{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T02:27:18Z","timestamp":1740104838381,"version":"3.37.3"},"reference-count":21,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,4,18]],"date-time":"2024-04-18T00:00:00Z","timestamp":1713398400000},"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":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>This study explored the performance of surgeons for predicting radiological sarcopenia as accessed by psoas cross\u2010sectional area in patients with colorectal cancer (CRC).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional study was carried out and a diagnostic accuracy strategy was applied using the radiologist team assessment as gold standard.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Cohort analysis of 45 consecutive patients found that 31.1% had sarcopenia. Correlation of <jats:italic>Total Psoas Index<\/jats:italic> between radiologists and surgeons was <jats:italic>very strong<\/jats:italic> for the Junior and <jats:italic>strong<\/jats:italic> for the Senior surgeon, with a <jats:italic>strong<\/jats:italic> correlation between the surgeons. By the simplistic criterion, agreement between radiologists and surgeons was <jats:italic>substantial<\/jats:italic> for both the Junior and Senior surgeons, with a <jats:italic>moderate<\/jats:italic> level between the surgeons. Sensitivity, specificity, positive predictive value, negative predictive value, and accuracy of Junior surgeon were 92.9%, 83.9%, 72.2%, 96.3%, and 86.7%, respectively. The corresponding results for the Senior surgeon were 78.6%, 90.3%, 78.6%, 90.3%, and 86.7%, respectively. We found no major differences on agreement levels and performance of surgeons using the composite criterion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Surgeons seem to be accurate for identifying radiological sarcopenia in patients with CRC. The simplistic criterion should be preferred since a composite criterion adds complexity without increasing accuracy or agreement levels.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jso.27652","type":"journal-article","created":{"date-parts":[[2024,4,18]],"date-time":"2024-04-18T09:46:55Z","timestamp":1713433615000},"page":"838-843","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Accuracy of surgeons for predicting radiological sarcopenia in colorectal cancer surgery"],"prefix":"10.1002","volume":"130","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4082-603X","authenticated-orcid":false,"given":"Arthur Foinquinos Krause","family":"Gon\u00e7alves","sequence":"first","affiliation":[{"name":"Department of Surgery Instituto de Medicina Integral Professor Fernando Figueira (IMIP) Recife 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