Is colorectal surgery beyond the age of 80 still feasible with acceptable mortality? An analysis of the predictive value of CR-POSSUM and life expectancy after hospital discharge

Colorectal Disease

Volumn 19, Issue 1, 2017, Pages 58-64

  de Buck van Overstraeten, A ^a   Stijns, J ^a   Laenen, A ^b   Fieuws, S ^b   Wolthuis, A M ^a   D'Hoore, A ^a  

^a UNIVERSITY HOSPITALS LEUVEN   (Belgium)

^b KU LEUVEN   (Belgium)

Author keywords

colorectal surgery; CR POSSUM; mortality; surgery in elderly

Indexed keywords

AGED; ARTICLE; BELGIAN; CANCER SURVIVAL; COLORECTAL PHYSIOLOGICAL AND OPERATIVE SEVERITY SCORE FOR THE ENUMERATION OF MORTALITY AND MORBIDITY; COLORECTAL SURGERY; FOLLOW UP; HOSPITAL DISCHARGE; HOSPITAL MORTALITY; HOSPITALIZATION; HUMAN; LAPAROSCOPIC SURGERY; LIFE EXPECTANCY; LONG TERM SURVIVAL; MAJOR CLINICAL STUDY; MORBIDITY; MORTALITY; PREDICTIVE VALUE; PRIORITY JOURNAL; RETROSPECTIVE STUDY; SURGICAL MORTALITY; SURVIVAL RATE; SURVIVAL TIME; TREATMENT INDICATION; UROGENITAL TRACT DISEASE ASSESSMENT; VERY ELDERLY; ABDOMINAL SURGERY; AGE; EVALUATION STUDY; FEASIBILITY STUDY; FEMALE; INTESTINAL DISEASES; LAPAROSCOPY; LENGTH OF STAY; MALE; PATHOLOGY; PROCEDURES; SEVERITY OF ILLNESS INDEX; STATISTICS AND NUMERICAL DATA;

AGE FACTORS; AGED, 80 AND OVER; DIGESTIVE SYSTEM SURGICAL PROCEDURES; FEASIBILITY STUDIES; FEMALE; HOSPITAL MORTALITY; HUMANS; INTESTINAL DISEASES; LAPAROSCOPY; LENGTH OF STAY; LIFE EXPECTANCY; MALE; PATIENT DISCHARGE; PREDICTIVE VALUE OF TESTS; RETROSPECTIVE STUDIES; SEVERITY OF ILLNESS INDEX; SURVIVAL RATE;

EID: 85008334983     PISSN: 14628910     EISSN: 14631318     Source Type: Journal    
DOI: 10.1111/codi.13539     Document Type: Article

References (20)

1. Bryon G, Duyck J, Lambrecht M, Paul JM. Bevolkingsvooruitzichten 2011–2060. Federaal Planbureau 2011; 1–29.
2. Etzioni DA, Beart RW Jr, Madoff RD, et al. Impact of aging population on the demand for colorectal procedures. Dis Colon Rectum 2009; 52: 583–90.
3. Kunitake H, Zingmond MDDS, Ryoo PDJ et al. Caring for octogenarian and nonagenarian patients with colorectal cancer: what should our standards and expectations be? Dis Colon Rectum 2005; 53: 735–43.
4. Dekker JWT, van den Broek CBM, Bastiaannet E et al. Importance of the first postoperative year in the prognosis of elderly colorectal cancer patients. Ann Surg Oncol 2011; 18: 1533–9.
5. Tekkis PP, Prytherch DR, Kocher HM et al. Development of a dedicated risk-adjustment scoring system for colorectal surgery (colorectal POSSUM). Br J Surg 2004; 91: 1174–82.
6. Noyez L. Control charts, CUSUM techniques and funnel plots. A review of methods for monitoring performance in healthcare. Interact Cardiovasc Thorac Surg 2009; 9: 494–9.
7. Grunkemeier GL, Wu YX, Furnary AP. Cumulative sum techniques for assessing surgical results. Ann Thorac Surg 2003; 76: 663–7.
8. Belgian Department of Economic Affairs. Mortality and Life Expectancy. http://statbel.fgov.be/nl/statistieken/cijfers/bevolking/sterfte_leven/tafels (accessed November 2014).
9. Schemper M, Smith TL. A note on quantifying follow up in studies of failure time. Control Clin Trials 1996; 17: 343–6.
10. Rahbari NN, Weitz J, Hohenberger W et al. Definition and grading of anastomotic leakage following anterior resection of the rectum: a proposal by the International Study Group of Rectal Cancer. Surgery 2010; 147: 339–51.
11. Al-Refaie WB, Parsons HM, Habermann EB et al. Operative outcomes beyond 30-day mortality: colorectal cancer surgery in oldest patients. Ann Surg 2011; 235: 947–52.
12. Govaert JA, van Dijk WA, Fiocco M et al. Nationwide outcomes measurement in colorectal cancer surgery: improving quality and reducing costs. J Am Coll Surg 2015; 222: 19–29.
13. Keller DS, Delaney CP, Hashemi L et al. A national evaluation of clinical and economic outcomes in open versus laparoscopic colorectal surgery. Surg Endosc 2015; 30: 4220–8.
14. van Eeghen EE, den Boer FC, Loffeld RJLF. Thirty days post-operative mortality after surgery for colorectal cancer: a descriptive study. J Gastrointest Oncol 2015; 6: 613–7.
15. Russo A, Marana E, Viviani D et al. Diastolic function: the influence of pneumoperitoneum and Trendelenburg positioning during laparoscopic hysterectomy. Eur J Anaesthesiol 2009; 26: 923–7.
16. Rauh R, Hemmerling TM, Rist M et al. Influence of pneumoperitoneum and patient positioning on respiratory system compliance. J Clin Anesth 2001; 13: 361–5.
17. Galizia G, Prizio G, Lieto E et al. Hemodynamic and pulmonary changes during open, carbon dioxide pneumoperitoneum and abdominal wall-lifting cholecystectomy. A prospective, randomized study. Surg Endosc 2001; 15: 477–83.
18. Frasson M, Braga M, Vignali A et al. Benefits of laparoscopic colorectal resection are more pronounced in elderly patients. Dis Colon Rectum 2008; 51: 296–300.
19. Law WL, Chu KW, Tung PH. Laparoscopic colorectal resection: a safe option for elderly patients. J Am Coll Surg 2002; 195: 768–73.
20. Grailey K, Markar SR, Karthikesalingam A et al. Laparoscopic versus open colorectal resection in the elderly population. Surg Endosc 2013; 27: 19–30.