months was evaluated. Results: A total of 296 patients, mean age 60.4 ± 12.8 years, 59.3% male, were evaluated. The mean BMI was 27.6 ± 5.1 kg/m2. The mean total SPPB score was 10.57 ± 2.07 points. A total of 69 patients presented a low SPPB score (23.3%). Hand grip strength showed a mean value of 33.1 ± 8.5 kg/m2 for men and 20.7 ± 4.3 kg/m2 for women. A total of 58 patients presented low HGS (19.6%). SGA found 40.2% (119) of patients with normal nourishment, 32.4% (96) with moderate malnutrition, and 27.4% (81) with severe malnutrition. Postoperative complications were more frequent in patients with a low SPPB score (60.3%vs38.6%; p=0.002) and low HGS (64.9%vs39.3%, p=0.001). (...)
PB IOAP-MPDI
YR 2022
FD 2022-04-02
LK https://hdl.handle.net/10630/24300
UL https://hdl.handle.net/10630/24300
LA eng
NO Sánchez-Torralvo FJ, González-Poveda I, García-Olivares M, Porras N, Gonzalo-Marín M, Tapia MJ, Mera-Velasco S, Toval-Mata JA, Ruiz-López M, Carrasco-Campos J, Santoyo-Santoyo J, Olveira G. Poor Physical Performance Is Associated with Postoperative Complications and Mortality in Preoperative Patients with Colorectal Cancer. Nutrients. 2022; 14(7):1484. https://doi.org/10.3390/nu14071484
NO This research was partially funded by the 2019 research grants of SANCYD (Sociedad Andaluza de Nutrición Clínica y Dietética) and by an unrestricted grant from Persan Farma. Partial funding for open access charge: Universidad de Málaga
DS RIUMA. Repositorio Institucional de la Universidad de Málaga
RD 22 ene 2026