Colorectal surgery in octogenarian patients—outcomes and predictors of morbidity

Tan, Kok‐Yang; Kawamura, Yutaka; Mizokami, Ken; Sasaki, Junichi; Tsujinaka, Shingo; Maeda, Takafumi; Konishi, Fumio

doi:10.1007/s00384-008-0615-9

Cited by 78 publications

(48 citation statements)

References 15 publications

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“…Although both surgical and oncological treatment have become more differentiated, major surgery is still the cornerstone of rectal cancer treatment. There is evidence that elderly people should not be denied surgical treatment on the basis of their chronological age alone [2][3][4], but the consequences of complications are more often severe [5]. In clinical practice, elderly patients receive less curative surgery, less radiochemotherapy and often modified surgical treatment when operated [6], and no consensus on the treatment of elderly patients exists [7].…”

Section: Introductionmentioning

confidence: 99%

Complications and risk prediction in treatment of elderly patients with rectal cancer

Stornes

Wibe

Endreseth

2015

Int J Colorectal Dis

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Section: Introductionmentioning

confidence: 99%

Complications and risk prediction in treatment of elderly patients with rectal cancer

Stornes

Wibe

Endreseth

2015

Int J Colorectal Dis

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“…[15][16][17][18][19][20][21] Table 1 shows several of the postoperative mortality rates of octogenarian patients who underwent major colorectal resection. The postoperative mortality rates have improved in recent years.…”

Section: Outcomes Of Colorectal Surgery In Elderly Patientsmentioning

confidence: 99%

“…6,20,22 Elective colorectal surgery is associated with a lower morbidity rate but still occurs in a signifi cant number of patients. 6,20,21 An advanced patient age is associated with a higher number of medical complications. 23 It is signifi cant that morbidity rates in elderly patients are relatively high, but the overall mortality rate has remained low.…”

Section: Outcomes Of Colorectal Surgery In Elderly Patientsmentioning

confidence: 99%

Optimizing the management of elderly colorectal surgery patients

et al. 2010

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With the ever increasing number of geriatric surgical patients, there is a need to develop efficient processes that address all of the potential issues faced by patients during the perioperative period. This article explores the physiological changes in elderly surgical patients and the outcomes achieved after major abdominal surgery. Perioperative management strategies for elderly surgical patients in line with the practices of the Geriatric Surgical Team of Alexandra Health, Singapore, are also presented. A coordinated transdisciplinary approach best tackles the complexities encountered in these patients.

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“…Studies of the surgical outcomes in elderly patients with various malignancies have been reported [2,3,11,17,18]. However, little information is available regarding the therapeutic outcomes in elderly patients with musculoskeletal sarcomas, and some studies have relatively small cohorts [1,2,4,9,15].…”

Section: Introductionmentioning

confidence: 99%

What Is the Effect of Advanced Age and Comorbidity on Postoperative Morbidity and Mortality After Musculoskeletal Tumor Surgery?

Yasunaga

Horiguchi

Fushimi

et al. 2014

Clin Orthop Relat Res

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Background Although the elderly population is increasing rapidly, little information is available regarding how the risk of postoperative mortality and morbidity increases when combined with age and comorbidity burden in patients undergoing musculoskeletal tumor surgery. Questions/purposes We evaluated the effect of age and comorbidity burden on the (1) postoperative complication rate and (2) in-hospital mortality rate after musculoskeletal tumor surgery. Methods We identified 5716 patients undergoing musculoskeletal tumor surgery during 2007 to 2012 using a Japanese national inpatient database. Logistic regression analyses were performed to examine the relationships of various factors with the rates of mortality and morbidity. Results The postoperative complication rate (6.7%) was associated with male sex (p = 0. The morbidity (21.6%; OR, 3.29; p \ 0.001) and mortality (4.1%; OR, 5.95; p \ 0.001) in patients 80 years or older with a Charlson Comorbidity Index of 4 or greater was increased three and six times, respectively, compared with patients 64 years or younger with no comorbidity. Conclusions We found that age and comorbidity burden together greatly increased the risk of morbidity and mortality. Our study showed quantitative evidence that will assist physicians in assessing perioperative risk accurately and provide a more informative explanation to elderly patients undergoing musculoskeletal tumor surgery. Level of Evidence Level IV, prognostic study. See the Instructions for Authors for a complete description of levels of evidence.

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Colorectal surgery in octogenarian patients—outcomes and predictors of morbidity

Abstract: Octogenarians undergoing major colorectal resection have an acceptable perioperative morbidity and mortality rate and survival rate and should not be denied surgery based on age alone. Comorbidity index scores and ASA scores are useful tools to identify poor risk patients.

Cited by 78 publications

References 15 publications

Complications and risk prediction in treatment of elderly patients with rectal cancer

Complications and risk prediction in treatment of elderly patients with rectal cancer

Optimizing the management of elderly colorectal surgery patients

What Is the Effect of Advanced Age and Comorbidity on Postoperative Morbidity and Mortality After Musculoskeletal Tumor Surgery?

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