Michael Albert Gisondi, Timothy Keyes, Shana Zucker, Deila Bumgardner
Teaching LGBTQ+ Health, a Web-Based Faculty Development Course: Program Evaluation Study Using the RE-AIM Framework
JMIR medical education
objective investigate prevalence risk factors sarcopenia patients following radical gastrectomy aim guiding clinical decisions methods retrospective observational study data patients undergone radical gastrectomy june 2021 june 2022 department general surgery first medical center chinese pla general hospital participants reviewed 912 months surgery inclusion criteria follows 1 radical gastrectomy postoperative pathological diagnosis primary gastric cancer 2 invasion neighboring organs peritoneal dissemination distant metastasis confirmed intra postoperatively 3 availability complete clinical data including abdominal enhanced computed tomography pertinent blood laboratory tests 912 surgery exclusion criteria follows 1 age 18 years 2 presence gastric stump cancer previous gastrectomy 3 history current primary tumors within past 5 years 4 preoperative diagnosis sarcopenia skeletal muscle index smi 524 cmm men smi 385 cmm women primary focus study investigate development postoperative sarcopenia study cohort univariate multivariate logistic regression used identify factors associated development sarcopenia radical gastrectomy results study cohort comprised 373 patients average age 571123 years comprising 292 783 men 81 217 women postoperative sarcopenia detected 81 217 patients entire cohort smi entire group 4179770 cm2m2 4640503 cm2m2 men 3352363 cm2m2 women according multivariate logistic regression analysis age 60 years or2170 95ci 11754007 p0013 high literacy or2512 95ci 12385093 p0011 poor exercise habits or3263 95ci 16486458 p0001 development hypoproteinemia or2312 95ci 10884913 p0029 development hypertension or2169 95ci 11803984 p0013 total gastrectomy or2444 95ci12144013p0012 independent risk factors postoperative sarcopenia postgastrectomy patients gastric cancer p005 conclusion development sarcopenia following radical gastrectomy demands attention older age higher education poor exercise habits hypoproteinemia hypertension total gastrectomy risk factors development postradical gastrectomy