Preoperative Sarcopenia and Postoperative Outcomes in Older Patients With Gastrointestinal Cancer
The Effect of Preoperative Sarcopenia on Postoperative Prognosis in Older Patients With Gastrointestinal Cancer: A Prospective Cohort Study
1 other identifier
observational
100
1 country
1
Brief Summary
This prospective cohort study aims to evaluate the association between preoperative sarcopenia and postoperative outcomes in patients aged 60 years or older undergoing elective surgery for gastrointestinal cancer. Sarcopenia will be assessed preoperatively using the European Working Group on Sarcopenia in Older People 2 (EWGSOP2) criteria, including muscle strength, muscle mass, and physical performance, together with the Strength, Assistance with walking, Rise from a chair, Climb stairs, and Falls (SARC-F) questionnaire and calf circumference measurement. Participants will be followed for 90 days after surgery. Postoperative complications, length of hospital stay, and 30-day and 90-day mortality will be evaluated.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for all trials
Started Jun 2026
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 1, 2026
CompletedFirst Submitted
Initial submission to the registry
September 7, 2026
CompletedFirst Posted
Study publicly available on registry
September 14, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
July 1, 2027
September 14, 2026
September 1, 2026
1 year
September 7, 2026
September 10, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Incidence of postoperative complications
The number and percentage of participants who experience at least one postoperative complication, including anastomotic leakage, wound-related complications, oral intake intolerance, delayed mobilization, or another surgery-related complication. Complications will be identified through inpatient records and follow-up assessments.
From the date of surgery through 90 days after surgery
Secondary Outcomes (3)
Length of hospital stay
From the date of surgery through hospital discharge, an average of 7 days
30-day all-cause mortality
Within 30 days after surgery
90-day all-cause mortality
Within 90 days after surgery
Study Arms (2)
Participants With Preoperative Sarcopenia
Participants aged 60 years or older undergoing elective surgery for gastrointestinal cancer who are identified as having preoperative sarcopenia according to the EWGSOP2 criteria. Participants will receive standard surgical and perioperative care without any study-assigned intervention.
Participants Without Preoperative Sarcopenia
Participants aged 60 years or older undergoing elective surgery for gastrointestinal cancer who are not identified as having preoperative sarcopenia according to the EWGSOP2 criteria. Participants will receive standard surgical and perioperative care without any study-assigned intervention.
Interventions
Preoperative sarcopenia status will be determined according to the European Working Group on Sarcopenia in Older People 2 (EWGSOP2) criteria using assessments of muscle strength, muscle mass, and physical performance. The SARC-F questionnaire and calf circumference measurement will also be performed. No therapeutic intervention will be assigned by the study protocol.
Eligibility Criteria
Patients aged 60 years or older with gastrointestinal system cancer who are scheduled to undergo elective surgery at the General Surgery Clinic of Van Training and Research Hospital.
You may qualify if:
- Age 60 years or older
- Diagnosis of gastrointestinal system cancer
- Scheduled to undergo elective surgical treatment
- Considered operable based on routine clinical evaluation
- Ability to complete the preoperative sarcopenia assessments
- Provision of written informed consent
You may not qualify if:
- Age younger than 60 years
- Undergoing emergency surgery
- Inability to complete the required preoperative sarcopenia assessment
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Van Education and Research Hospital
Van, Van, 65300, Turkey (Türkiye)
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER GOV
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- General Surgeon and Principal Investigator
Study Record Dates
First Submitted
September 7, 2026
First Posted
September 14, 2026
Study Start
June 1, 2026
Primary Completion (Estimated)
June 1, 2027
Study Completion (Estimated)
July 1, 2027
Last Updated
September 14, 2026
Record last verified: 2026-09