What Is the Effect of Advanced Age and Comorbidity on Postoperative Morbidity and Mortality After Musculoskeletal Tumor Surgery?

Clinical Orthopaedics and Related Research

Volumn 472, Issue 12, 2014, Pages 3971-3978

  Ogura, Koichi ^a   Yasunaga, Hideo ^b   Horiguchi, Hiromasa ^c   Fushimi, Kiyohide ^d   Kawano, Hirotaka ^a  

^a UNIVERSITY OF TOKYO HOSPITAL   (Japan)

^b UNIVERSITY OF TOKYO   (Japan)

^c NATIONAL HOSPITAL ORGANIZATION   (Japan)

^d TOKYO MEDICAL AND DENTAL UNIVERSITY   (Japan)

Author keywords

[No Author keywords available]

Indexed keywords

AGE; AGED; CHI SQUARE DISTRIBUTION; COMORBIDITY; EPIDEMIOLOGY; FACTUAL DATABASE; FEMALE; HUMAN; INCIDENCE; JAPAN; MALE; MIDDLE AGED; MORTALITY; MUSCULOSKELETAL DISEASES; NEOPLASMS; ORTHOPEDIC SURGERY; PATIENT SELECTION; POSTOPERATIVE COMPLICATION; RISK; RISK ASSESSMENT; RISK FACTOR; STATISTICAL MODEL; TIME; TREATMENT OUTCOME; VERY ELDERLY;

AGE FACTORS; AGED; AGED, 80 AND OVER; CHI-SQUARE DISTRIBUTION; COMORBIDITY; DATABASES, FACTUAL; FEMALE; HOSPITAL MORTALITY; HUMANS; INCIDENCE; JAPAN; LOGISTIC MODELS; MALE; MIDDLE AGED; MUSCULOSKELETAL DISEASES; NEOPLASMS; ODDS RATIO; ORTHOPEDIC PROCEDURES; PATIENT SELECTION; POSTOPERATIVE COMPLICATIONS; RISK ASSESSMENT; RISK FACTORS; TIME FACTORS; TREATMENT OUTCOME;

EID: 84925283123     PISSN: 0009921X     EISSN: 15281132     Source Type: Journal    
DOI: 10.1007/s11999-014-3889-y     Document Type: Article

References (18)

1. Al-Refaie WB, Habermann EB, Dudeja V, Vickers SM, Tuttle TM, Jensen EH, Virnig BA. Extremity soft tissue sarcoma care in the elderly: insights into the generalizability of NCI Cancer Trials. Ann Surg Oncol. 2010;17:1732–1738.
2. Boden RA, Clark MA, Neuhaus SJ, A’Hern J R, Thomas JM, Hayes AJ. Surgical management of soft tissue sarcoma in patients over 80 years. Eur J Surg Oncol. 2006;32:1154–1158.
3. Brozzetti S, Mazzoni G, Miccini M, Puma F, De Angelis M, Cassini D, Bettelli E, Tocchi A, Cavallaro A. Surgical treatment of pancreatic head carcinoma in elderly patients. Arch Surg. 2006;141:137–142.
4. Buchner M, Bernd L, Zahlten-Hinguranage A, Sabo D. Primary malignant tumours of bone and soft tissue in the elderly. Eur J Surg Oncol. 2004;30:877–883.
5. Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis. 1987;40:373–383.
6. Chikuda H, Yasunaga H, Horiguchi H, Takeshita K, Sugita S, Taketomi S, Fushimi K, Tanaka S. Impact of age and comorbidity burden on mortality and major complications in older adults undergoing orthopaedic surgery: an analysis using the Japanese diagnosis procedure combination database. BMC Musculoskelet Disord. 2013;14:173.
7. Farshadpour F, Schaapveld M, Suurmeijer AJ, Wymenga AN, Otter R, Hoekstra HJ. Soft tissue sarcoma: why not treated? Crit Rev Oncol Hematol. 2005;54:77–83.
8. Kadono Y, Yasunaga H, Horiguchi H, Hashimoto H, Matsuda S, Tanaka S, Nakamura K. Statistics for orthopedic surgery 2006–2007: data from the Japanese Diagnosis Procedure Combination database. J Orthop Sci. 2010;15:162–170.
9. Lahat G, Dhuka AR, Lahat S, Lazar AJ, Lewis VO, Lin PP, Feig B, Cormier JN, Hunt KK, Pisters PW, Pollock RE, Lev D. Complete soft tissue sarcoma resection is a viable treatment option for select elderly patients. Ann Surg Oncol. 2009;16:2579–2586.
10. Muramatsu N, Akiyama H. Japan: super-aging society preparing for the future. Gerontologist. 2011;51:425–432.
11. Muss HB. Cancer in the elderly: a societal perspective from the United States. Clin Oncol (R Coll Radiol). 2009;21:92–98.
12. Nakamura K. A “super-aged” society and the “locomotive syndrome.” J Orthop Sci. 2008;13:1–2.
13. Ogura K, Yasunaga H, Horiguchi H, Ohe K, Kawano H. Incidence and risk factors for pulmonary embolism after primary musculoskeletal tumor surgery. Clin Orthop Relat Res. 2013;471:3310–3316.
14. Ogura K, Yasunaga H, Horiguchi H, Ohe K, Shinoda Y, Tanaka S, Kawano H. Impact of hospital volume on postoperative complications and in-hospital mortality after musculoskeletal tumor surgery: analysis of a national administrative database. J Bone Joint Surg Am. 2013;95:1684–1691.
15. Osaka S, Sugita H, Osaka E, Yoshida Y, Ryu J. Surgical management of malignant soft tissue tumours in patients aged 65 years or older. J Orthop Surg (Hong Kong). 2003;11:28–33.
16. Quan H, Sundararajan V, Halfon P, Fong A, Burnand B, Luthi JC, Saunders LD, Beck CA, Feasby TE, Ghali WA. Coding algorithms for defining comorbidities in ICD-9-CM and ICD-10 administrative data. Med Care. 2005;43:1130–1139.
17. Staehler M, Haseke N, Stadler T, Bader M, Karl A, Becker A, Stief CG. Renal surgery in the elderly: morbidity in patients aged > 75 years in a contemporary series. BJU Int. 2008;102:684–687.
18. Tan KY, Kawamura Y, Mizokami K, Sasaki J, Tsujinaka S, Maeda T, Konishi F. Colorectal surgery in octogenarian patients: outcomes and predictors of morbidity. Int J Colorectal Dis. 2009;24:185–189.