Optimal Assessment of Frailty Predicts Postoperative Complications in Older Patients with Colorectal Cancer Surgery

2021 ◽  
Author(s):  
Koichi Tamura ◽  
Kenji Matsuda ◽  
Yoichi Fujita ◽  
Makoto Iwahashi ◽  
Kazunari Mori ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Postoperative Complications ◽  
Older Patients ◽  
Cancer Surgery ◽  
Colorectal Cancer Surgery

scholarly journals Center-Level Procedure Volume Does Not Predict Failure-to-Rescue After Severe Complications of Oncologic Colon and Rectal Surgery

2021 ◽  
Author(s):  
Miriam Lillo-Felipe ◽  
Rebecka Ahl Hulme ◽  
Maximilian Peter Forssten ◽  
Gary A. Bass ◽  
Yang Cao ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Postoperative Complications ◽  
High Volume ◽  
Cancer Surgery ◽  
Colon And Rectal Surgery ◽  
Surgical Volume ◽  
Failure To Rescue ◽  
Colorectal Cancer Surgery ◽  
Procedure Volume ◽  
Low Volume

Abstract Background The relationship between hospital surgical volume and outcome after colorectal cancer surgery has thoroughly been studied. However, few studies have assessed hospital surgical volume and failure-to-rescue (FTR) after colon and rectal cancer surgery. The aim of the current study is to evaluate FTR following colorectal cancer surgery between clinics based on procedure volume. Methods Patients undergoing colorectal cancer surgery in Sweden from January 2015 to January 2020 were recruited through the Swedish Colorectal Cancer Registry. The primary endpoint was FTR, defined as the proportion of patients with 30-day mortality after severe postoperative complications in colorectal cancer surgery. Severe postoperative complications were defined as Clavien–Dindo ≥ 3. FTR incidence rate ratios (IRR) were calculated comparing center volume stratified in low-volume (≤ 200 cases/year) and high-volume centers (> 200 cases/year), as well as with an alternative stratification comparing low-volume (< 50 cases/year), medium-volume (50–150 cases/year) and high-volume centers (> 150 cases/year). Results A total of 23,351 patients were included in this study, of whom 2964 suffered severe postoperative complication(s). Adjusted IRR showed no significant differences between high- and low-volume centers with an IRR of 0.97 (0.75–1.26, p = 0.844) in high-volume centers in the first stratification and an IRR of 2.06 (0.80–5.31, p = 0.134) for high-volume centers and 2.15 (0.83–5.56, p = 0.116) for medium-volume centers in the second stratification. Conclusion This nationwide retrospectively analyzed cohort study fails to demonstrate a significant association between hospital surgical volume and FTR after colorectal cancer surgery. Future studies should explore alternative characteristics and their correlation with FTR to identify possible interventions for the improvement of quality of care after colorectal cancer surgery.

Can physical prehabilitation prevent complications after colorectal cancer surgery in frail older patients?

2021 ◽  
Author(s):  
Heleen C. van der Hulst ◽  
Esther Bastiaannet ◽  
Johanna E.A. Portielje ◽  
Jessica M. van der Bol ◽  
Jan Willem T. Dekker
Keyword(s):  
Colorectal Cancer ◽  
Older Patients ◽  
Cancer Surgery ◽  
Colorectal Cancer Surgery

scholarly journals Blood Galectin-3 Levels Predict Postoperative Complications after Colorectal Cancer Surgery

2019 ◽  
Vol 86 (3) ◽  
pp. 142-148 ◽  
Author(s):  
Akihisa Matsuda ◽  
Marina Yamada ◽  
Satoshi Matsumoto ◽  
Nobuyuki Sakurazawa ◽  
Youichi Kawano ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Postoperative Complications ◽  
Cancer Surgery ◽  
Colorectal Cancer Surgery ◽  
Galectin 3

Prediction of postoperative complications based on biomarkers after elective colorectal cancer surgery

2019 ◽  
Vol 45 (2) ◽  
pp. e47
Author(s):  
T. Kohmura ◽  
J. Yasutomi ◽  
K. Kusashio ◽  
T. Suzuki ◽  
K. Fushimi ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Postoperative Complications ◽  
Cancer Surgery ◽  
Colorectal Cancer Surgery

scholarly journals Frailty indicators and functional status in older patients after colorectal cancer surgery

2014 ◽  
Vol 5 (1) ◽  
pp. 26-32 ◽  
Author(s):  
Benedicte Rønning ◽  
Torgeir Bruun Wyller ◽  
Marit Slaaen Jordhøy ◽  
Arild Nesbakken ◽  
Arne Bakka ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Functional Status ◽  
Older Patients ◽  
Cancer Surgery ◽  
Colorectal Cancer Surgery
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