{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T17:33:05Z","timestamp":1788975185559,"version":"build-2803163510"},"reference-count":31,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2020,11,23]],"date-time":"2020-11-23T00:00:00Z","timestamp":1606089600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Hepato Biliary Pancreat"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>To investigate whether preoperative malnutrition in patients who underwent curative pancreaticoduodenectomy (PD) in pancreatic head cancer correlated with short\u2010term outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study was a retrospective review of medical records from January 2004 to December 2018. Preoperative malnutrition was defined as body mass index (BMI) &lt;18.5\u00a0kg\/m<jats:sup>2<\/jats:sup>, or hypoalbuminemia with serum albumin level\u00a0&lt;\u00a03.5\u00a0g\/dL within 30\u00a0days before surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 289 eligible patients, 60 patients (20.7%) were classified as the malnutrition group. The estimated blood loss (EBL, mL) (964.1\u00a0\u00b1\u00a0879.7 vs 597.7\u00a0\u00b1\u00a0501.7, <jats:italic>P<\/jats:italic>\u00a0=\u00a0.044) and transfusion rate (51.7% vs 18.8%, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.001) was significantly higher in the malnutrition group than no\u2010malnutrition group. The hospital stay (days) (20.5\u00a0\u00b1\u00a012.2 vs 18.1\u00a0\u00b1\u00a013.6, <jats:italic>P<\/jats:italic>\u00a0=\u00a0.05) was significantly longer in the malnutrition group. The open conversion rate (45.4% vs 6.67%, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.001) and major complication rate (36.7% vs 21.8%, <jats:italic>P<\/jats:italic>\u00a0=\u00a0.032) was significantly higher in the malnutrition group. In multivariate analysis, preoperative malnutrition was found to be the predictor of postoperative complication (HR 1.971 95% confidence interval 1.071\u20103.624, <jats:italic>P<\/jats:italic>\u00a0=\u00a0.029).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Preoperative malnutrition in patients who underwent curative PD for pancreatic head cancer is associated with adverse short\u2010term outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jhbp.858","type":"journal-article","created":{"date-parts":[[2020,10,31]],"date-time":"2020-10-31T17:16:13Z","timestamp":1604164573000},"page":"1069-1075","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":31,"title":["Impact of preoperative malnutrition, based on albumin level and body mass index, on operative outcomes in patients with pancreatic head cancer"],"prefix":"10.1002","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1567-1774","authenticated-orcid":false,"given":"Boram","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Surgery Seoul National University College of Medicine Seoul National University Bundang Hospital Seoul Korea"},{"name":"Seoul National University College of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9659-1260","authenticated-orcid":false,"given":"Ho\u2010Seong","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Surgery Seoul National University College of Medicine Seoul National University Bundang Hospital Seoul Korea"},{"name":"Seoul National University College of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7621-8557","authenticated-orcid":false,"given":"Yoo\u2010Seok","family":"Yoon","sequence":"additional","affiliation":[{"name":"Department of Surgery Seoul National University College of Medicine Seoul National University Bundang Hospital Seoul Korea"},{"name":"Seoul National University College of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jai Young","family":"Cho","sequence":"additional","affiliation":[{"name":"Department of Surgery Seoul National University College of Medicine Seoul National University Bundang Hospital Seoul Korea"},{"name":"Seoul National University College of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9487-9826","authenticated-orcid":false,"given":"Jun Suh","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Surgery Seoul National University College of Medicine Seoul National University Bundang Hospital Seoul Korea"},{"name":"Seoul National University College of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,11,23]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.3346\/jkms.2018.33.e10"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph8020514"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v12.i15.2441"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2015.01.009"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1747-0080.2009.01372.x"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2007.10.007"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-014-2319-8"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0261-5614(03)00098-0"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/0899-9007(95)00067-4"},{"key":"e_1_2_7_11_1","first-page":"121","article-title":"Nutritional Assessment Tools for the Identification of Malnutrition and Nutritional Risk Associated with Cancer Treatment","volume":"70","author":"Castillo\u2010Mart\u00ednez L","year":"2018","journal-title":"Rev Inves Clin"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007890-199402150-00030"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-018-22886-6"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12876-016-0549-6"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-015-4294-7"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clgc.2016.09.008"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-006-9093-x"},{"key":"e_1_2_7_18_1","first-page":"CR240\u20107","article-title":"Are pretreatment serum albumin and cholesterol levels prognostic tools in patients with colorectal carcinoma?","volume":"12","author":"Cengiz O","year":"2006","journal-title":"Med Sci Monit"},{"key":"e_1_2_7_19_1","first-page":"1638","article-title":"Serum albumin: a prognostic indicator in patients with colorectal cancer","volume":"43","author":"Heys SD","year":"1998","journal-title":"J R Coll Surg Edinb"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/014860710302700110"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2007.02.007"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/cam4.1178"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.2147\/COPD.S141295"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3181b13ca2"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2005.05.001"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2014.06.006"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcha.2019.01.002"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1080\/07315724.2004.10719365"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2008.01.010"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0261-5614(02)00215-7"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(01)06578-3"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1067\/msy.2002.128350"}],"container-title":["Journal of Hepato-Biliary-Pancreatic Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jhbp.858","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jhbp.858","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jhbp.858","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T08:13:49Z","timestamp":1693210429000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jhbp.858"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,23]]},"references-count":31,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["10.1002\/jhbp.858"],"URL":"https:\/\/doi.org\/10.1002\/jhbp.858","archive":["Portico"],"relation":{},"ISSN":["1868-6974","1868-6982"],"issn-type":[{"value":"1868-6974","type":"print"},{"value":"1868-6982","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,11,23]]},"assertion":[{"value":"2020-07-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-10-14","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-11-23","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}