Clinical Frailty Scale is a useful tool for predicting postoperative complications following elective colon cancer surgery in the age of 80 years and older: A prospective, multicentre observational study

2021 ◽  
Author(s):  
Susanna Niemeläinen ◽  
Heini Huhtala ◽  
Jan Andersen ◽  
Anu Ehrlich ◽  
Eija Haukijärvi ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Postoperative Complications ◽  
Observational Study ◽  
Cancer Surgery ◽  
Clinical Frailty Scale ◽  
Colon Cancer Surgery ◽  
Elective Colon

scholarly journals Risk factors of short-term survival in the aged in elective colon cancer surgery: a population-based study

2019 ◽  
Vol 35 (2) ◽  
pp. 307-315 ◽  
Author(s):  
Susanna Niemeläinen ◽  
Heini Huhtala ◽  
Anu Ehrlich ◽  
Jyrki Kössi ◽  
Esa Jämsen ◽  
...  
Keyword(s):  
Risk Factors ◽  
Colon Cancer ◽  
Postoperative Complications ◽  
Population Based ◽  
Cancer Surgery ◽  
Mortality Data ◽  
Short Term ◽  
Population Based Study ◽  
Colon Cancer Surgery ◽  
Elective Colon

Abstract Purpose Patients aged > 80 years represent an increasing proportion of colon cancer diagnoses. Selecting patients for elective surgery is challenging because of possibly compromised health status and functional decline. The aim of this retrospective, population-based study was to identify risk factors and health measures that predict short-term mortality after elective colon cancer surgery in the aged. Methods All patients > 80 years operated electively for stages I–III colon cancer from 2005 to 2016 in four Finnish hospitals were included. The prospectively collected data included comorbidities, functional status, postoperative surgical and medical outcomes as well as mortality data. Results A total of 386 patients (mean 84.0 years, range 80–96, 56% female) were included. Male gender (46% vs 35%, p = 0.03), higher BMI (51% vs 37%, p = 0.02), diabetes mellitus (51% vs 37%, p = 0.02), coronary artery disease (52% vs 36%, p = 0.003) and rheumatic diseases (67% vs 39%, p = 0.03) were related to higher risk of complications. The severe complications were more common in patients with increased preoperative hospitalizations (31% vs 15%, p = 0.05) and who lived in nursing homes (30% vs 17%, p = 0.05). The 30-day and 1-year mortality rates were 6.0% and 15% for all the patients compared with 30% and 45% in patients with severe postoperative complications (p < 0.001). Severe postoperative complications were the only significant patient-related variable affecting 1-year mortality (OR 9.60, 95% CI 2.33–39.55, p = 0.002). Conclusions The ability to identify preoperatively patients at high risk of decreased survival and thus prevent severe postoperative complications could improve overall outcome of aged colon cancer patients.

Perirenal fat surface area as a risk factor for perioperative difficulties and 30-day postoperative complications in elective colon cancer surgery

2018 ◽  
Vol 20 (12) ◽  
pp. 1078-1087 ◽  
Author(s):  
O. der Hagopian ◽  
M. Dahlberg ◽  
G. Heinius ◽  
J. Nordberg ◽  
J. Gustafsson ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Risk Factor ◽  
Postoperative Complications ◽  
Surface Area ◽  
Cancer Surgery ◽  
Colon Cancer Surgery ◽  
Elective Colon ◽  
Perirenal Fat

scholarly journals Short-term outcomes after elective colon cancer surgery: an observational study from the Norwegian registry for gastrointestinal and HPB surgery, NoRGast

2018 ◽  
Vol 33 (9) ◽  
pp. 2821-2833 ◽  
Author(s):  
L. S. Nymo ◽  
S. Norderval ◽  
M. T. Eriksen ◽  
H. H. Wasmuth ◽  
H. Kørner ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Observational Study ◽  
Cancer Surgery ◽  
Short Term ◽  
Colon Cancer Surgery ◽  
Elective Colon

Effects of beta-blocker therapy on mortality after elective colon cancer surgery

2019 ◽  
Vol 31 ◽  
pp. 108
Author(s):  
R. Ahl ◽  
P. Matthiessen ◽  
G. Sjolin ◽  
Y. Cao ◽  
O. Ljungqvist ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Beta Blocker ◽  
Cancer Surgery ◽  
Blocker Therapy ◽  
Beta Blocker Therapy ◽  
Colon Cancer Surgery ◽  
Elective Colon

Effects of early beta-blockade on morbidity and mortality outcomes after elective colon cancer surgery

2018 ◽  
Vol 25 ◽  
pp. 196-197
Author(s):  
Rebecka Ahl ◽  
Peter Matthiessen ◽  
Xin Fang ◽  
Yang Cao ◽  
Göran Wallin ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Cancer Surgery ◽  
Morbidity And Mortality ◽  
Beta Blockade ◽  
Colon Cancer Surgery ◽  
Elective Colon

scholarly journals Long‐term survival following elective colon cancer surgery in the aged. A population‐based cohort study

2020 ◽  
Vol 22 (11) ◽  
pp. 1585-1596
Author(s):  
S. Niemeläinen ◽  
H. Huhtala ◽  
A. Ehrlich ◽  
J. Kössi ◽  
E. Jämsen ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Cohort Study ◽  
Population Based ◽  
Cancer Surgery ◽  
Term Survival ◽  
Long Term Survival ◽  
Colon Cancer Surgery ◽  
Elective Colon

scholarly journals Complete state-wide outcomes in elective colon cancer surgery

2018 ◽  
Vol 88 (11) ◽  
pp. 1174-1177 ◽  
Author(s):  
Ian G. Faragher ◽  
Michael K.-Y. Hong ◽  
Douglas Stupart ◽  
David A. Watters ◽  
Justin Yeung
Keyword(s):  
Colon Cancer ◽  
Cancer Surgery ◽  
Complete State ◽  
Colon Cancer Surgery ◽  
Elective Colon
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