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Sarkopenia Sebagai Indikator Status Gizi Dan Prediktor Luaran Kanker Gastrointestinal Bagian Atas di RSUP Dr. Sardjito

Arif Nurhidayat Prawirohardjo, Dr. dr. Adeodatus Yuda Handaya, Sp.B-KBD, FINACS.; dr. Nurcahya Setyawan, Sp.B-KBD.; dr. Bambang Purwanto Utomo, Sp.Rad (K) Abd,M.Med.Ed

2024 | Tesis-Subspesialis | SUBSPESIALIS ILMU BEDAH

Purpose: Penelitian ini bertujuan untuk mengetahui sarkopenia sebagai indikator status gizi dan prediktor mortalitas dari pasien kanker gastrointestinal bagian atas di RSUP Dr. Sardjito

Patients and methods: Penelitian ini merupakan penelitian cross sectional menggunakan data sekunder berupa rekam medis yang dilakukan pada bulan April-Mei 2023 di RSUP Dr. Sardjito Yogyakarta. Sampel terdiri dari 32 pasien yang telah memenuhi kriteria inklusi & eksklusi. Data yang diperoleh kemudian dianalisis dengan analisis bivariat dengan metode uji chi square.

Results: Dari 32 sampel penelitian yang didapatkan, 81,3% memiliki sarkopenia sedangkan 18,8% sisanya tidak memiliki sarkopenia; 31,3% pasien termasuk kategori underweight, 50% pasien normal, dan 18,8% pasien mengalami overweight; serta 59,4% pasien meninggal dan 40,6% sisanya hidup. Tidak terdapat hubungan yang signifikan antara sarkopenia dengan status gizi (p=0,169) namun terdapat hubungan yang signifikan antara sarkopenia dengan mortalitas (p=0,029) dengan odds ratio 0,089.

Conclusion: Sarkopenia tidak dapat dijadikan indikator status gizi pasien kanker gastrointestinal bagian atas, namun dapat dijadikan prediktor mortalitas dari penyakit ini.

Purpose: This objective of this study is to determine sarcopenia as an indicator of nutritional status and predictor of outcomes of upper gastrointestinal cancer patients at Dr. Sardjito Hospital

Patients and methods: This study applies cross sectional study using secondary data in the form of medical records conducted in April-May 2023 at Dr. Sardjito Hospital Yogyakarta. The sample consisted of 32 patients who reached the inclusion & exclusion criteria. The data were subsequently analyzed through bivariate analysis, including the chi-square test and Mann-Whitney test.

Results: From the 32 study samples obtained, 81.3% had sarcopenia while the remaining 18.8% did not have sarcopenia; 31.3% of patients were categorized as underweight, 50% of patients were normal, and 18.8% of patients were overweight; and 59.4% of patients died while the remaining 40.6% lived. There was no significant relationship between sarcopenia and nutritional status (p=0.169) and length of stay (p=0.224), but there was a significant relationship between sarcopenia and mortality (p=0.029) with an odds ratio of 0.089.

Conclusion: Sarcopenia cannot be used as an indicator of nutritional status and a predictor of length of stay as an outcome of upper gastrointestinal cancer patients, but it can be applied as a predictor of mortality which is also an outcome of this disease.

Kata Kunci : Sarkopenia, Status Gizi, Mortalitas, Sarcopenia, Nutritional Status, Mortality, Length of Stay

  1. SPESIALIS-2-2024-491053-abstract.pdf  
  2. SPESIALIS-2-2024-491053-bibliography.pdf  
  3. SPESIALIS-2-2024-491053-tableofcontent.pdf  
  4. SPESIALIS-2-2024-491053-title.pdf