ArticleWorld journal of surgery2016
Risk Evaluation of Postoperative Delirium Using Comprehensive Geriatric Assessment in Elderly Patients with Esophageal Cancer.
Article in World journal of surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.
- Psychological factors associated with postoperative cognitive outcomes in older adults: a systematic review and meta-analysis.British journal of anaesthesia · 2026Pooled it
- Development and internal validation of an interpretable machine learning prognostic prediction model for postoperative delirium after esophagectomy.Journal of thoracic disease · 2026Article
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- Incidence and Perioperative Risk Factors for Postoperative Delirium After Major Urological Surgery.Diagnostics (Basel, Switzerland) · 2025Article
- Development and validation of a nomogram model to predict postoperative delirium after resection of esophageal cancer.Scientific reports · 2025Article
- Assessing the Risk of Postoperative Delirium Through Comprehensive Geriatric Assessment and Eastern Cooperative Oncology Group Performance Status of Elderly Patients With Gastric Cancer.Annals of surgical oncology · 2024Article
- Essential updates 2022/2023: Recent advances in perioperative management of esophagectomy to improve operative outcomes.Annals of gastroenterological surgery · 2024Review
- Geriatric prognostic scoring system predicts survival after hepatectomy for elderly patients with liver cancer.Annals of gastroenterological surgery · 2024Article
- Enhancing hospice care with psychological support and a nomogram to predict delirium in patients with advanced solid tumors.American journal of cancer research · 2024Article
- The Efficacy of Low-Dose Risperidone Treatment for Post-Surgical Delirium in Elderly Orthopedic Patients.Medicina (Kaunas, Lithuania) · 2023Article
- Emergency tracheal intubation peri-operative risk factors and prognostic impact after esophagectomy.BMC anesthesiology · 2022Article
- Management of elderly patients with esophageal squamous cell cancer.Japanese journal of clinical oncology · 2022Review
- Preoperative Low Physical Activity is a Predictor of Postoperative Delirium in Patients with Gastrointestinal Cancer: A Retrospective Study.Asian Pacific journal of cancer prevention : APJCP · 2022Article
- Grip strength as a predictor of postoperative delirium in patients with colorectal cancers.Annals of gastroenterological surgery · 2022Article
- Outcomes following head and neck cancer surgery among older adults as determined by an electronic geriatric assessment.Journal of geriatric oncology · 2022Article
- Comparison of Bispectral Index-Guided Individualized Anesthesia with Standard General Anesthesia on Inadequate Emergence and Postoperative Delirium in Elderly Patients Undergoing Esophagectomy: A Retrospective Study at a Single Center.Medical science monitor : international medical journal of experimental and clinical research · 2020Article
- Change in tongue pressure and the related factors after esophagectomy: a short-term, longitudinal study.Esophagus : official journal of the Japan Esophageal Society · 2019Article
- How can we reduce the incidence of postoperative mental disorders after thoracic surgery?Journal of thoracic disease · 2019Article
- Integration of Geriatric Assessment in the Care of Patients with Gastrointestinal Malignancies.Visceral medicine · 2017Review
Corrections and comments
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Authors and funding
13 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe number of geriatric patients with esophageal cancer is increasing in step with the aging of the population. Geriatric patients have a higher risk of postoperative complications, including delirium that can cause a fall or impact survival. Therefore, it is very important that we evaluate risks of postoperative complications before surgery. The aim of this study was to predict postoperative delirium in elderly patients.
methodsWe retrospectively reviewed the medical records of 91 patients aged 75 years and over who underwent esophagectomy between January 2006 and December 2014. We investigated the association between postoperative delirium and clinicopathological factors, including comprehensive geriatric assessment (CGA).
resultsPostoperative delirium developed in 24 (26 %) patients. Postoperative delirium was significantly associated with low mini-mental state examination (MMSE) and high Geriatric Depression Scale 15 (GDS15), which are components of CGA, and psychiatric disorder (P < 0.0001, P = 0.002, and P = 0.017, respectively). With multiple logistic regression analysis, MMSE (odds ratio [OR], 1.4; 95 % confidence interval [CI], 1.2-1.6; P < 0.0001] and GDS15 (OR, 1.3; 95 % CI, 1.1-1.6; P = 0.004) were independently associated with postoperative delirium.
conclusionsPreoperative CGA, especially MMSE and GDS15, was useful for predicting postoperative delirium in elderly patients undergoing esophagectomy for esophageal cancer. Intervention by a multidisciplinary team using CGA might help prevent postoperative delirium.
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