{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T18:39:43Z","timestamp":1787510383490,"version":"build-2736575974"},"reference-count":17,"publisher":"Federa\u00e7\u00e3o das Associa\u00e7\u00f5es de Ginecologia e Obstetr\u00edcia","issue":"12","license":[{"start":{"date-parts":[[2022,12,29]],"date-time":"2022-12-29T00:00:00Z","timestamp":1672272000000},"content-version":"vor","delay-in-days":28,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ginecol Obstet"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Objective\u2003Although obesity can result in high morbidity and mortality in surgical outcomes because of multiple comorbidities, determinants of outcome in obese patients who underwent endometrial cancer surgery remain unclear. The aim of this study is to assess the relationship between body mass index (BMI) and surgical outcomes in obese patients with endometrial cancer.<\/jats:p>\n                  <jats:p>Methods\u2003An institutional retrospective review of the demographic details, clinical characteristics, and follow-up data of 142 patients with endometrial cancer who underwent surgery during a 72-month period was performed. The patients were divided into three groups based on their BMI; patients with BMI\u2009&lt;\u200925 were identified as normal weight, patients with BMI between 25 and 30 were accepted as overweight, and those with BMI \u2265 30\u2009kg\/m2 were identified as obese. The groups' demographic and clinical variables were compared.<\/jats:p>\n                  <jats:p>Results\u2003Of the 142 patients, 42 were in the normal weight group, 55 in the overweight group, and 45 in the obese group. Age, surgical procedures, blood loss, preoperative health status, and metastatic lymph nodes did not show a significant difference between groups. However, surgery time and total lymph nodes were higher in the obese group. (p\u2009=\u20090.02, p\u2009=\u20090.00, and p\u2009=\u20090.00, respectively). Common complications were anemia, fever, intestinal injury, deep vein thrombosis, fascial dehiscence and urinary infection. There was no significant difference according to the complications.<\/jats:p>\n                  <jats:p>Conclusion\u2003Our results indicated that higher BMI was significantly associated with a longer duration of endometrial cancer surgery. Minimally invasive surgeries and conventional laparotomy could be performed safely in obese patients.<\/jats:p>","DOI":"10.1055\/s-0042-1759632","type":"journal-article","created":{"date-parts":[[2022,12,29]],"date-time":"2022-12-29T18:45:53Z","timestamp":1672339553000},"page":"1117-1121","source":"Crossref","is-referenced-by-count":5,"title":["Association of Obesity and Surgery Outcomes in Patients with Endometrial Cancer: A Single-Center Analysis"],"prefix":"10.61622","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3028-5804","authenticated-orcid":false,"given":"Savas","family":"Ozdemir","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, University of Health Sciences, Prof. Dr. Cemil Tascioglu City Hospital, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9555-1128","authenticated-orcid":false,"given":"Gul Ozel","family":"Dogan","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, University of Health Sciences, Prof. Dr. Cemil Tascioglu City Hospital, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"47794","published-online":{"date-parts":[[2022,12,29]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1134","DOI":"10.1136\/bmj.39367.495995","article-title":"Cancer incidence and mortality in relation to body mass index in the Million Women Study: cohort study","volume":"335","author":"G K Reeves","year":"2007","journal-title":"BMJ"},{"issue":"47","key":"ref2","first-page":"37","article-title":"Endometrial cancer prevention-does bariatric surgery play a role?","volume":"13","author":"I Balescu","year":"2017","journal-title":"G\u0131neco Eu"},{"issue":"02","key":"ref3","doi-asserted-by":"publisher","first-page":"944","DOI":"10.1111\/j.1525-1438.2006.00577.x","article-title":"The impact of obesity on surgery in gynecological oncology: a review","volume":"16","author":"A Papadia","year":"2006","journal-title":"Int J Gynecol Cancer"},{"issue":"02","key":"ref4","doi-asserted-by":"publisher","first-page":"176","DOI":"10.1016\/j.ygyno.2012.04.013","article-title":"Cardiovascular disease is the leading cause of death among endometrial cancer patients","volume":"126","author":"K K Ward","year":"2012","journal-title":"Gynecol Oncol"},{"issue":"03","key":"ref5","doi-asserted-by":"publisher","first-page":"149","DOI":"10.1089\/gyn.2015.0114","article-title":"The mpact of obesity on surgical outcome in endometrial cancer patients: a systematic review","volume":"32","author":"O Orekoya","year":"2016","journal-title":"J Gynecol Surg"},{"issue":"03","key":"ref6","doi-asserted-by":"publisher","first-page":"421","DOI":"10.1002\/1097-0215(200002)9999:9999<:aid-ijc1053>3.0.co;2-t","article-title":"Overweight as an avoidable cause of cancer in Europe","volume":"91","author":"A Bergstr\u00f6m","year":"2001","journal-title":"Int J Cancer"},{"issue":"05","key":"ref7","doi-asserted-by":"publisher","first-page":"1269","DOI":"10.1007\/s00404-012-2431-2","article-title":"Influence of body mass index on clinicopathologic features, surgical morbidity and outcome in patients with endometrial cancer","volume":"286","author":"O Akbay\u0131r","year":"2012","journal-title":"Arch Gynecol Obstet"},{"issue":"12","key":"ref8","doi-asserted-by":"publisher","first-page":"1632","DOI":"10.1016\/j.ejca.2008.05.001","article-title":"Endometrial hyperplasia, endometrial cancer and prevention: gaps in existing research of modifiable risk factors","volume":"44","author":"F Linkov","year":"2008","journal-title":"Eur J Cancer"},{"issue":"02","key":"ref9","first-page":"707","article-title":"Mini-laparotomy versus vaginal surgery for class II-III obese patients with early-stage endometrial cancer","volume":"32","author":"M Fambrini","year":"2012","journal-title":"Anticancer Res"},{"issue":"01","key":"ref10","doi-asserted-by":"publisher","first-page":"11","DOI":"10.21608\/resoncol.2020.23506.1089","article-title":"The impact of obesity on surgical complications and disease recurrence in endometrial cancer: a retrospective study of 267 patients","volume":"6","author":"K Gaballa","year":"2020","journal-title":"Resum Oncol"},{"issue":"05","key":"ref11","doi-asserted-by":"publisher","first-page":"589","DOI":"10.1016\/j.jmig.2011.05.015","article-title":"Long-term follow-up after laparoscopic management of endometrial cancer in the obese: a fifteen-year cohort study","volume":"18","author":"B Rabischong","year":"2011","journal-title":"J Minim Invasive Gynecol"},{"issue":"03","key":"ref12","doi-asserted-by":"publisher","first-page":"209","DOI":"10.4274\/tjod.galenos.2020.83773","article-title":"The impact of morbid obesity on survival of endometrial cancer","volume":"17","author":"A B G\u00fczel","year":"2020","journal-title":"Turk J Obstet Gynecol"},{"issue":"12","key":"ref13","doi-asserted-by":"publisher","first-page":"e13337","DOI":"10.1111\/obr.13337","article-title":"Obesity and mortality among endometrial cancer survivors: A systematic review and meta-analysis","volume":"22","author":"R L Kokts-Porietis","year":"2021","journal-title":"Obes Rev"},{"issue":"35","key":"ref14","doi-asserted-by":"publisher","first-page":"4225","DOI":"10.1200\/JCO.2016.69.4638","article-title":"Addressing the role of obesity in endometrial cancer risk, prevention, and treatment","volume":"34","author":"M A Onstad","year":"2016","journal-title":"J Clin Oncol"},{"issue":"04","key":"ref15","first-page":"401","article-title":"Impact of morbid obesity in surgical management of endometrial cancer: surgical morbidity, clinical and pathological aspects","volume":"27","author":"S Erkanli","year":"2006","journal-title":"Eur J Gynaecol Oncol"},{"issue":"04","key":"ref16","doi-asserted-by":"publisher","first-page":"1139","DOI":"10.1007\/s00404-011-2116-2","article-title":"Obesity and perioperative outcomes in endometrial cancer surgery","volume":"285","author":"J T Santoso","year":"2012","journal-title":"Arch Gynecol Obstet"},{"issue":"02","key":"ref17","doi-asserted-by":"publisher","first-page":"369","DOI":"10.1016\/j.ygyno.2015.09.020","article-title":"The impact of BMI on surgical complications and outcomes in endometrial cancer surgery\u2014an institutional study and systematic review of the literature","volume":"139","author":"F Bouwman","year":"2015","journal-title":"Gynecol Oncol"}],"container-title":["Revista Brasileira de Ginecologia e Obstetr\u00edcia \/ RBGO Gynecology and Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journalrbgo.org\/article\/association-of-obesity-and-surgery-outcomes-in-patients-with-endometrial-cancer-a-single-center-analysis\/","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0042-1759632.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,18]],"date-time":"2024-07-18T16:57:52Z","timestamp":1721321872000},"score":1,"resource":{"primary":{"URL":"https:\/\/journalrbgo.org\/article\/association-of-obesity-and-surgery-outcomes-in-patients-with-endometrial-cancer-a-single-center-analysis\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12]]},"references-count":17,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2022,12,29]]},"published-print":{"date-parts":[[2022,12]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0042-1759632","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0100-7203","1806-9339"],"issn-type":[{"value":"0100-7203","type":"print"},{"value":"1806-9339","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,12]]}}}