Risk and Protective Factors for Postoperative Complications in Elderly Patients With Colorectal Cancer

Shiraishi, Takeshi; Ogawa, Hiroomi; Ozawa, Naoya; Suga, Kunihiko; Komine, Chika; Shibasaki, Yuta; Osone, Katsuya; Okada, Takuhisa; Enokida, Yasuaki; Sohda, Makoto; Shirabe, Ken; Saeki, Hiroshi

doi:10.21873/anticanres.15575

Anticancer Res

2022

DOI: 10.21873/anticanres.15575

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Risk and Protective Factors for Postoperative Complications in Elderly Patients With Colorectal Cancer

Takeshi Shiraishi

Hiroomi Ogawa

Naoya Ozawa

et al.

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“…In addition to oncological factors and treatment factors, the outcomes of cancer treatment are greatly influenced by host factors, such as the nutritional status, immune status, systemic inflammation, and intestinal flora (1)(2)(3)(4)(5)(6). Malnutrition has been reported to be associated with shorter survival time after curative surgery and worse chemotherapeutic efficacy in patients with various gastrointestinal malignancies (7)(8)(9)(10)(11).…”

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Impact of Preoperative Nutritional Status on Long-term Survival in Patients With Stage I-III Colorectal Cancer

Shibutani¹,

Kashiwagi²,

Fukuoka³

et al. 2023

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Background/Aim: In addition to oncological and treatment factors, the outcomes of cancer treatment are greatly influenced by host factors, such as the nutritional status. The aim of this study was to evaluate the association between the preoperative nutritional status and the prognosis of colorectal cancer patients using three nutritional indices. Patients and Methods: The target cohort consisted of 529 patients with stage I-III colorectal cancer, who underwent curative surgery between January 2015 and December 2019. The nutritional indices were calculated according to the equations that follow. Prognostic nutritional index (PNI)=10×serum albumin concentration (g/dl) +0.005×peripheral lymphocyte count (/μl). Nutritional risk index (NRI)=15.19×serum albumin concentration (g/dl)+41.7×present weight/usual weight. Geriatric nutritional risk index (GNRI)=14.89×serum albumin concentration (g/dl)+41.7×present weight/ideal weight. Ideal weight was calculated as follows: height(cm)-100-[(height(cm)-150)/4] for men and height(cm)-100-[(height(cm)-150)/2.5] for women. Results: In common with all nutritional indices (PNI, NRI and GNRI), the low-nutritional index group had significantly lower relapse-free and overall survival rates than the high-nutritional index group. Furthermore, a subgroup analysis according to the NRI showed the association of the NRI with the patient prognosis for each stage. Conclusion: The preoperative nutritional status may have a close relationship with the prognosis in patients who receive curative surgery for colorectal cancer. Patients and MethodsPatients. The target cohort consisted of 529 patients with stage I-III colorectal cancer, who underwent curative surgery at the

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confidence: 99%

Impact of Preoperative Nutritional Status on Long-term Survival in Patients With Stage I-III Colorectal Cancer

Shibutani¹,

Kashiwagi²,

Fukuoka³

et al. 2023

In Vivo

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Risk and Protective Factors for Postoperative Complications in Elderly Patients With Colorectal Cancer

Cited by 1 publication

References 0 publications

Impact of Preoperative Nutritional Status on Long-term Survival in Patients With Stage I-III Colorectal Cancer

Impact of Preoperative Nutritional Status on Long-term Survival in Patients With Stage I-III Colorectal Cancer

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