Evaluation of the utility of the Estimation of Physiologic Ability and Surgical Stress score for predicting post-operative morbidity after orthopaedic surgery

Nagata, Takehiro; Hirose, Jun; Nakamura, Takayuki; Tokunaga, Takuya; Uehara, Yusuke; Mizuta, Hiroshi

doi:10.1007/s00264-015-2993-2

Cited by 4 publications

(3 citation statements)

References 17 publications

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“…A parameter that has been widely validated for perioperative morbidity risk is the American Society of Anesthesiologists-Physical Status (ASA-PS) classification, which was found to be an efficient risk index in malignant bone and soft tissue tumors [9], but few papers can be found using specific post-operative morbidity scores in orthopedic surgery [10], and they normally use tools initially developed in different fields of surgery, such as the Estimation of Physiologic Ability and Surgical Stress [11,12] or the surgical risk calculator proposed by the American College of Surgeons [13]. Overall geriatric assessment scores have been applied by several authors to patients undergoing orthopedic surgery, but this was usually carried out in trauma surgery (hip fractures) or standard elective arthroplasty, with a lower age selection cut-off and with the target of evaluating the first-month or first-year morbidity/mortality results without data in the very long term.…”

Section: Discussionmentioning

confidence: 99%

Survival and Results after Resection and Reconstruction with Megaprosthesis at the Hip in Octogenarians

Scoccianti,

Innocenti,

Scanferla

et al. 2023

JCM

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Few data are available about results after procedures of resection and megaprosthesis at the hip in very elderly patients. The aim of our study was to ascertain survival and complications in patients aged 80 or older undergoing these major orthopedic procedures. A consecutive series of 27 procedures in 26 patients aged 80–93 years was evaluated. In total, 15 procedures were performed due to oncological diseases, 6 were performed following joint arthroplasty failures or periprosthetic fractures, and 6 were performed after trauma or trauma sequelae. Survival of the patients ranged from 0 to 122 months. Overall survival was 56% at 3 years, 24% at 5 years, and 16% at 8 years. An early postoperative death during the first 3 months occurred in five patients (18.5%). The only preoperative parameter negatively affecting survival was preoperative hemoglobin lower than 11 g/dL. Local complications were similar to reported rates in all-age patients’ series. In our experience, resection and megaprosthetic reconstruction can also be a valid choice in very elderly patients, with 56% of patients living more than two years from surgery and 24% more than five. Nevertheless, early postoperative deaths are frequent. A multidisciplinary evaluation of frailty of the patient must be accomplished, and patients and relatives must be informed about the risks of the procedure.

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Section: Discussionmentioning

confidence: 99%

Survival and Results after Resection and Reconstruction with Megaprosthesis at the Hip in Octogenarians

Scoccianti,

Innocenti,

Scanferla

et al. 2023

JCM

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“…In their review Nagata et al included 1183 patients, 436 of which affected by bone or soft tissue tumors, and applied E-PASS score to all of them. 50 …”

Section: Discussionmentioning

confidence: 99%

“…49 In their review Nagata et al included 1183 patients, 436 of which affected by bone or soft tissue tumors, and applied E-PASS score to all of them. 50 They showed how PRS, SSS and CRS were all significantly higher in the group with complications than in those without complications. The E-PASS score is surely a powerful instrument to predict postoperative morbidity in orthopaedic patient but is not age-nor tumor-specific, so the knowledges in the use of this kind of score have to be deepened.…”

Section: Surgical Scorementioning

confidence: 96%

The importance of geriatric and surgical co-management of elderly in muscoloskeletal oncology: A literature review

Vitiello¹,

Bellieni²,

Oliva³

et al. 2020

Orthop Rev (Pavia)

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People over 65 years old are the fastestgrowing part of the population and also the most common population in oncological practice. The geriatric co-assessment when involved in the management of orthopedic elderly patients could improve the survival and clinical outcomes of the patients. The aim of this review is to understand the importance of comprehensive geriatric assessment in elderly cancer orthopaedic patients affected by bone and soft tissue sarcoma in order to apply it and identify the mean surgical prognostic factors of this population.

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An Overview of Risk Stratification in the Elderly Orthopaedic Population

2018

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Evaluation of the utility of the Estimation of Physiologic Ability and Surgical Stress score for predicting post-operative morbidity after orthopaedic surgery

Abstract: The E-PASS scoring system showed some utility in predicting post-operative morbidity after general orthopaedic surgery. However, creating a new risk score that is more suitable for orthopaedic surgery will be challenging.

Cited by 4 publications

References 17 publications

Survival and Results after Resection and Reconstruction with Megaprosthesis at the Hip in Octogenarians

Survival and Results after Resection and Reconstruction with Megaprosthesis at the Hip in Octogenarians

The importance of geriatric and surgical co-management of elderly in muscoloskeletal oncology: A literature review

An Overview of Risk Stratification in the Elderly Orthopaedic Population

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