{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T13:57:38Z","timestamp":1791640658614,"version":"4.3.4"},"reference-count":23,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2014,12,23]],"date-time":"2014-12-23T00:00:00Z","timestamp":1419292800000},"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":["Colorectal Disease"],"published-print":{"date-parts":[[2015,1]]},"abstract":"Abstract<\/jats:title>\n \n Aim<\/jats:title>\n Radiologically assessed muscle mass has been suggested as a surrogate marker of functional status and frailty and may predict patients at risk of postoperative complications. We hypothesize that sarcopenia negatively impacts on postoperative recovery and is predictive of complications.<\/jats:p>\n <\/jats:sec>\n \n Method<\/jats:title>\n \n One hundred patients undergoing elective resection for colorectal carcinoma were included in this study. Lean muscle mass was estimated by measuring the cross\u2010sectional area of the psoas muscle at the level of the third lumbar vertebra identified on a preoperative\n CT<\/jats:styled-content>\n scan, normalizing for patient height. Perioperative morbidity was scored according to the Clavien\u2013Dindo classification. All statistical data analyses were carried out using the Statistical Package for the Social Sciences (\n SPSS<\/jats:styled-content>\n ) version 20.0.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Fifteen per cent of patients were identified as sarcopenic. There were no deaths in the study group. Sarcopenia was associated with a significantly increased risk of developing major complications (Grade 3 or greater,\n OR<\/jats:styled-content>\n \u00a0=\u00a05.41, 95%\n CI<\/jats:styled-content>\n : 1.45\u201320.15,\n P<\/jats:italic>\n \u00a0=\u00a00.01). Sarcopenia did not predict length of stay, critical care dependency or time to mobilization.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n Sarcopenia, as a marker of frailty, is an important risk factor in surgical patients but difficult to estimate using bedside testing.\n CT<\/jats:styled-content>\n scans, performed for preoperative staging, provide an opportunity to quantify lean muscle mass without additional cost or exposure to radiation and eliminate the inconvenience of further investigations.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/codi.12805","type":"journal-article","created":{"date-parts":[[2014,10,18]],"date-time":"2014-10-18T08:32:59Z","timestamp":1413621179000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":316,"title":["Simple psoas cross\u2010sectional area measurement is a quick and easy method to assess sarcopenia and predicts major surgical complications"],"prefix":"10.1111","volume":"17","author":[{"given":"K. I.","family":"Jones","sequence":"first","affiliation":[{"name":"Department of Surgery Oxford University Hospitals Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Doleman","sequence":"additional","affiliation":[{"name":"Surgery Royal Derby Hospital Derby UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Scott","sequence":"additional","affiliation":[{"name":"Surgery Royal Derby Hospital Derby UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. N.","family":"Lund","sequence":"additional","affiliation":[{"name":"School of Medical Sciences and Graduate Entry Medicine University of Nottingham Derby UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. 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