Use of a Comprehensive Geriatric Assessment to Predict Short-Term Postoperative Outcome in Elderly Patients With Colorectal Cancer
DC Field | Value | Language |
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dc.contributor.author | Lee, Yoon Hyun | - |
dc.contributor.author | Oh, Heung-Kwon | - |
dc.contributor.author | Kim, Duck-Woo | - |
dc.contributor.author | Ihn, Myong Hoon | - |
dc.contributor.author | Kim, Jee Hyun | - |
dc.contributor.author | Son, Il Tae | - |
dc.contributor.author | Kang, Sung Il | - |
dc.contributor.author | Kim, Gwang Il | - |
dc.contributor.author | Ahn, Soyeon | - |
dc.contributor.author | Kang, Sung-Bum | - |
dc.date.accessioned | 2021-08-11T16:46:43Z | - |
dc.date.available | 2021-08-11T16:46:43Z | - |
dc.date.issued | 2016-10 | - |
dc.identifier.issn | 2287-9714 | - |
dc.identifier.issn | 2287-9722 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/8746 | - |
dc.description.abstract | Purpose: This study was conducted to identify the effectiveness of a preoperative comprehensive geriatric assessment (CGA) for predicting postoperative morbidity in elderly patients who underwent surgery for colorectal cancer. Methods: Elderly patients (>= 70 years old) who underwent surgery for colorectal cancer at a tertiary hospital in Korea were identified, and their cases were analyzed using data from a prospectively collected database to establish an association between major postsurgical complications and 'high-risk' patient as defined by the CGA. Results: A total of 240 patients, with a mean age of 76.7 +/- 5.2 years, were enrolled. Ninety-five patients (39.6%) were classified as "high-risk" and 99 patients (41.3%) as having postoperative complications. The univariate analysis indicated that risk factors for postoperative complications were age, American Society of Anesthesiologists physical status classification, serum hemoglobin, carcinoembryonic antigen, cancer stage, and "high-risk" status. The multivariable analyses indicated that "high-risk" status (odds ratio, 2.107; 95% confidence interval, 1.168-3.804; P = 0.013) and elevated preoperative carcinoembryonic antigen (odds ratio, 2.561; 95% confidence interval, 1.346-4.871, P = 0.004) were independently associated with postoperative complications. A multivariable analysis of the individual CGA domains indicated that high comorbidities and low activities of daily living were significantly related with postoperative complications. Conclusion: A preoperative CGA indicating "high-risk" was associated with major postoperative complications in elderly patients who underwent surgery for colorectal cancer. Thus, using the CGA to identify elderly colorectal-cancer patients who should be given more care during postoperative management may be clinically beneficial. | - |
dc.format.extent | 9 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | 대한대장항문학회 | - |
dc.title | Use of a Comprehensive Geriatric Assessment to Predict Short-Term Postoperative Outcome in Elderly Patients With Colorectal Cancer | - |
dc.type | Article | - |
dc.publisher.location | 대한민국 | - |
dc.identifier.doi | 10.3393/ac.2016.32.5.161 | - |
dc.identifier.scopusid | 2-s2.0-84995570207 | - |
dc.identifier.wosid | 000441697900003 | - |
dc.identifier.bibliographicCitation | Annals of Coloproctology, v.32, no.5, pp 161 - 169 | - |
dc.citation.title | Annals of Coloproctology | - |
dc.citation.volume | 32 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 161 | - |
dc.citation.endPage | 169 | - |
dc.type.docType | Article | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scopus | - |
dc.description.journalRegisteredClass | kci | - |
dc.relation.journalResearchArea | Gastroenterology & Hepatology | - |
dc.relation.journalResearchArea | Surgery | - |
dc.relation.journalWebOfScienceCategory | Gastroenterology & Hepatology | - |
dc.relation.journalWebOfScienceCategory | Surgery | - |
dc.subject.keywordAuthor | Colorectal neoplasms | - |
dc.subject.keywordAuthor | Comprehensive geriatric assessment | - |
dc.subject.keywordAuthor | Complication | - |
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