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Prognostic Nutritional Index Predicts Outcomes of Gastrectomy in the Elderly
http://hdl.handle.net/2298/29201
http://hdl.handle.net/2298/2920102dc2bca-5386-4808-9be7-a9d8c97ed880
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Tables (3rd ed).pdf (305.4 kB)
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Figures (3rd ed).pdf (250.4 kB)
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World J. of Surgery.36.7.1632-1639.pdf (64.9 kB)
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| Item type | 学術雑誌論文 / Journal Article(1) | |||||
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| 公開日 | 2014-01-29 | |||||
| タイトル | ||||||
| タイトル | Prognostic Nutritional Index Predicts Outcomes of Gastrectomy in the Elderly | |||||
| 言語 | ||||||
| 言語 | eng | |||||
| キーワード | ||||||
| 主題 | Prognostic Nutritional Index, Predicts Outcomes, Gastrectomy in the Elderly | |||||
| 資源タイプ | ||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
| 資源タイプ | journal article | |||||
| 著者 |
渡邊, 雅之
× 渡邊, 雅之× Iwatsuki, Masaaki× Iwagami, Shiro× Ishimoto, Takatsugu× 馬場, 祥史× Baba, Hideo |
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| 別言語の著者 |
渡邊, 雅之
× 渡邊, 雅之× 岩槻, 政晃× 岩上, 志朗× 石本, 崇胤× 馬場, 祥史× 馬場, 秀夫 |
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| 内容記述 | ||||||
| 内容記述タイプ | Other | |||||
| 内容記述 | Background Owing to the increased life expectancy, elderly patients with gastric cancer is also increasing. Onodera's prognostic nutritional index (PNI) is an assessment tool for nutritional status of surgical patients and possibly predicts prognosis of the patients. The aim of the present study is to clarify the predictive and prognostic significance of PNI in elderly patients who underwent gastrectomy for gastric cancer. Methods Two hundred ninety-five patients, including 196 nonelderly patients under 75 years old (group NE) and 99 elderly patients (group E), were eligible. We collected the data on nutritional status and the outcome of gastrectomy, including morbidity, mortality, and survival of these patients. A Cox proportional hazards model was used to evaluate the prognostic significance. Results The PNI was significantly lower in group E than in group NE. Both morbidity and mortality rates after gastrectomy were similar between the groups. Although PNI could not predict the postoperative events in group NE, low PNI might be a risk of mortality and morbidity in the elderly. Although survival after gastrectomy was similar among groups divided by the median PNI value (49.2) in group NE, the prognosis of PNI-L (<44.7) was significantly poorer than PNI-H (PNI≥44.7) in group E. Multivariate analysis demonstrated that PNI-L was an independent prognostic factor in the elderly. Conclusions The PNI predicts both short-term and longterm outcomes after gastrectomy in the elderly. | |||||
| 書誌情報 |
World Journal of Surgery 巻 36, 号 7, p. 1632-1639, 発行年 2012-07 |
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| ISSN | ||||||
| 収録物識別子 | 03642313 | |||||
| PubMed番号 | ||||||
| 関連タイプ | isVersionOf | |||||
| 識別子タイプ | PMID | |||||
| 関連識別子 | 22407085 | |||||
| DOI | ||||||
| 関連タイプ | isVersionOf | |||||
| 関連識別子 | 10.1007/s00268-012-1526-z | |||||
| 権利 | ||||||
| 権利情報 | © 2012 Springer New York | |||||
| フォーマット | ||||||
| 内容記述タイプ | Other | |||||
| 内容記述 | application/pdf | |||||
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| 内容記述タイプ | Other | |||||
| 内容記述 | application/pdf | |||||
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| 内容記述タイプ | Other | |||||
| 内容記述 | application/pdf | |||||
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| 値 | 64937 bytes | |||||
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| 値 | 250447 bytes | |||||
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| 値 | 305404 bytes | |||||
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| 出版タイプ | AM | |||||
| 出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||
| 日本十進分類法 | ||||||
| 主題Scheme | NDC | |||||
| 主題 | 494 | |||||
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| 出版者 | Springer New York | |||||
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| 内容記述タイプ | Other | |||||
| 内容記述 | 論文(Article) | |||||
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| 値 | 雑誌掲載論文 | |||||
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| 値 | Journal Article | |||||
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| 値 | text | |||||
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| 値 | 01 | |||||
| URL | ||||||
| 内容記述タイプ | Other | |||||
| 内容記述 | http://link.springer.com/article/10.1007/s00268-012-1526-z | |||||
| コメント | ||||||
| 値 | The final publication is available at link.springer.com | |||||
