Geriatric assessment improves prediction of surgical outcomes in older adults undergoing pancreaticoduodenectomy: A prospective cohort study

Annals of Surgery

Volumn 259, Issue 5, 2014, Pages 960-965

  Dale, William ^a,b   Hemmerich, Joshua ^a   Kamm, Alaine ^c   Posner, Mitchell C ^c   Matthews, Jeffrey B ^c   Rothman, Randi ^a   Palakodeti, Aparna ^c   Roggin, Kevin K ^c  

^a Department of Medicine   (United States)

^b Section of Hematology Oncology   (United States)

^c UNIVERSITY OF CHICAGO   (United States)

Author keywords

decision making; geriatric assessment; pancreas cancer; pancreaticoduodenectomy; prospective

Indexed keywords

ADENOMA; ADULT; ADVERSE OUTCOME; AGED; ANASTOMOSIS LEAKAGE; ARTICLE; BODY MASS; COHORT ANALYSIS; COMORBIDITY; EXHAUSTION; FEMALE; GERIATRIC ASSESSMENT; GERIATRIC PATIENT; GRIP STRENGTH; HIGH RISK PATIENT; HOSPITAL READMISSION; HUMAN; INTENSIVE CARE UNIT; KARNOFSKY PERFORMANCE STATUS; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; NAMED INVENTORIES, QUESTIONNAIRES AND RATING SCALES; OBESITY; OPERATION DURATION; OUTCOME ASSESSMENT; PANCREAS CANCER; PANCREAS CYST; PANCREATICODUODENECTOMY; PANCREATITIS; PHYSICAL PERFORMANCE; POSTOPERATIVE COMPLICATION; PREDICTIVE VALUE; PREOPERATIVE EVALUATION; PRIORITY JOURNAL; PROSPECTIVE STUDY; SELF REPORT; SHORT PHYSICAL PERFORMANCE BATTERY; SURGICAL RISK; UNDERWEIGHT; VULNERABLE ELDERS SURVEY; WEAKNESS; WEIGHT REDUCTION;

AGED; AGED, 80 AND OVER; DISEASE-FREE SURVIVAL; FEMALE; FRAIL ELDERLY; GERIATRIC ASSESSMENT; HUMANS; ILLINOIS; INCIDENCE; LENGTH OF STAY; MALE; MIDDLE AGED; PANCREATIC NEOPLASMS; PANCREATICODUODENECTOMY; PATIENT READMISSION; POSTOPERATIVE COMPLICATIONS; PROGNOSIS; PROSPECTIVE STUDIES; RISK ASSESSMENT; RISK FACTORS; SURVIVAL RATE;

EID: 84899487178     PISSN: 00034932     EISSN: 15281140     Source Type: Journal    
DOI: 10.1097/SLA.0000000000000226     Document Type: Article

References (27)

1. Smith BD, Smith GL, Hurria A, et al. Future of cancer incidence in the united states: burdens upon an aging, changing nation. J Clin Oncol. 2009; 27: 2758-2765.
2. Hidalgo M. Pancreatic cancer. N Engl J Med. 2010; 362: 1605-1617.
3. Katz MG, Wang H, Fleming J, et al. Long-term survival after multidisciplinary management of resected pancreatic adenocarcinoma. Ann Surg. Oncol. 2009; 16: 836-847.
4. Fortin M, Bravo G, Hudon C, et al. Prevalence of multimorbidity among adults seen in family practice. Ann Fam Med. 2005; 3: 223-228.
5. Wolters U, Wolf T, Stützer H, et al. ASA classification and perioperative variables as predictors of postoperative outcome. Br J Anaesth. 1996; 77: 217-222.
6. Mor V, Laliberte L, Morris JN, et al. The Karnofsky performance status scale: an examination of its reliability and validity in a research setting. Cancer. 1984; 53: 2002-2007.
7. Fried LP, Tangen CM, Walston J, et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001; 56: M146-M157.
8. Dale W, Mohile SG, Eldadah BA, et al. Biological, clinical, and psychosocial correlates at the interface of cancer and aging research. J Natl Cancer Inst. 2012; 104: 581-589.
9. Repetto L, Fratino L, Audisio RA, et al. Comprehensive geriatric assessment adds information to eastern cooperative oncology group performance status in elderly cancer patients: an Italian group for geriatric oncology study. J Clin Oncol. 2002; 20: 494-502.
10. Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg. 2004; 240: 205-213.
11. Cohen J CP, West SG, Aiken LS. Applied Multiple Regression/Correlation Analysis for the Behavioral Sciences. 3rd ed.Mahwah, NJ: Lawrence Earlbaum Associates; 2003.
12. Clavien PA, Barkun J, de Oliveira ML, et al. The Clavien-Dindo classification of surgical complications: five-year experience. Ann Surg. 2009; 250: 187-196. doi: 110.1097/SLA.1090b1013e3181b1013ca1092.
13. MoonsKGM, Royston P, VergouweY, et al. Prognosis and prognostic research: what, why, and how? BMJ 2009; 338: b375.
14. House M, Fong Y, Arnaoutakis D, et al. Preoperative predictors for complications after pancreaticoduodenectomy: impact of BMI and body fat distribution. J Gastrointest Surg. 2008; 12: 270-278.
15. Williams TK, Rosato EL, Kennedy EP, et al. Impact of obesity on perioperative morbidity and mortality after pancreaticoduodenectomy. J Am Coll Surg. 2009; 208: 210-217.
16. de la Fuente SG, Bennett KM, Pappas TN, et al. Pre- and intraoperative variables affecting early outcomes in elderly patients undergoing pancreaticoduodenectomy. HPB. 2011; 13: 887-892.
17. Finlayson E, Fan Z, Birkmeyer JD. Outcomes in octogenarians undergoing high-risk cancer operation: a national study. J Am Coll Surg. 2007; 205: 729-734.
18. Fong Y, Blumgart LH, Fortner JG, et al. Pancreatic or liver resection for malignancy is safe and effective for the elderly. Ann Surg. 1995; 222: 426-437.
19. Makary MA, Segev DL, Pronovost PJ, et al. Frailty as a predictor of surgical outcomes in older patients. J Am Coll Surg. 2010; 210: 901-908.
20. Riall TS, Reddy DM, Nealon WH, et al. The effect of age on short-term outcomes after pancreatic resection: a population-based study. Ann Surg. 2008; 248: 459-467. doi: 410.1097/SLA.1090b1013e318185e318181b318183.
21. Sohn T, Lillemoe K, Cameron J, et al. Adenocarcinoma of the duodenum: factors influencing long-term survival. J Gastrointest Surg. 1998; 2: 79-87.
22. Gill TM. Assessment of function and disability in longitudinal studies. J Am Geriatr Soc. 2010; 58: S308-S312.
23. Kassin MT, Owen RM, Perez SD, et al. Risk factors for 30-day hospital readmission among general surgery patients. J Am Coll Surg. 2012; 215: 322-330.
24. Puts MTE, Hardt J, Monette J, et al. Use of geriatric assessment for older adults in the oncology setting: a systematic review. J Natl Cancer Inst. 2012; 104: 1134-1164.
25. Fukuse T, Satoda N, Hijiya K, et al. Importance of a comprehensive geriatric assessment in prediction of complications following thoracic surgery in elderly patients. Chest. 2005; 127: 886-891.
26. Kothari A, Phillips S, Bretl T, et al. Components of geriatric assessments predict thoracic surgery outcomes. J Surg. Res. 2011; 166: 5-13.
27. Robinson TN, Eiseman B, Wallace JI, et al. Redefining geriatric preoperative assessment using frailty, disability and co-morbidity. Ann Surg. 2009; 250: 449-455. doi: 410.1097/SLA.1090b1013e3181b45598.