{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T13:01:45Z","timestamp":1789995705998,"version":"4.0.1"},"reference-count":24,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T00:00:00Z","timestamp":1789948800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T00:00:00Z","timestamp":1789948800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Surg Today"],"DOI":"10.1007\/s00595-026-03487-7","type":"journal-article","created":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T12:08:17Z","timestamp":1789992497000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A high ratio of visceral fat area to psoas muscle area predicts poor overall survival for esophageal cancer patients receiving definitive chemoradiotherapy"],"prefix":"10.1007","author":[{"given":"Makoto","family":"Sakai","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takayoshi","family":"Watanabe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kengo","family":"Kuriyama","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kohei","family":"Tateno","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mizuki","family":"Endo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nobuhiro","family":"Nakazawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naoya","family":"Ozawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chika","family":"Komine","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takuhisa","family":"Okada","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takuya","family":"Shiraishi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuji","family":"Kumakura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akiharu","family":"Kimura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akihiko","family":"Sano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takehiko","family":"Yokobori","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazue","family":"Nagai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ken","family":"Shirabe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroshi","family":"Saeki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,9,21]]},"reference":[{"key":"3487_CR1","first-page":"394","volume":"68","author":"F Bray","year":"2018","unstructured":"Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018;68:394\u2013424.","journal-title":"CA Cancer J Clin"},{"key":"3487_CR2","doi-asserted-by":"publisher","first-page":"343","DOI":"10.1007\/s10388-023-00993-2","volume":"20","author":"Y Kitagawa","year":"2022","unstructured":"Kitagawa Y, Ishihara R, Ishikawa H, Ito Y, Oyama T, Oyama T, et al. Esophageal cancer practice guidelines 2022 edited by the Japan Esophageal Society: part 1. Esophagus. 2022;20:343\u201372.","journal-title":"Esophagus"},{"key":"3487_CR3","doi-asserted-by":"publisher","first-page":"1448","DOI":"10.1002\/bjs.9893","volume":"102","author":"S Levolger","year":"2015","unstructured":"Levolger S, van Vugt JLA, de Bruin RWF, IJzermans JNM. Systematic review of sarcopenia in patients operated on for gastrointestinal and hepatopancreatobiliary malignancies. Br J Surg. 2015;102:1448\u201358.","journal-title":"Br J Surg"},{"key":"3487_CR4","doi-asserted-by":"publisher","first-page":"1625","DOI":"10.1056\/NEJMoa021423","volume":"348","author":"EE Calle","year":"2003","unstructured":"Calle EE, Rodriguez C, Walker-Thurmond K, Thun MJ. Overweight, obesity, and mortality from cancer in a prospectively studied cohort of U.S. adults. N Engl J Med. 2003;348:1625\u201338.","journal-title":"N Engl J Med"},{"key":"3487_CR5","doi-asserted-by":"publisher","first-page":"1787","DOI":"10.1016\/j.clnu.2018.04.018","volume":"37","author":"R Barazzoni","year":"2018","unstructured":"Barazzoni R, Bischoff SC, Boirie Y, Busetto L, Cederholm T, Dicker D, et al. Sarcopenic obesity: time to meet the challenge. Clin Nutr. 2018;37:1787\u201393.","journal-title":"Clin Nutr"},{"key":"3487_CR6","doi-asserted-by":"publisher","first-page":"629","DOI":"10.1016\/S1470-2045(08)70153-0","volume":"9","author":"CM Prado","year":"2008","unstructured":"Prado CM, Lieffers JR, McCargar LJ, Reiman T, Sawyer MB, Martin L, et al. Prevalence and clinical implications of sarcopenic obesity in patients with solid tumours of the respiratory and gastrointestinal tracts: a population-based study. Lancet Oncol. 2008;9:629\u201335.","journal-title":"Lancet Oncol"},{"key":"3487_CR7","doi-asserted-by":"publisher","DOI":"10.3390\/jcm9092974","volume":"9","author":"S Onishi","year":"2020","unstructured":"Onishi S, Tajika M, Tanaka T, Yamada K, Abe T, Higaki E, et al. Prognostic impact of sarcopenic obesity after neoadjuvant chemotherapy followed by surgery in elderly patients with esophageal squamous cell carcinoma. J Clin Med. 2020;9:2974.","journal-title":"J Clin Med"},{"key":"3487_CR8","doi-asserted-by":"publisher","DOI":"10.3390\/cancers13122921","volume":"13","author":"U Fehrenbach","year":"2021","unstructured":"Fehrenbach U, Wuensch T, Gabriel P, Segger L, Yamaguchi T, Auer TA, et al. CT body composition of sarcopenia and sarcopenic obesity: predictors of postoperative complications and survival in patients with locally advanced esophageal adenocarcinoma. Cancers (Basel). 2021;13:2921.","journal-title":"Cancers (Basel)"},{"key":"3487_CR9","doi-asserted-by":"crossref","unstructured":"Examination Committee of Criteria for \u2018Obesity Disease\u2019 in Japan, Japan Society for the Study of Obesity. New criteria for \u2018obesity disease\u2019 in Japan. Circ J. 2002; 66:987\u201392.","DOI":"10.1253\/circj.66.987"},{"key":"3487_CR10","doi-asserted-by":"publisher","first-page":"3029","DOI":"10.2147\/CMAR.S197820","volume":"11","author":"W-S Gu","year":"2019","unstructured":"Gu W-S, Fang W-Z, Liu C-Y, Pan K-Y, Ding R, Li X-H, et al. Prognostic significance of combined pretreatment body mass index (BMI) and BMI loss in patients with esophageal cancer. Cancer Manag Res. 2019;11:3029\u201341.","journal-title":"Cancer Manag Res"},{"key":"3487_CR11","doi-asserted-by":"publisher","first-page":"4465","DOI":"10.1245\/s10434-022-11497-1","volume":"29","author":"M Sakai","year":"2022","unstructured":"Sakai M, Sohda M, Uchida S, Yamaguchi A, Watanabe T, Saito H, et al. Impact of the ratio of visceral fat area (VFA) to psoas muscle area (PMA) (V\/P ratio) on survival for surgically resected esophageal cancer. Ann Surg Oncol. 2022;29:4465\u201371.","journal-title":"Ann Surg Oncol"},{"key":"3487_CR12","doi-asserted-by":"publisher","first-page":"157","DOI":"10.1007\/s10388-023-01034-8","volume":"21","author":"S Uchida","year":"2024","unstructured":"Uchida S, Sohda M, Tateno K, Watanabe T, Shibasaki Y, Nakazawa N, et al. Usefulness of the preoperative inflammation-based prognostic score and the ratio of visceral fat area to psoas muscle area on predicting survival for surgically resected adenocarcinoma of the esophagogastric junction. Esophagus. 2024;21:157\u201364.","journal-title":"Esophagus"},{"key":"3487_CR13","doi-asserted-by":"publisher","first-page":"119","DOI":"10.1002\/ags3.12845","volume":"9","author":"N Hosoi","year":"2024","unstructured":"Hosoi N, Shiraishi T, Okada T, Osone K, Yokobori T, Sakai M, et al. Evaluation of preoperative visceral fat area\/psoas muscle area ratio and prognosis in patients with colorectal cancer. Ann Gastroenterol Surg. 2024;9:119\u201327.","journal-title":"Ann Gastroenterol Surg"},{"key":"3487_CR14","doi-asserted-by":"publisher","first-page":"2141","DOI":"10.21873\/anticanres.14986","volume":"41","author":"M Sakai","year":"2021","unstructured":"Sakai M, Sohda M, Saito H, Nakazawa N, Ubukata Y, Kuriyama K, et al. Concurrent chemoradiotherapy with docetaxel, cisplatin, and 5-fluorouracil (DCF-RT) vs. cisplatin and 5-fluorouracil (CF-RT) for patients with unresectable locally advanced esophageal cancer in a real-world clinical setting. Anticancer Res. 2021;41:2141\u20135.","journal-title":"Anticancer Res"},{"key":"3487_CR15","first-page":"57","volume-title":"TNM classification of malignant tumours","year":"2017","unstructured":"Brierley JD, Gospodarowicz MK, Wittekind C, editors. TNM classification of malignant tumours. 8th ed. Oxford: Wiley-Blackwell; 2017. p. 57\u201362.","edition":"8th ed"},{"key":"3487_CR16","doi-asserted-by":"publisher","first-page":"373","DOI":"10.1016\/0021-9681(87)90171-8","volume":"40","author":"ME Charlson","year":"1987","unstructured":"Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis. 1987;40:373\u201383.","journal-title":"J Chronic Dis"},{"key":"3487_CR17","doi-asserted-by":"publisher","first-page":"1200","DOI":"10.1016\/j.nut.2016.04.003","volume":"32","author":"Y Hamaguchi","year":"2016","unstructured":"Hamaguchi Y, Kaido T, Okumura S, Kobayashi A, Hammad A, Tamai Y, et al. Proposal for new diagnostic criteria for low skeletal muscle mass based on computed tomography imaging in Asian adults. Nutrition. 2016;32:1200\u20135.","journal-title":"Nutrition"},{"key":"3487_CR18","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1007\/s10388-016-0556-2","volume":"14","author":"Japan Esophageal Society","year":"2017","unstructured":"Japan Esophageal Society. Japanese classification of esophageal cancer, 11th edition: part II and III. Esophagus. 2017;14:37\u201365.","journal-title":"Esophagus"},{"key":"3487_CR19","doi-asserted-by":"publisher","first-page":"3367","DOI":"10.1016\/j.arth.2021.06.002","volume":"36","author":"CS Lundgreen","year":"2021","unstructured":"Lundgreen CS, Larson DR, Atkinson EJ, Devick KL, Lewallen DG, Berry DJ, et al. Adjusted survival curves improve understanding of multivariable Cox model results. J Arthroplasty. 2021;36:3367\u201371.","journal-title":"J Arthroplasty"},{"key":"3487_CR20","doi-asserted-by":"publisher","first-page":"452","DOI":"10.1038\/bmt.2012.244","volume":"48","author":"Y Kanda","year":"2013","unstructured":"Kanda Y. Investigation of the freely available easy-to-use software \u2018EZR\u2019 for medical statistics. Bone Marrow Transplant. 2013;48:452\u20138.","journal-title":"Bone Marrow Transplant"},{"key":"3487_CR21","doi-asserted-by":"publisher","first-page":"e2417115","DOI":"10.1001\/jamanetworkopen.2024.17115","volume":"7","author":"C Liu","year":"2024","unstructured":"Liu C, Liu T, Deng L, Zhang Q, Song M, Shi J, et al. Sarcopenic obesity and outcomes for patients with cancer. JAMA Netw Open. 2024;7:e2417115.","journal-title":"JAMA Netw Open"},{"key":"3487_CR22","doi-asserted-by":"crossref","unstructured":"Silveira EA, Filho RR da S, Spexoto MCB, Haghighatdoost F, Sarrafzadegan N, de Oliveira C. The role of sarcopenic obesity in cancer and cardiovascular disease: a synthesis of the evidence on pathophysiological aspects and clinical implications. Int J Mol Sci. 2021; 22:4339.","DOI":"10.3390\/ijms22094339"},{"key":"3487_CR23","doi-asserted-by":"publisher","DOI":"10.1186\/s40001-025-03251-6","volume":"30","author":"C Li","year":"2025","unstructured":"Li C, Li Q, Liu Y, Zhang Y, Wang Z, Xing Y, et al. Sarcopenic obesity exacerbates gastric cancer prognosis via increased intermuscular and visceral fat accumulation. Eur J Med Res. 2025;30:1012.","journal-title":"Eur J Med Res"},{"key":"3487_CR24","doi-asserted-by":"publisher","first-page":"990","DOI":"10.1016\/j.clnu.2021.11.014","volume":"41","author":"LM Donini","year":"2022","unstructured":"Donini LM, Busetto L, Bischoff SC, Cederholm T, Ballesteros-Pomar MD, Batsis JA, et al. Definition and diagnostic criteria for sarcopenic obesity: ESPEN and EASO consensus statement. Clin Nutr. 2022;41:990\u20131000.","journal-title":"Clin Nutr"}],"container-title":["Surgery Today"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00595-026-03487-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00595-026-03487-7","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00595-026-03487-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T12:08:20Z","timestamp":1789992500000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00595-026-03487-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,21]]},"references-count":24,"alternative-id":["3487"],"URL":"https:\/\/doi.org\/10.1007\/s00595-026-03487-7","relation":{},"ISSN":["0941-1291","1436-2813"],"issn-type":[{"value":"0941-1291","type":"print"},{"value":"1436-2813","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,21]]},"assertion":[{"value":"1 June 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 August 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 September 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"We have no conflicts of interest or funding to declare in association with this manuscript.","order":1,"name":"Ethics","label":"Conflict of Interest","group":{"name":"EthicsHeading","label":"Declarations"}}]}}