ArticleAnnals of surgery2011
Optimizing surgical care of colon cancer in the older adult population.
Article in Annals of surgery, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.
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Who cites it
25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 62 citations in OpenAlex.
- EAES/SAGES evidence-based recommendations and expert consensus on optimization of perioperative care in older adults.Surgical endoscopy · 2024Guideline
- Is laparoscopic colorectal surgery beneficial for elderly patients? A systematic review and meta-analysis.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2015Pooled it
- Laparoscopic colorectal surgery confers lower mortality in the elderly: a systematic review and meta-analysis of 66,483 patients.Surgical endoscopy · 2015Pooled it
- A matched cohort study of the failure pattern after laparoscopic and open gastrectomy for locally advanced gastric cancer: does the operative approach matter?Surgical endoscopy · 2022Article
- Impact of Type 2 Diabetes Mellitus on Endometrial Cancer Survival: A Prospective Database Analysis.Frontiers in oncology · 2022Article
- Article
- Clinical and Therapeutic Characteristics of Cancer Patients in the Southern Region of Saudi Arabia: A Cross-Sectional Study.International journal of environmental research and public health · 2021Article
- Short- and long-term outcomes of laparoscopic surgery for colorectal cancer in the elderly aged over 80 years old versus non-elderly: a retrospective cohort study.BMC geriatrics · 2020Article
- Defining Major Surgery: A Delphi Consensus Among European Surgical Association (ESA) Members.World journal of surgery · 2020Article
- Article
- Laparoscopic surgery for colorectal cancer in patients over 80 years of age: the morbidity outcomes.Annals of surgical treatment and research · 2017Article
- An evidence-based medicine approach to the laparoscopic treatment of colorectal cancer.Fukushima journal of medical science · 2016Review
- Patient Risk Factors for Mechanical Wound Complications and Postoperative Infections after Elective Open Intestinal Resection.International journal of health sciences · 2016Article
- Multimorbidity and access to major cancer surgery at high-volume hospitals in a regionalized era.American journal of surgery · 2016Article
- Factors associated with postoperative complications and 1-year mortality after surgery for colorectal cancer in octogenarians and nonagenarians.Clinical interventions in aging · 2016Article
- Urinary tract infection after surgery for colorectal malignancy: risk factors and complications.American journal of surgery · 2016Article
- Do elderly patients have the most to gain from laparoscopic surgery?Annals of medicine and surgery (2012) · 2015Article
- Laparoscopy-assisted versus open colectomy for treatment of colon cancer in the elderly: morbidity and mortality outcomes in 545 patients.Surgical endoscopy · 2014Article
- The effect of neighborhood-level socioeconomic status on racial differences in ovarian cancer treatment in a population-based analysis in Chicago.Gynecologic oncology · 2014Article
- Merits of exercise therapy before and after major surgery.Current opinion in anaesthesiology · 2014Review
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
Abstract
objectiveWe have undertaken the current study to evaluate factors that correlate with postoperative complications in older patients undergoing surgery for colon cancer. PATIENTS AND
methodsThe database of the American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP) from years 2005 to 2008 was accessed. Patients age 65 and older were included according to Current Procedural Terminology and International Classification of Disease-9 codes. Preoperative and operative variables were examined and postoperative complications assessed using a combination of univariate and multivariate statistical models. Propensity score matching was used to control for nonrandomization of the database.
resultsWe found that patients undergoing laparoscopic (n = 2113) and open (n = 3801) surgery for the diagnosis of colon cancer were similar in age and gender. However, patients undergoing laparoscopic surgery were generally at lower risk for developing postoperative complications (16.1% vs. 25.4%, P < 0.005). Statistical models controlling for preoperative and operative variables demonstrated patients with elevated body mass index (odds ratio [OR] = 1.26), a history of chronic obstructive pulmonary disease (OR = 1.63), over age 85 (OR = 1.35), a surgery lasting longer than 4 hours (OR = 1.48), or having undergone an open operation (OR = 1.53) to have increased risk for developing postoperative complications. Propensity score match analysis confirmed these results.
conclusionsIdentification of preoperative factors that predispose patients to postoperative complications could allow for the institution of protocols that may decrease these events. Furthermore, expanding the role of laparoscopy in the treatment of older patients with colon cancer may decrease rates of postoperative complications.
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