Article ; Online: Type and Consequences of Short-Term Complications in Colon Cancer Surgery, Focusing on the Oldest Old.
2019 Volume 19, Issue 1, Page(s) e18–e25
Abstract: Background: While the proportion of colon cancer occurring in older patients is expected to increase, these patients may have more complications that may lead to serious consequences. The aim of this study was assess postoperative complications and ... ...
Abstract | Background: While the proportion of colon cancer occurring in older patients is expected to increase, these patients may have more complications that may lead to serious consequences. The aim of this study was assess postoperative complications and their short-term consequences in colon cancer surgery according to age. Patients and methods: Patients undergoing surgery for primary invasive colon cancer in 22 centers between June 2010 and December 2012 were included. Presurgical and surgical variables were analyzed, and in-hospital major postoperative complications and its most serious consequence (no relevant, transfusion, reintervention, admission to the intensive care unit, or death) were estimated according to age group. Chi-square tests were used to analyze the possible associations between variables and age groups. Results: Data from 1976 patients, mean (range) age 68 (24-97) years, 62% men, were analyzed; 52.2% were aged > 69 years and 17.7% were aged > 79 years. The complication rate was 25.3%, reaching 30.9% in those aged ≥ 80 years. Older age was associated with a higher rate of postoperative infections during the hospital stay. The most common surgical complication in patients aged > 85 years was dehiscence of the anastomosis (11.5%). About 5% of patients with major complications died in the hospital (11.1% of those aged 80-84 years and 14.3% aged > 85 years). Among patients aged > 85 years, 38.1% required transfusions. Conclusion: Older patients should receive appropriate functional preparation before the intervention, and when the risks of the intervention outweigh the potential benefits, a nonsurgical approach may be preferable. |
---|---|
MeSH term(s) | Adult ; Age Factors ; Aged ; Aged, 80 and over ; Anastomosis, Surgical/adverse effects ; Blood Transfusion/statistics & numerical data ; Colectomy/adverse effects ; Colon/pathology ; Colon/surgery ; Colonic Neoplasms/mortality ; Colonic Neoplasms/pathology ; Colonic Neoplasms/surgery ; Europe/epidemiology ; Female ; Hospital Mortality ; Humans ; Length of Stay/statistics & numerical data ; Male ; Middle Aged ; Prospective Studies ; Risk Factors ; Surgical Wound Dehiscence/epidemiology ; Surgical Wound Dehiscence/etiology ; Surgical Wound Dehiscence/therapy ; Young Adult |
Language | English |
Publishing date | 2019-11-26 |
Publishing country | United States |
Document type | Journal Article ; Multicenter Study ; Observational Study ; Research Support, Non-U.S. Gov't |
ZDB-ID | 2112638-0 |
ISSN | 1938-0674 ; 1533-0028 |
ISSN (online) | 1938-0674 |
ISSN | 1533-0028 |
DOI | 10.1016/j.clcc.2019.11.003 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
More links
Kategorien
In stock of ZB MED Cologne/Königswinter
Zs.A 5798: Show issues | Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (2.OG) ab Jg. 2022: Lesesaal (EG) |
|||
Zs.MO 435: Show issues |
Order via subito
This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.