Gait speed predicts post‐operative medical complications in elderly gastric cancer patients undergoing gastrectomy

Chandoo, Arvine; Chi, Chu-huai; Ji, Weiping; Huang, Yueyue; Chen, Xiao; Zhang, Weiteng; Wu, Rui-sen; Shen, Xian

doi:10.1111/ans.14325

Cited by 14 publications

(10 citation statements)

References 29 publications

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“… 3 Meanwhile, in a study on cardiac surgery, Chung et al found that handgrip strength was a predictive factor of postoperative complications in patients with heart failure, 36 and another study reported that walking speed was a predictor of postoperative morbidities in older patients undergoing gastrectomy. 37 However, the authors only chose one component and did not compare other components in Fried’s criteria.…”

Section: Discussionmentioning

confidence: 99%

Frailty and Adverse Outcomes Among Older Patients Undergoing Gastroenterological Surgery in Vietnam

Nguyen

Pham

2021

JMDH

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Purpose With the ageing population, more older adults undergo surgery, and frailty increases the risk of postoperative complications in older patients. This study aimed to determine the association between frailty and 30-day adverse outcomes in older patients undergoing gastroenterological surgery in Vietnam. Patients and Methods A prospective cohort study was conducted in the Gastroenterology Department of the University Medical Center in Ho Chi Minh City. Frailty was determined using Fried’s criteria. Adverse outcomes within 30 days of gastroenterological surgery were recorded, including postoperative infections, acute respiratory failure, acute kidney injury, and death. Univariate and multivariate logistic analyses were performed to determine the association between frailty and 30-day postoperative adverse outcomes using Stata 14.0. Results Data of 302 elective surgical participants were collected (mean age: 69.8± 8.1 years, 53.3% female), and the prevalence of frailty was 18.5%. Frailty was an independent risk factor for 30-day adverse outcomes (odds ratio=6.56, 95% confidence interval, 2.77–15.53, p <0.001), which included postoperative infections, acute respiratory failure, acute kidney injury, and death. Frail participants had a significantly higher risk of postoperative infections (odds ratio=8.21, 95% confidence interval, 3.28–20.54, p <0.001), and exhaustion was strongly associated with postoperative adverse outcomes. Conclusion Frailty was a predictor of 30-day adverse outcomes in older patients undergoing gastroenterological surgery. Therefore, preoperative frailty should be screened in older patients, and frailty-associated risks should be considered during the decision-making process by physicians, patients, and their families.

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Section: Discussionmentioning

confidence: 99%

Frailty and Adverse Outcomes Among Older Patients Undergoing Gastroenterological Surgery in Vietnam

Nguyen

Pham

2021

JMDH

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“…Gait speed <0.2 m/s is the cut off point for extreme frailty. A slow gait speed was an independent predictor of post-operative morbidity in older patients undergoing various abdominal operations due to cancer [20,21].…”

Section: Objective Toolsmentioning

confidence: 94%

Oncogeriatric. Other frailty assessment instruments

Kenig

2020

Nowotwory. Journal of Oncology

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“…Six CPET-studies reported on at least two CPET variables and postoperative complications. West et al [29] found significant In the non-CPET studies, gait speed and hand grip strength were the most frequently reported tests [16,17,23]. In the study by Karlsson et al [17], a unit increase in maximal gait speed was associated with less overall complications in multivariable analysis (OR 0.29, 95% CI 0.13e0.63) whereas habitual gait speed was not.…”

Section: Overall Complicationsmentioning

confidence: 96%

“…Twelve studies analyzed preoperative physical assessment methods other than CPET [14e19, 23,27,30e34]. The TUG test was the sole focus of six studies [27,30e34], one study considered ISWT [19], three studies focused on two different physical tests (TUG and hand grip strength [15], TUG and gait speed [16] or gait speed and hand grip strength [23]), one study assessed TUG, hand grip strength and chair rise time over 10 repetitions [14], and one study reported on four physical assessment methods (hand grip strength, gait speed, number of chair stands over 30 s (chair stand test), and the 6MWT) [17,18]. Physical tests were not directly compared with each other within the individual studies.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Twelve studies reported on postoperative overall complications during hospital admission (incidence 51e56%) [12,13] or within 5 days (incidence 48%) [29], 30 days (incidence 18e74%) [17,19,20,22,23,33] or 90 days of surgery (incidence 31e59%) [16,28]. One study only reported the OR without specifying the number of patients with complications or follow-up duration [27].…”

Section: Overall Complicationsmentioning

confidence: 99%

See 1 more Smart Citation

Preoperative physical performance as predictor of postoperative outcomes in patients aged 65 and older scheduled for major abdominal cancer surgery: A systematic review

Argillander

Heil

Melis

et al. 2022

European Journal of Surgical Oncology

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Background: Abdominal cancer surgery is associated with considerable morbidity in older patients. Assessment of preoperative physical status is therefore essential. The aim of this review was to describe and compare the objective physical tests that are currently used in abdominal cancer surgery in the older patient population with regard to postoperative outcomes. Methods: Medline, Embase, CINAHL and Web of Science were searched until 31 December 2020. Noninterventional cohort studies were eligible if they included patients 65 years undergoing abdominal cancer surgery, reported results on objective preoperative physical assessment such as Cardiopulmonary Exercise Testing (CPET), field walk tests or muscle strength, and on postoperative outcomes. Results: 23 publications were included (10 CPET, 13 non-CPET including Timed Up & Go, grip strength, 6minute walking test (6MWT) and incremental shuttle walk test (ISWT)). Meta-analysis was precluded due to heterogeneity between study cohorts, different cut-off points, and inconsistent reporting of outcomes. In CPET studies, ventilatory anaerobic threshold and minute ventilation/carbon dioxide production gradient were associated with adverse outcomes. ISWT and 6MWT predicted outcomes in two studies. Tests addressing muscle strength and function were of limited value. No study compared different physical tests. Discussion: CPET has the ability to predict adverse postoperative outcomes, but it is time-consuming and requires expert assessment. ISWT or 6MWT might be a feasible alternative to estimate aerobic capacity. Muscle strength and function tests currently have limited value in risk prediction. Future research should compare the predictive value of different physical instruments with regard to postoperative outcomes in older surgical patients.

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Gait speed predicts post‐operative medical complications in elderly gastric cancer patients undergoing gastrectomy

Cited by 14 publications

References 29 publications

Frailty and Adverse Outcomes Among Older Patients Undergoing Gastroenterological Surgery in Vietnam

Frailty and Adverse Outcomes Among Older Patients Undergoing Gastroenterological Surgery in Vietnam

Oncogeriatric. Other frailty assessment instruments

Preoperative physical performance as predictor of postoperative outcomes in patients aged 65 and older scheduled for major abdominal cancer surgery: A systematic review

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