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Journal of Gastrointestinal Surgery

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01-03-2014 | 2013 SSAT Plenary Presentation

Value of Geriatric Frailty and Nutritional Status Assessment in Predicting Postoperative Mortality in Gastric Cancer Surgery

Authors: Juul J. W. Tegels, M. F. G. de Maat, K. W. E. Hulsewé, A. G. M. Hoofwijk, J. H. M. B. Stoot

Published in: Journal of Gastrointestinal Surgery | Issue 3/2014

Abstract

Objectives

This study seeks to evaluate assessment of geriatric frailty and nutritional status in predicting postoperative mortality in gastric cancer surgery.

Methods

Preoperatively, patients operated for gastric adenocarcinoma underwent assessment of Groningen Frailty Indicator (GFI) and Short Nutritional Assessment Questionnaire (SNAQ). We studied retrospectively whether these scores were associated with in-hospital mortality.

Results

From 2005 to September 2012 180 patients underwent surgery with an overall mortality of 8.3 %. Patients with a GFI ≥ 3 (n = 30, 24 %) had a mortality rate of 23.3 % versus 5.2 % in the lower GFI group (OR 4.0, 95%CI 1.1–14.1, P = 0.03). For patients who underwent surgery with curative intent (n = 125), this was 27.3 % for patients with GFI ≥ 3 (n = 22, 18 %) versus 5.7 % with GFI < 3 (OR 4.6, 95 % CI 1.0–20.9, P = 0.05). SNAQ ≥ 1 (n = 98, 61 %) was associated with a mortality rate of 13.3 % versus 3.2 % in patients with SNAQ = 0 (OR 5.1, 95 % CI 1.1–23.8, P = 0.04). Given odds ratios are corrected in multivariate analyses for age, neoadjuvant chemotherapy, type of surgery, tumor stage and ASA classification.

Conclusions

This study shows a significant relationship between gastric cancer surgical mortality and geriatric frailty as well as nutritional status using a simple questionnaire. This may have implications in preoperative decision making in selecting patients who optimally benefit from surgery.

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Title: Value of Geriatric Frailty and Nutritional Status Assessment in Predicting Postoperative Mortality in Gastric Cancer Surgery
Authors: Juul J. W. Tegels
M. F. G. de Maat
K. W. E. Hulsewé
A. G. M. Hoofwijk
J. H. M. B. Stoot
Publication date: 01-03-2014
Publisher: Springer US
Published in: Journal of Gastrointestinal Surgery / Issue 3/2014
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-013-2443-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Value of Geriatric Frailty and Nutritional Status Assessment in Predicting Postoperative Mortality in Gastric Cancer Surgery

Abstract

Objectives

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objectives

Methods

Results

Conclusions

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