CCR-CARESS score for predicting operative mortality in patients with colorectal cancer

Baré, Marisa; Mora, Laura; Torà, Núria; Gil, María José; Barrio, Irantzu; Collera, P; Suarez, David L.; Redondo, Maximino; Escobar, Antonio; Larrea, Nerea Fernández de; Quintana, José M.

doi:10.1002/bjs.10956

Cited by 11 publications

(17 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Some of them, such as age, ASA score and pulmonary comorbidity, have already been reported as being associated. Advanced age is a well‐known risk factor for postoperative death in colorectal surgery . In our study, the postoperative mortality rate increased by approximately 5% for every 5 years starting at 65.…”

Section: Discussionmentioning

confidence: 49%

“…Surgery for OCC is associated with worse short-term outcomes in comparison with elective surgery, with postoperative mortality and morbidity rates of 8%-15% and 40%, respectively [4][5][6][7]. Several studies have reported risk factors or developed scoring systems to predict postoperative mortality after colorectal surgery [the Association Franc ßaise de Chirurgie (AFC) score, the Colorectal-Physiological and Operative Severity Score for Enumeration of Mortality and Morbidity score, the Association of Coloproctology of Great Britain and Ireland score, the Cleveland Clinic Foundation CRC model, the Identification of Risk in Colorectal Surgery model and the CCR-CARESS score] [8][9][10][11][12][13][14][15]. Most of them found that emergency surgery was an independent factor for postoperative mortality [8][9][10][11][12][13][14].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Thirty‐day mortality after emergency surgery for obstructing colon cancer: survey and dedicated score from the French Surgical Association

Manceau

Mège²,

Bridoux

et al. 2019

Colorectal Disease

View full text Add to dashboard Cite

AimThe aim was to define risk factors for postoperative mortality in patients undergoing emergency surgery for obstructing colon cancer (OCC) and to propose a dedicated score.Method From 2000 to 2015, 2325 patients were treated for OCC in French surgical centres by members of the French National Surgical Association. A multivariate analysis was performed for variables with P value ≤ 0.20 in the univariate analysis for 30-day mortality. Predictive performance was assessed by the area under the receiver operating characteristic curve.Results A total of 1983 patients were included. Thirtyday postoperative mortality was 7%. Multivariate analysis found five significant independent risk factors: age ≥ 75 (P = 0.013), American Society of Anesthesiologists (ASA) score ≥ III (P = 0.027), pulmonary comorbidity (P = 0.0002), right-sided cancer (P = 0.047) and haemodynamic failure (P < 0.0001). The odds ratio for risk of postoperative death was 3.42 with one factor, 5.80 with two factors, 15.73 with three factors, 29.23 with four factors and 77.25 with five factors. The discriminating capacity in predicting 30-day postoperative mortality was 0.80.Conclusion Thirty-day postoperative mortality after emergency surgery for OCC is correlated with age, ASA score, pulmonary comorbidity, site of tumour and haemodynamic failure, with a specific score ranging from 0 to 5.

show abstract

Section: Discussionmentioning

confidence: 49%

Section: Introductionmentioning

confidence: 99%

Thirty‐day mortality after emergency surgery for obstructing colon cancer: survey and dedicated score from the French Surgical Association

Manceau

Mège²,

Bridoux

et al. 2019

Colorectal Disease

View full text Add to dashboard Cite

show abstract

“…Additionally, patients ≥70 years old are twice as likely to die during the index hospitalization. [9,11] A critical aspect of postoperative recovery for older patients is maintaining cognitive function and avoiding delirium. Patients who develop delirium face a twofold increased risk of death, a 2.4-fold greater risk of institutionalization, and a 12-fold increase in the risk of developing dementia after hospital discharge.…”

Section: Perioperative Complications In the Older Patientsmentioning

confidence: 99%

A Surgeon’s Guide to Treating Older Patients With Colorectal Cancer

Kim

Lee

Skinner

et al. 2019

Curr Colorectal Cancer Rep

View full text Add to dashboard Cite

Purpose of review: Review strategies to improve outcomes of colorectal cancer treatment in older patients. Recent findings: Older colorectal patients face many barriers to recovery during their initial inpatient stay following surgery and after leaving the hospital. In addition to the risk of inpatient morbidity and mortality, older patients are more likely to require post-acute care services, to face nutritional deficits, and to experience complications of chemoradiation. Summary: In order to improve outcomes for older patients with colorectal cancer, it is important for surgeons to recognize their unique needs and to develop plans to address them. The involvement of a multidisciplinary team with geriatric experience can guide planning for surgery, the immediate postoperative recovery, and long-term survivorship.

show abstract

“…Multiple trials have evaluated the possible risk factors or created prognostic scores for mortality after colorectal surgery, and emergency surgery was found to be a strong predictor for post-operative mortality (14)(15)(16). Nonetheless, these studies included patients with elective and emergency colorectal cancer patients.…”

Section: Introduction Introductionmentioning

confidence: 99%

Risk Factors for Mortality in Cases of Obstructed Left Colonic Carcinoma

Elrish,

Abbas,

Farid

et al. 2022

SGO

View full text Add to dashboard Cite

Background: Emergency surgery for colon cancer is associated with high morbidity and mortality rates. Herein, this study was conducted to estimate the incidence and to detect the risk factors leading to mortality in cases of obstructed left colonic carcinoma. Methods: This prospective research included 150 patients diagnosed with obstructed left colon cancer and underwent surgical intervention. Based on the incidence of early mortality, they were divided into two groups; the survival and the deceased ones. Results: Mortality was encountered in 19 patients (12.67%). The deceased group showed older age and higher male predominance compared to the survived one. Likewise, the prevalence of heart and kidney disease was higher in the same group. The deceased patients expressed higher ASA and APACHE II scores before operation. These cases had a higher prevalence of shock and a longer duration of symptoms. The surgical intervention did not differ between the two groups. However, the incidence of perforation and intraabdominal free fluid was significantly increased in the deceased cases. In addition, the incidence of post-operative complications and duration of ICU admission significantly increased with mortality. Conclusion: Old age, male gender, ischemic heart disease, chronic kidney disease, ASA class III, shock, increased symptom duration, intraabdominal free fluid, tumor perforation, post-operative complications, and ICU admission were significant risk factors for mortality in such cases. Patients with one or more of the previous factors should be well evaluated to decrease the mortality risk.

show abstract

CCR-CARESS score for predicting operative mortality in patients with colorectal cancer

Abstract: Elderly patients with co-morbidity and palliative intention of surgery have an unacceptably high risk of death.

Cited by 11 publications

References 30 publications

Thirty‐day mortality after emergency surgery for obstructing colon cancer: survey and dedicated score from the French Surgical Association

Thirty‐day mortality after emergency surgery for obstructing colon cancer: survey and dedicated score from the French Surgical Association

A Surgeon’s Guide to Treating Older Patients With Colorectal Cancer

Risk Factors for Mortality in Cases of Obstructed Left Colonic Carcinoma

Contact Info

Product

Resources

About