{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T05:45:12Z","timestamp":1782711912315,"version":"3.54.5"},"reference-count":32,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T00:00:00Z","timestamp":1768953600000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To evaluate the long\u2010term prognostic impact of delayed recovery of independent ambulation and post\u2010operative sarcopenia progression in patients undergoing endovascular aortic aneurysm repair (EVAR).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this multicenter retrospective cohort study, 228 patients (mean age 78.1\u2009\u00b1\u20096.5\u2009years; 82.5% male) who underwent EVAR for abdominal aortic aneurysm between January 2015 and December 2020 were included. Independent ambulation was defined as walking \u2265\u200915\u2009m. Sarcopenia was assessed using the psoas muscle index (PMI) at L3 on CT, normalized by height squared. Baseline PMI was measured within 3\u2009months preoperatively; post\u2010operative sarcopenia progression was calculated as \u0394PMI\/baseline (% change from baseline to 6\u2009months). The primary outcome was all\u2010cause mortality, analyzed using multivariate Cox proportional hazards models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Over a mean follow\u2010up of 4.6\u2009\u00b1\u20092.2\u2009years, 52 patients (22.8%) died. Mean time to independent ambulation was 1.4\u2009\u00b1\u20091.2\u2009days, and mean \u0394PMI\/baseline decreased by 4.5%\u2009\u00b1\u20098.9%. After adjusting for age, sex, nutritional status, and pre\u2010operative sarcopenia, time to independent ambulation (HR 1.25; 95% CI 1.07\u20131.46;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.004) and \u0394PMI\/baseline (HR 1.13; 95% CI 1.09\u20131.17;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) were independent predictors of mortality. ROC analysis identified cut\u2010offs of \u2265\u20092\u2009days for ambulation and a decrease of \u2265\u20096.09% in \u0394PMI\/baseline. Patients meeting both criteria exhibited the poorest survival, representing delayed ambulation and marked sarcopenia progression.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Delayed recovery of independent ambulation and post\u2010operative sarcopenia progression independently predict all\u2010cause mortality after EVAR and may serve as clinically useful indicators for risk stratification and targeted rehabilitation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ggi.70355","type":"journal-article","created":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T06:21:53Z","timestamp":1769062913000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of Delayed Recovery of Independent Ambulation and Sarcopenia Progression on Long\u2010Term Outcomes Following Endovascular Aortic Aneurysm Repair"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-3770-7497","authenticated-orcid":false,"given":"Hirokazu","family":"Sugiura","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Sapporo City General Hospital  Sapporo Japan"},{"name":"Department of Surgery, Division of Cardiovascular Surgery Sapporo Medical University  Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4105-2937","authenticated-orcid":false,"given":"Tsuyoshi","family":"Shibata","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Cardiovascular Surgery Sapporo Medical University  Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yutaka","family":"Iba","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Cardiovascular Surgery Sapporo Medical University  Sapporo 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