{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T22:12:23Z","timestamp":1784239943122,"version":"3.55.0"},"reference-count":57,"publisher":"Elsevier BV","issue":"8","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T00:00:00Z","timestamp":1779926400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","ejso.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Surgical Oncology"],"published-print":{"date-parts":[[2026,8]]},"DOI":"10.1016\/j.ejso.2026.111913","type":"journal-article","created":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T07:03:35Z","timestamp":1779951815000},"page":"111913","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["A combined preoperative cardiorespiratory fitness and body composition phenotype is associated with major complications after pancreatoduodenectomy, independent of postoperative pancreatic fistula risk"],"prefix":"10.1016","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6169-6134","authenticated-orcid":false,"given":"Nicole D.","family":"Hildebrand","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zahraa M.","family":"Alhulaili","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8780-6888","authenticated-orcid":false,"given":"Heleen","family":"Driessens","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lis S.M.","family":"Hoeijmakers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1948-9788","authenticated-orcid":false,"given":"Bart C.","family":"Bongers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David P.J.","family":"van Dijk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sander S.M.","family":"Rensen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6161-161X","authenticated-orcid":false,"given":"Marcel","family":"den Dulk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-3743-5431","authenticated-orcid":false,"given":"Joost M.","family":"Klaase","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven W.M.","family":"Olde Damink","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"8","key":"10.1016\/j.ejso.2026.111913_bib1","doi-asserted-by":"crossref","first-page":"1909","DOI":"10.1007\/s00268-013-2044-3","article-title":"Systematic review and meta-analysis of enhanced recovery after pancreatic surgery with particular emphasis on pancreaticoduodenectomies","volume":"37","author":"Coolsen","year":"2013","journal-title":"World J Surg"},{"issue":"7","key":"10.1016\/j.ejso.2026.111913_bib2","doi-asserted-by":"crossref","first-page":"2056","DOI":"10.1007\/s00268-020-05462-w","article-title":"Guidelines for perioperative care for pancreatoduodenectomy: enhanced recovery after surgery (ERAS) recommendations 2019","volume":"44","author":"Melloul","year":"2020","journal-title":"World J Surg"},{"issue":"10338","key":"10.1016\/j.ejso.2026.111913_bib3","doi-asserted-by":"crossref","first-page":"1867","DOI":"10.1016\/S0140-6736(22)00182-9","article-title":"Algorithm-based care versus usual care for the early recognition and management of complications after pancreatic resection in the Netherlands: an open-label, nationwide, stepped-wedge cluster-randomised trial","volume":"399","author":"Smits","year":"2022","journal-title":"Lancet"},{"issue":"2","key":"10.1016\/j.ejso.2026.111913_bib4","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1097\/SLA.0000000000005628","article-title":"Outcome of pancreatic surgery during the first 6 years of a mandatory audit within the Dutch pancreatic cancer group","volume":"278","author":"Suurmeijer","year":"2023","journal-title":"Ann Surg"},{"issue":"3","key":"10.1016\/j.ejso.2026.111913_bib5","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1093\/bjs\/znab436","article-title":"Impact of enhanced recovery protocols after pancreatoduodenectomy: meta-analysis","volume":"109","author":"Kuemmerli","year":"2022","journal-title":"Br J Surg"},{"issue":"6","key":"10.1016\/j.ejso.2026.111913_bib6","doi-asserted-by":"crossref","first-page":"1243","DOI":"10.1016\/j.pan.2020.07.411","article-title":"Prehabilitation prior to surgery for pancreatic cancer: a systematic review","volume":"20","author":"Bundred","year":"2020","journal-title":"Pancreatology"},{"issue":"4","key":"10.1016\/j.ejso.2026.111913_bib7","doi-asserted-by":"crossref","first-page":"2448","DOI":"10.1245\/s10434-022-12701-y","article-title":"Surgical outcome after pancreatoduodenectomy for duodenal adenocarcinoma compared with other periampullary cancers: a nationwide audit study","volume":"30","author":"de Bakker","year":"2023","journal-title":"Ann Surg Oncol"},{"issue":"6","key":"10.1016\/j.ejso.2026.111913_bib8","doi-asserted-by":"crossref","DOI":"10.1093\/bjsopen\/zrad106","article-title":"Postoperative complications after pancreatoduodenectomy for malignancy: results from the recurrence after Whipple's (RAW) study","volume":"7","author":"Russell","year":"2023","journal-title":"BJS Open"},{"issue":"1","key":"10.1016\/j.ejso.2026.111913_bib9","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1245\/s10434-018-6943-2","article-title":"Clinical benefit of preoperative exercise and nutritional therapy for patients undergoing hepato-pancreato-biliary surgeries for malignancy","volume":"26","author":"Nakajima","year":"2019","journal-title":"Ann Surg Oncol"},{"issue":"4","key":"10.1016\/j.ejso.2026.111913_bib10","doi-asserted-by":"crossref","first-page":"203","DOI":"10.4174\/astr.2024.107.4.203","article-title":"The effects of sarcopenic obesity on immediate postoperative outcomes after pancreatoduodenectomy: a retrospective cohort study","volume":"107","author":"Jeong","year":"2024","journal-title":"Ann Surg Treat Res"},{"issue":"1","key":"10.1016\/j.ejso.2026.111913_bib11","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1186\/s12893-024-02457-5","article-title":"Associations of body composition parameters with postoperative outcome and perineural tumour invasion after oncological pancreatic resection","volume":"24","author":"Mueller","year":"2024","journal-title":"BMC Surg"},{"issue":"12","key":"10.1016\/j.ejso.2026.111913_bib12","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1016\/j.clnu.2024.10.017","article-title":"The prognostic value of myosteatosis in pancreatic cancer: a systematic review and meta-analysis","volume":"43","author":"Chen","year":"2024","journal-title":"Clin Nutr"},{"issue":"7","key":"10.1016\/j.ejso.2026.111913_bib13","doi-asserted-by":"crossref","first-page":"1176","DOI":"10.1016\/j.pan.2025.09.023","article-title":"Preoperative aerobic fitness is a predictor of postoperative outcomes in patients undergoing pancreatoduodenectomy","volume":"25","author":"Wijma","year":"2025","journal-title":"Pancreatology"},{"issue":"6","key":"10.1016\/j.ejso.2026.111913_bib14","doi-asserted-by":"crossref","first-page":"1477","DOI":"10.1002\/jcsm.12776","article-title":"Prevalence and prognostic impact of cachexia among older patients with cancer: a nationwide cross-sectional survey (NutriAgeCancer)","volume":"12","author":"Poisson","year":"2021","journal-title":"J Cachexia Sarcopenia Muscle"},{"issue":"1","key":"10.1016\/j.ejso.2026.111913_bib15","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1186\/s12937-024-00920-w","article-title":"Prognostic potential of nutritional risk screening and assessment tools in predicting survival of patients with pancreatic neoplasms: a systematic review","volume":"23","author":"Yu","year":"2024","journal-title":"Nutr J"},{"issue":"3","key":"10.1016\/j.ejso.2026.111913_bib16","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1093\/bja\/aeq128","article-title":"Impaired functional capacity is associated with all-cause mortality after major elective intra-abdominal surgery","volume":"105","author":"Wilson","year":"2010","journal-title":"Br J Anaesth"},{"issue":"5","key":"10.1016\/j.ejso.2026.111913_bib17","doi-asserted-by":"crossref","first-page":"1932","DOI":"10.1002\/jcsm.13321","article-title":"Physical function endpoints in cancer cachexia clinical trials: systematic review 1 of the cachexia endpoints series","volume":"14","author":"McDonald","year":"2023","journal-title":"J Cachexia Sarcopenia Muscle"},{"issue":"6","key":"10.1016\/j.ejso.2026.111913_bib18","doi-asserted-by":"crossref","first-page":"744","DOI":"10.1002\/bjs.10112","article-title":"Validation of preoperative cardiopulmonary exercise testing-derived variables to predict in-hospital morbidity after major colorectal surgery","volume":"103","author":"West","year":"2016","journal-title":"Br J Surg"},{"issue":"5","key":"10.1016\/j.ejso.2026.111913_bib19","doi-asserted-by":"crossref","first-page":"891","DOI":"10.1002\/jso.27201","article-title":"Steep ramp test protocol for preoperative risk assessment and short-term high-intensity interval training to evaluate, improve, and monitor cardiorespiratory fitness in surgical oncology","volume":"127","author":"Bongers","year":"2023","journal-title":"J Surg Oncol"},{"key":"10.1016\/j.ejso.2026.111913_bib20","doi-asserted-by":"crossref","DOI":"10.1016\/j.jclinane.2025.111916","article-title":"The usefulness of the modified steep ramp test as a practical exercise test for preoperative risk assessment in patients scheduled for pancreatic surgery","volume":"106","author":"Driessens","year":"2025","journal-title":"J Clin Anesth"},{"key":"10.1016\/j.ejso.2026.111913_bib21","doi-asserted-by":"crossref","DOI":"10.3389\/fnut.2025.1576144","article-title":"Perioperative evaluation of CT-based body composition as predictors of postoperative outcome following pancreaticoduodenectomy","volume":"12","author":"Cai","year":"2025","journal-title":"Front Nutr"},{"issue":"8","key":"10.1016\/j.ejso.2026.111913_bib22","doi-asserted-by":"crossref","first-page":"1218","DOI":"10.1038\/s41430-020-00851-9","article-title":"Skeletal muscle depletion and nutrition support affected postoperative complications in patients who underwent pancreatoduodenectomy","volume":"75","author":"Duan","year":"2021","journal-title":"Eur J Clin Nutr"},{"issue":"2","key":"10.1016\/j.ejso.2026.111913_bib23","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1002\/jcsm.12155","article-title":"Low skeletal muscle radiation attenuation and visceral adiposity are associated with overall survival and surgical site infections in patients with pancreatic cancer","volume":"8","author":"van Dijk","year":"2017","journal-title":"J Cachexia Sarcopenia Muscle"},{"issue":"1164","key":"10.1016\/j.ejso.2026.111913_bib24","doi-asserted-by":"crossref","first-page":"2015","DOI":"10.1093\/bjr\/tqae191","article-title":"External validation of a deep learning model for automatic segmentation of skeletal muscle and adipose tissue on abdominal CT images","volume":"97","author":"van Dijk","year":"2024","journal-title":"Br J Radiol"},{"issue":"6","key":"10.1016\/j.ejso.2026.111913_bib25","doi-asserted-by":"crossref","DOI":"10.3390\/s21062083","article-title":"Deep learning automated segmentation for muscle and adipose tissue from abdominal computed tomography in polytrauma patients","volume":"21","author":"Ackermans","year":"2021","journal-title":"Sensors"},{"issue":"4","key":"10.1016\/j.ejso.2026.111913_bib26","doi-asserted-by":"crossref","first-page":"860","DOI":"10.1002\/jcsm.12433","article-title":"Myosteatosis is associated with poor physical fitness in patients undergoing hepatopancreatobiliary surgery","volume":"10","author":"West","year":"2019","journal-title":"J Cachexia Sarcopenia Muscle"},{"issue":"1","key":"10.1016\/j.ejso.2026.111913_bib27","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1111\/codi.15941","article-title":"The association between preoperative body composition and aerobic fitness in patients scheduled for colorectal surgery","volume":"24","author":"Berkel","year":"2022","journal-title":"Colorectal Dis"},{"issue":"4","key":"10.1016\/j.ejso.2026.111913_bib28","doi-asserted-by":"crossref","first-page":"494","DOI":"10.14701\/ahbps.23-115","article-title":"The impact of myosteatosis on postoperative outcomes and survival of patients undergoing pancreatoduodenectomy for suspected\/confirmed malignancy","volume":"28","author":"Jenkins","year":"2024","journal-title":"Ann Hepatobiliary Pancreat Surg"},{"issue":"3","key":"10.1016\/j.ejso.2026.111913_bib29","doi-asserted-by":"crossref","first-page":"584","DOI":"10.1016\/j.surg.2016.11.014","article-title":"The 2016 update of the international study group (ISGPS) definition and grading of postoperative pancreatic fistula: 11 years after","volume":"161","author":"Bassi","year":"2017","journal-title":"Surgery"},{"issue":"5","key":"10.1016\/j.ejso.2026.111913_bib30","doi-asserted-by":"crossref","first-page":"761","DOI":"10.1016\/j.surg.2007.05.005","article-title":"Delayed gastric emptying (DGE) after pancreatic surgery: a suggested definition by the international study group of pancreatic surgery (ISGPS)","volume":"142","author":"Wente","year":"2007","journal-title":"Surgery"},{"issue":"1","key":"10.1016\/j.ejso.2026.111913_bib31","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1016\/j.surg.2007.02.001","article-title":"Postpancreatectomy hemorrhage (PPH): an international study group of pancreatic surgery (ISGPS) definition","volume":"142","author":"Wente","year":"2007","journal-title":"Surgery"},{"issue":"1","key":"10.1016\/j.ejso.2026.111913_bib32","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1007\/s00423-024-03581-9","article-title":"Risk stratification of postoperative pancreatic fistula and other complications following pancreatoduodenectomy. How far are we? A scoping review","volume":"410","author":"Alhulaili","year":"2025","journal-title":"Langenbecks Arch Surg"},{"issue":"5","key":"10.1016\/j.ejso.2026.111913_bib33","doi-asserted-by":"crossref","first-page":"1248","DOI":"10.1016\/j.surg.2023.01.004","article-title":"Nationwide validation of the ISGPS risk classification for postoperative pancreatic fistula after pancreatoduodenectomy: \"less is more\"","volume":"173","author":"Suurmeijer","year":"2023","journal-title":"Surgery"},{"issue":"8","key":"10.1016\/j.ejso.2026.111913_bib34","doi-asserted-by":"crossref","first-page":"779","DOI":"10.1038\/sj.ejcn.1601412","article-title":"Use of the scored patient-generated subjective global assessment (PG-SGA) as a nutrition assessment tool in patients with cancer","volume":"56","author":"Bauer","year":"2002","journal-title":"Eur J Clin Nutr"},{"issue":"11","key":"10.1016\/j.ejso.2026.111913_bib35","doi-asserted-by":"crossref","first-page":"2198","DOI":"10.1016\/j.apmr.2024.02.717","article-title":"Clinimetric properties of the steep ramp test to assess cardiorespiratory fitness, its underlying physiological responses, and its current applications: a scoping review","volume":"105","author":"Trul-Kreuze","year":"2024","journal-title":"Arch Phys Med Rehabil"},{"issue":"2","key":"10.1016\/j.ejso.2026.111913_bib36","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1164\/rccm.167.2.211","article-title":"ATS\/ACCP statement on cardiopulmonary exercise testing","volume":"167","author":"American Thoracic","year":"2003","journal-title":"Am J Respir Crit Care Med"},{"key":"10.1016\/j.ejso.2026.111913_bib37","article-title":"Prognostic host phenotypes based on body composition and systemic inflammation predict survival in patients with resected pancreatic and periampullary cancer","author":"Hildebrand","year":"2026","journal-title":"SSRN Electron J"},{"issue":"1","key":"10.1016\/j.ejso.2026.111913_bib38","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1186\/s13063-020-4167-9","article-title":"Care after pancreatic resection according to an algorithm for early detection and minimally invasive management of pancreatic fistula versus current practice (PORSCH-trial): design and rationale of a nationwide stepped-wedge cluster-randomized trial","volume":"21","author":"Smits","year":"2020","journal-title":"Trials"},{"issue":"4","key":"10.1016\/j.ejso.2026.111913_bib39","doi-asserted-by":"crossref","first-page":"142","DOI":"10.4172\/2155-6180.1000142","article-title":"Determining the probability distribution and evaluating sensitivity and false positive rate of a confounder detection method applied to logistic regression","volume":"3","author":"Bliss","year":"2012","journal-title":"J Biom Biostat"},{"issue":"3","key":"10.1016\/j.ejso.2026.111913_bib40","doi-asserted-by":"crossref","DOI":"10.3390\/cancers14030720","article-title":"The role of sarcopenia and myosteatosis in Short- and long-term outcomes following curative-intent surgery for hepatocellular carcinoma in a European cohort","volume":"14","author":"Meister","year":"2022","journal-title":"Cancers (Basel)"},{"issue":"2","key":"10.1016\/j.ejso.2026.111913_bib41","doi-asserted-by":"crossref","first-page":"320","DOI":"10.1097\/SLA.0000000000001113","article-title":"Low muscularity and myosteatosis is related to the host systemic inflammatory response in patients undergoing surgery for colorectal cancer","volume":"263","author":"Malietzis","year":"2016","journal-title":"Ann Surg"},{"key":"10.1016\/j.ejso.2026.111913_bib42","doi-asserted-by":"crossref","DOI":"10.1016\/j.critrevonc.2019.102839","article-title":"Myosteatosis and prognosis in cancer: systematic review and meta-analysis","volume":"145","author":"Aleixo","year":"2020","journal-title":"Crit Rev Oncol Hematol"},{"issue":"11","key":"10.1016\/j.ejso.2026.111913_bib43","doi-asserted-by":"crossref","first-page":"1055","DOI":"10.3348\/kjr.2022.0277","article-title":"Prognostic value of sarcopenia and myosteatosis in patients with resectable pancreatic ductal adenocarcinoma","volume":"23","author":"Kim","year":"2022","journal-title":"Korean J Radiol"},{"issue":"11","key":"10.1016\/j.ejso.2026.111913_bib44","doi-asserted-by":"crossref","first-page":"1523","DOI":"10.1002\/bjs.9258","article-title":"Sarcopenia as a predictor of prognosis in patients following hepatectomy for hepatocellular carcinoma","volume":"100","author":"Harimoto","year":"2013","journal-title":"Br J Surg"},{"issue":"3","key":"10.1016\/j.ejso.2026.111913_bib45","doi-asserted-by":"crossref","first-page":"169","DOI":"10.3109\/08941939.2011.616255","article-title":"The effect of visceral fat mass on pancreatic fistula after pancreaticoduodenectomy","volume":"25","author":"Park","year":"2012","journal-title":"J Invest Surg"},{"issue":"4","key":"10.1016\/j.ejso.2026.111913_bib46","doi-asserted-by":"crossref","first-page":"434","DOI":"10.1002\/bjs.10063","article-title":"Effect of sarcopenia and visceral obesity on mortality and pancreatic fistula following pancreatic cancer surgery","volume":"103","author":"Pecorelli","year":"2016","journal-title":"Br J Surg"},{"issue":"1","key":"10.1016\/j.ejso.2026.111913_bib47","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1186\/s12880-019-0332-6","article-title":"Power of computed-tomography-defined sarcopenia for prediction of morbidity after pancreaticoduodenectomy","volume":"19","author":"Linder","year":"2019","journal-title":"BMC Med Imaging"},{"key":"10.1016\/j.ejso.2026.111913_bib48","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1016\/j.ijsu.2018.02.019","article-title":"Cardiopulmonary exercise testing in hepato-biliary & pancreas cancer surgery - a systematic review: are we any further than walking up a flight of stairs?","volume":"52","author":"Kumar","year":"2018","journal-title":"Int J Surg"},{"issue":"11","key":"10.1016\/j.ejso.2026.111913_bib49","doi-asserted-by":"crossref","first-page":"1036","DOI":"10.1093\/bjs\/znac230","article-title":"Improved preoperative aerobic fitness following a home-based bimodal prehabilitation programme in high-risk patients scheduled for liver or pancreatic resection","volume":"109","author":"van Wijk","year":"2022","journal-title":"Br J Surg"},{"issue":"2","key":"10.1016\/j.ejso.2026.111913_bib50","doi-asserted-by":"crossref","first-page":"1236","DOI":"10.1245\/s10434-024-16527-8","article-title":"Prehabilitation outcomes in surgical oncology patients undergoing major abdominal surgery: a meta-analysis of randomized control trials","volume":"32","author":"Soh","year":"2025","journal-title":"Ann Surg Oncol"},{"issue":"12","key":"10.1016\/j.ejso.2026.111913_bib51","doi-asserted-by":"crossref","first-page":"7120","DOI":"10.1245\/s10434-021-10251-3","article-title":"Preoperative cardiopulmonary exercise test associated with postoperative outcomes in patients undergoing cancer surgery: a systematic review and meta-analyses","volume":"28","author":"Steffens","year":"2021","journal-title":"Ann Surg Oncol"},{"issue":"3 Pt A","key":"10.1016\/j.ejso.2026.111913_bib52","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1016\/j.ejso.2020.03.211","article-title":"Enhanced recovery after surgery programmes in older patients undergoing hepatopancreatobiliary surgery: what benefits might prehabilitation have?","volume":"47","author":"Bongers","year":"2021","journal-title":"Eur J Surg Oncol"},{"issue":"10","key":"10.1016\/j.ejso.2026.111913_bib53","doi-asserted-by":"crossref","DOI":"10.1016\/j.ejso.2025.110302","article-title":"Adherence and response to supervised home-based exercise prehabilitation of unfit patients scheduled for pancreatic surgery","volume":"51","author":"Hildebrand","year":"2025","journal-title":"Eur J Surg Oncol"},{"issue":"1","key":"10.1016\/j.ejso.2026.111913_bib54","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1097\/SLA.0000000000002293","article-title":"Personalised prehabilitation in high-risk patients undergoing elective major abdominal surgery: a randomized blinded controlled trial","volume":"267","author":"Barberan-Garcia","year":"2018","journal-title":"Ann Surg"},{"issue":"10","key":"10.1016\/j.ejso.2026.111913_bib55","doi-asserted-by":"crossref","first-page":"1068","DOI":"10.1001\/jamasurg.2025.3102","article-title":"Prehabilitation with exercise and nutrition to reduce morbidity of major hepatectomy in patients with sarcopenia: the PREHEP randomized clinical trial","volume":"160","author":"Berardi","year":"2025","journal-title":"JAMA Surg"},{"issue":"3","key":"10.1016\/j.ejso.2026.111913_bib56","doi-asserted-by":"crossref","DOI":"10.1093\/ageing\/afae052","article-title":"The conceptual definition of sarcopenia: Delphi consensus from the global leadership initiative in sarcopenia (GLIS)","volume":"53","author":"Kirk","year":"2024","journal-title":"Age Ageing"},{"issue":"9","key":"10.1016\/j.ejso.2026.111913_bib57","doi-asserted-by":"crossref","first-page":"1171","DOI":"10.1177\/2047487314557962","article-title":"Cardiopulmonary fitness is a function of lean mass, not total body weight: the DR's EXTRA study","volume":"22","author":"Krachler","year":"2015","journal-title":"Eur J Prev Cardiol"}],"container-title":["European Journal of Surgical Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0748798326005329?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0748798326005329?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T21:49:25Z","timestamp":1784238565000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0748798326005329"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":57,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["S0748798326005329"],"URL":"https:\/\/doi.org\/10.1016\/j.ejso.2026.111913","relation":{},"ISSN":["0748-7983"],"issn-type":[{"value":"0748-7983","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"A combined preoperative cardiorespiratory fitness and body composition phenotype is associated with major complications after pancreatoduodenectomy, independent of postoperative pancreatic fistula risk","name":"articletitle","label":"Article Title"},{"value":"European Journal of Surgical Oncology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ejso.2026.111913","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier Ltd.","name":"copyright","label":"Copyright"}],"article-number":"111913"}}