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Annals of Surgical Oncology
Published in: Annals of Surgical Oncology 4/2024

31-12-2023 | Systemic Therapy | ASO Author Reflections

ASO Author Reflections: Preoperative Frailty and Nutritional Assessment of Patients Undergoing Oncologic Resections

Authors: Nazanin Khajoueinejad, MD, Noah A. Cohen, MD

Published in: Annals of Surgical Oncology | Issue 4/2024

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Excerpt

Frail and malnourished patients are at increased risk of postoperative morbidity and mortality.1,2 This is especially critical for surgical oncology patients, who are at risk of delays in initiation of systemic therapy if faced with postoperative complications. Despite the increasing focus on frailty, formal frailty assessments are infrequently incorporated into preoperative evaluations. The risk assessment index (RAI) is a validated, granular, yet easily administrable frailty assessment tool that has identified patients at risk of postoperative mortality after elective general surgery, but to date has not been prospectively evaluated in a surgical oncology patient population.3 …
Literature
1.
Panayi AC, Orkaby AR, Sakthivel D, et al. Impact of frailty on outcomes in surgical patients: a systematic review and meta-analysis. Am J Surg. 2019;218:393–400.CrossRefPubMed
2.
Oresanya LB, Lyons WL, Finlayson E. Preoperative assessment of the older patient: a narrative review. JAMA. 2014;311:2110–20.CrossRefPubMed
3.
Hall DE, Arya S, Schmid KK, et al. Development and initial validation of the risk analysis index for measuring frailty in surgical populations. JAMA Surg. 2017;152:175–82.CrossRefPubMedPubMedCentral
4.
5.
Varley PR, Buchanan D, Bilderback A, et al. Association of routine preoperative frailty assessment with 1-year postoperative mortality. JAMA Surg. 2023;158:475–83.CrossRefPubMedPubMedCentral
Metadata
Title
ASO Author Reflections: Preoperative Frailty and Nutritional Assessment of Patients Undergoing Oncologic Resections
Authors
Nazanin Khajoueinejad, MD
Noah A. Cohen, MD
Publication date
31-12-2023
Publisher
Springer International Publishing
Published in
Annals of Surgical Oncology / Issue 4/2024
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI
https://doi.org/10.1245/s10434-023-14825-1

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