Perioperative nutritional support is associated with attenuated early postoperative albumin decline after gastrectomy for gastric cancer: a retrospective cohort study and machine learning prediction model - Takeaways - MDSpire

Perioperative nutritional support is associated with attenuated early postoperative albumin decline after gastrectomy for gastric cancer: a retrospective cohort study and machine learning prediction model

  • By

  • Tao Wen

  • Xikui Zhang

  • Xiaoping Zhang

  • Sumei Lv

  • Liman Yang

  • Bibo Tan

  • Feng Xia Liu

  • July 8, 2026

  • 0 min

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  • 1

    The study analyzed 1,529 adults who underwent gastrectomy for gastric cancer, focusing on the impact of perioperative nutritional support.

  • 2

    Postoperative albumin improvement occurred in 15.2% of patients, with higher rates in the nutritional support group compared to the no/standard support group.

  • 3

    Nutritional support was associated with a higher change in albumin levels, but the association with binary albumin improvement was less precise.

  • 4

    A gradient boosting model was developed to predict albumin improvement, achieving an AUROC of 0.711 and an AUPRC of 0.422.

  • 5

    The findings suggest that perioperative nutritional support may mitigate early postoperative declines in serum albumin after gastrectomy.

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