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Analytic morphometric assessment of patients undergoing colectomy for colon cancer

dc.contributor.authorSabel, Michael S.en_US
dc.contributor.authorTerjimanian, Michaelen_US
dc.contributor.authorConlon, Anna S.C.en_US
dc.contributor.authorGriffith, Kent A.en_US
dc.contributor.authorMorris, Arden M.en_US
dc.contributor.authorMulholland, Michael W.en_US
dc.contributor.authorEnglesbe, Michael J.en_US
dc.contributor.authorHolcombe, Stephanen_US
dc.contributor.authorWang, Stewart C.en_US
dc.date.accessioned2013-08-02T20:51:45Z
dc.date.available2014-10-06T19:17:44Zen_US
dc.date.issued2013-09en_US
dc.identifier.citationSabel, Michael S.; Terjimanian, Michael; Conlon, Anna S.C.; Griffith, Kent A.; Morris, Arden M.; Mulholland, Michael W.; Englesbe, Michael J.; Holcombe, Stephan; Wang, Stewart C. (2013). "Analytic morphometric assessment of patients undergoing colectomy for colon cancer." Journal of Surgical Oncology 108(3): 169-175. <http://hdl.handle.net/2027.42/99075>en_US
dc.identifier.issn0022-4790en_US
dc.identifier.issn1096-9098en_US
dc.identifier.urihttps://hdl.handle.net/2027.42/99075
dc.description.abstractBackground Analytic morphometrics provides objective data that may better stratify risk. We investigated morphometrics and outcome among colon cancer patients. Methods An IRB‐approved review identified 302 patients undergoing colectomy who had CT scans. These were processed to measure psoas area (PA), density (PD), subcutaneous fat (SFD), visceral fat (VF), and total body fat (TBF). Correlation with complications, recurrence, and survival were obtained by t ‐tests and linear regression models after adjusting for age and Charlson index. Results The best predictor of surgical complications was PD. PMH, Charlson, BMI, and age were not significant when PD was considered. SF area was the single best predictor of a wound infection. While all measures of obesity correlated with outcome, TBF was most predictive. Final multivariate Cox models for survival included age, Charlson score, nodal positivity, and TBF. Conclusions Analytic morphometric analysis provided objective data that stratified complications and outcome better than age, BMI, or co‐morbidities. J. Surg. Oncol. 2013; 108:169–175 . © 2013 Wiley Periodicals, Inc.en_US
dc.publisherWiley Periodicals, Inc.en_US
dc.subject.otherMorphometricen_US
dc.subject.otherColectomyen_US
dc.subject.otherObesityen_US
dc.subject.otherSarcopeniaen_US
dc.subject.otherColon Canceren_US
dc.titleAnalytic morphometric assessment of patients undergoing colectomy for colon canceren_US
dc.typeArticleen_US
dc.rights.robotsIndexNoFollowen_US
dc.subject.hlbsecondlevelOncology and Hematologyen_US
dc.subject.hlbsecondlevelSurgery and Anesthesiologyen_US
dc.subject.hlbtoplevelHealth Sciencesen_US
dc.description.peerreviewedPeer Revieweden_US
dc.identifier.pmid23846976en_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/99075/1/jso23366.pdf
dc.identifier.doi10.1002/jso.23366en_US
dc.identifier.sourceJournal of Surgical Oncologyen_US
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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