ArticleWorld journal of surgery2025
Risk Factors in Elective Colon Surgery for the Elderly: A Retrospective Cohort Analysis From the Swedish Part of the International ERAS Database.
Article in World journal of surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
2 citing papers in PubMed.
- Factors Associated with Severe Postoperative Complications (Clavien-Dindo Grades III-IV) After Left-Sided Colon Cancer Surgery: A Single-Centre Retrospective Cohort Study.Life (Basel, Switzerland) · 2026Article
- ERAS-Enhanced Recovery After Surgery: The ERAS Society Story.World journal of surgery · 2026Review
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Authors and funding
7 authors.
Funding
Abstract
backgroundThe growing proportion of older individuals worldwide is anticipated to lead to an increase in the number of elderly patients requiring surgery for colon cancer. Consequently, it is crucial to identify specific risk factors for mortality and complications after colon surgery in this age group.
methodsThe Swedish part of the ERAS registry (EIAS) between 2009 and 2022 was used. Patients aged ≥ 75 years undergoing colon surgery were compared with younger patients regarding risk factors for severe complications and mortality after multivariate regression analysis.
resultsAfter adjusting for potential confounders, three risk factors specifically associated with severe complications in elderly patients were identified: severe pulmonary disease (OR 1.64; 95% CI 1.04-2.58), recent immunosuppressive treatment (OR 1.92; 95% CI 1.12-3.30), and left hemicolectomy (OR 1.43; 95% CI 1.04-1.97). Furthermore, four risk factors for mortality, statistically significant only in the older age group, were found: male sex (OR 1.73; 95% CI 1.08-2.76), ASA ≥ 3 (OR 2.92; 95% CI 1.66-5.15), severe pulmonary disease (OR 2.28; 95% CI 1.02-5.06), and open surgery (OR 1.68; 95% CI 1.04-2.73).
conclusionSeveral risk factors for severe complications and 30-day mortality specific to the elderly group were identified. Among these, severe pulmonary disease was associated with both severe complications and mortality.
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