Evidence map›Paper›PMID 36864634›Full record

ArticleJournal of cachexia, sarcopenia and muscle2023

The association between weight change after gastric cancer surgery and type 2 diabetes risk: A nationwide cohort study.

Yeongkeun Kwon, Jane Ha, Dohyang Kim, Jinseub Hwang, Shin-Hoo Park, Jin-Won Kwon, Sungsoo Park

Open access · goldAbstract read
In one paragraph

Article in Journal of cachexia, sarcopenia and muscle, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.8field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 11 citations in OpenAlex.

  1. Type 2 diabetes in patients undergoing gastric cancer surgery: areas requiring disease-specific glycemic management.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2025
    Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 3 countries.

Yeongkeun KwonDivision of Foregut Surgery, Korea University College of Medicine, Seoul, South Korea.ORCID 0000-0003-4432-7403
Jane HaClinical and Translational Epidemiology Unit, Massachusetts General Hospital, Boston, MA, United States.
Dohyang KimDepartment of Statistics, Daegu University, Gyeongsan, South Korea.
Jinseub HwangDepartment of Statistics, Daegu University, Gyeongsan, South Korea.
Shin-Hoo ParkDivision of Foregut Surgery, Korea University College of Medicine, Seoul, South Korea.
Jin-Won KwonBK21 FOUR Community-Based Intelligent Novel Drug Discovery Education Unit, College of Pharmacy and Research Institute of Pharmaceutical Sciences, Kyungpook National University, Daegu, South Korea.
Sungsoo ParkDivision of Foregut Surgery, Korea University College of Medicine, Seoul, South Korea.
Dongguk University · KRKorea University · KRDaegu University · KRMassachusetts General Hospital · US

Funding

Korea University Anam Hospital, Seoul, Republic of Korea K2118501
6 · The paper itself

Abstract

backgroundAlthough gastric cancer patients generally experience drastic weight decrease post-gastrectomy, the impact of weight decrease on type 2 diabetes risk remains unclear. We investigated the type 2 diabetes risk after gastric cancer surgery according to postoperative weight decrease in gastric cancer survivors in South Korea, the country with the world's highest rate of gastric cancer survival.

methodsThis retrospective nationwide cohort study included gastric cancer surgery recipients between 2004 and 2014 who survived for ≥5 years post-surgery. We included patients without a history of diabetes at the time of surgery and those who had not received adjuvant chemotherapy before or after the surgery. Postoperative weight loss was defined as the per cent body weight loss at 3 years post-surgery compared with the baseline. The type 2 diabetes risk was evaluated using Cox regression analyses for five groups of postoperative weight decrease.

resultsIn 5618 included gastric cancer surgery recipients (mean age, 55.7 [standard deviation, SD, 10.9] years; 21.9% female; mean body mass index, 23.7 [SD, 2.9] kg/m

conclusionsA U-shaped non-linear association occurred between the type 2 diabetes risk and postoperative weight decrease in gastric cancer survivors who underwent gastrectomy. The lowest type 2 diabetes risk occurred in patients with ≥ -15% to < -10% of postoperative weight decrease at 3 years.

Indexed as

Diabetes Mellitus, Type 2Stomach NeoplasmsCohort StudiesFemaleGastrectomyHumansMaleMiddle AgedRetrospective StudiesWeight Lossgastrectomygastric cancertype 2 diabetesweight loss

Identifiers

PMID36864634
PMCPMC10067472
OpenAlexW4323035641

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.