LOGIN TO YOUR ACCOUNT

Username
Password
Remember Me
Or use your Academic/Social account:

CREATE AN ACCOUNT

Or use your Academic/Social account:

Congratulations!

You have just completed your registration at OpenAire.

Before you can login to the site, you will need to activate your account. An e-mail will be sent to you with the proper instructions.

Important!

Please note that this site is currently undergoing Beta testing.
Any new content you create is not guaranteed to be present to the final version of the site upon release.

Thank you for your patience,
OpenAire Dev Team.

Close This Message

CREATE AN ACCOUNT

Name:
Username:
Password:
Verify Password:
E-mail:
Verify E-mail:
*All Fields Are Required.
Please Verify You Are Human:
fbtwitterlinkedinvimeoflicker grey 14rssslideshare1
Publisher: Elsevier
Languages: English
Types: Article
Subjects: R1
Background: Nutritional status (NS), though frequently affected in onco-geriatric patients, is no standard\ud part of a geriatric assessment. The aim of this study was to analyse the association between a preoperatively\ud impaired NS and geriatric domain impairments and adverse postoperative outcomes in onco-geriatric surgical patients.\ud Methods: 309 patients ≥70 years undergoing surgery for solid tumours were prospectively recruited. Nine screening tools were preoperatively administered as part of a geriatric assessment. NS was based on BMI, weight loss and food intake. Odds ratio’s (OR) and 95% confidence intervals (95%CI) were estimated using logistic regression analysis. The occurrence of 30-day adverse postoperative outcomes was recorded.\ud Results: At a median age of 76 years, 107 patients (34.6%) had an impaired NS. Decreased performance\ud status and depression were associated with an impaired NS, when adjusted for tumour characteristics and comorbidities (ORPS>1 3.46; 95%CI 1.56-7.67. ORGDS>5 2.11; 95%CI 1.05-4.26). An impaired NS was an independent predictor for major complications (OR 3.3; 95%CI 1.6-6.8). Ten out of 11 patients who deceased had an impaired NS.\ud Conclusion: An impaired NS is prevalent in onco-geriatric patients considered to be fit for surgery. It is associated with decreased performance status and depression. An impaired NS is a predictor for adverse postoperative outcomes. NS should be incorporated in a geriatric assessment.
  • The results below are discovered through our pilot algorithms. Let us know how we are doing!

    • [1] Balducci L. Epidemiology of cancer and aging. J Oncol Manag 2005;14:47-50.
    • [2] Feng MA, McMillan DT, Crowell K, Muss H, Nielsen ME, Smith AB. Geriatric assessment in surgical oncology: A systematic review. J Surg Res 2014.
    • [3] Monson K, Litvak DA, Bold RJ. Surgery in the aged population: surgical oncology. Arch SurTg 2003;138:1061-1067. P I
    • [4] Oresanya LB, Lyons WL, Finlayson E. Preoperative assessment of the older patient: a narrative review. JAMA 2014;311:2110-2120. R
    • [5] Ramjaun A, Nassif MO, Krotneva S, Huang AR, Meguerditchian AN. ImprovCedtargeting of cancer care for older patients: a systematic review of the utility of comprehensive geriatric Sassessment. J Geriatr Oncol 2013;4:271-281. U
    • [6] Huisman MG, Kok M, de Bock GH, van Leeuwen BL. Delivering Ntailored surgery to older cancer patients: preoperative geriatric assessment domains and screening Atools - a review of reviews. Submitted 2016. M
    • [7] Bozzetti F, Mariani L, Lo Vullo S, et al. The nutritional risk in oncology: a study of 1,453 cancer D
    • outpatients. Support Care Cancer 2012;20:1919-1928. E T
    • [8] Aaldriks AA, Maartense E, Nortier HJ, et al. Prognostic factors for the feasibility of chemotherapy and P
    • the Geriatric Prognostic Index (GPI) as risk profile for mortality before chemotherapy in the elderly. Acta Oncol 2015:1-9. E C
    • [9] Paillaud E, Liuu E, Laurent M, et al. Geriatric syndromes increased the nutritional risk in elderly cancer patients independently from tumour site and metastatic status. The ELCAPA-05 cohort study. Clin Nutr C
    • 2014;33:330-335. A
    • [10] Blanc-Bisson C, Fonck M, Rainfray M, Soubeyran P, Bourdel-Marchasson I. Undernutrition in elderly patients with cancer: target for diagnosis and intervention. Crit Rev Oncol Hematol 2008;67:243-254. [34] Sanford DE, Sanford AM, Fields RC, Hawkins WG, Strasberg SM, Linehan DC. Severe nutritional risk
  • No similar publications.

Share - Bookmark

Cite this article