Evidence map›Paper›PMID 40922921›Full record

ArticleAnnals of gastroenterological surgery2025

International Comparison of Geriatric-Associated Variables in Major Gastroenterological Surgery Between National Clinical Database and American College of Surgeons National Surgical Quality Improvement Program.

Yasuhide Kofunato, Xane Peters, Arata Takahashi, Mark E Cohen, Hiraku Kumamaru, Mitsukazu Gotoh, Yoshihiro Kakeji, Yasuyuki Seto, Yuko Kitagawa, Ken Shirabe and 4 more

Abstract read
In one paragraph

Article in Annals of gastroenterological surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

14 authors.

Yasuhide KofunatoDepartment of Hepato-Biliary-Pancreatic and Transplant Surgery Fukushima Medical University Fukushima City Fukushima Japan.ORCID https://orcid.org/0000-0001-5561-223X
Xane PetersAmerican College of Surgeons National Surgical Quality Improvement Program (NSQIP) Chicago Illinois USA.
Arata TakahashiDepartment of Health Policy and Management School of Medicine, Keio University Tokyo Japan.
Mark E CohenAmerican College of Surgeons National Surgical Quality Improvement Program (NSQIP) Chicago Illinois USA.
Hiraku KumamaruDepartment of Healthcare Quality Assessment The University of Tokyo Bunkyou-ku Tokyo Japan.ORCID https://orcid.org/0000-0002-9759-6191
Mitsukazu GotohOsaka General Medical Center Osaka City Osaka Japan.
Yoshihiro KakejiDivision of Gastrointestinal Surgery, Department of Surgery Kobe University Graduate School of Medicine Kobe City Hyogo Japan.ORCID https://orcid.org/0000-0002-2727-0241
Yasuyuki SetoDepartment of Gastrointestinal Surgery Graduate School of Medicine, the University of Tokyo Bunkyou-ku Tokyo Japan.ORCID https://orcid.org/0000-0002-6953-8752
Yuko KitagawaDepartment of Surgery Keio University School of Medicine Shinjuku-ku Tokyo Japan.
Ken ShirabeDivision of Hepatobiliary and Pancreatic Surgery, Department of General Surgical Science Gunma University Graduate School of Medicine Maebashi City Gunma Japan.
Hideki UenoDepartment of Surgery National Defense Medical College Tokorozawa City Saitama Japan.ORCID https://orcid.org/0000-0002-8600-1199
Hiroaki MiyataDepartment of Health Policy and Management School of Medicine, Keio University Tokyo Japan.
Clifford Y KoAmerican College of Surgeons National Surgical Quality Improvement Program (NSQIP) Chicago Illinois USA.
Shigeru MarubashiDepartment of Hepato-Biliary-Pancreatic and Transplant Surgery Fukushima Medical University Fukushima City Fukushima Japan.ORCID https://orcid.org/0000-0002-5263-3286

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Backgrounds: Incidence of malignant disease in older patients has been increasing. These geriatric patients have more comorbidities and frailty than younger patients, necessitating different approaches in evaluation and treatment. Geriatric surgery studies in Japan have followed those conducted in the US. The aims of this study were to compare trends in geriatric variables for patients who underwent gastroenterological surgeries between two countries, and to elucidate the characteristics of them. Study Design: Geriatric variables and outcomes were analyzed via nationwide databases in both countries. Subjects were defined as patients with age ≥ 65 who underwent seven major gastroenterological surgeries for malignant disease. Basic statistical values were compared between them. Results: A total of 2703 patients in the National Clinical Database (NCD) and 1342 patients in the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) were included. Among preoperative comorbidities, dyspnea, hypertension, bleeding disorder, and emergency cases increased with age in both databases, while the rates of obesity and emergency cases were more frequent in NSQIP. Most postoperative complications were not significantly associated with age in either database. Geriatric-associated preoperative variables and outcomes varied with age in both countries. Cognitive variables (history of dementia, surrogate-signed consent, and delirium) were similar between the two databases. However, mobility elements (use of mobility aid, fall history, high fall risk, and new use of mobility aid) and postoperative functional dependency were more frequent in NSQIP than NCD. Conclusion: Geriatric-associated variables and outcomes changed similarly with age in both countries, while mobility and function were different between the two.

Indexed as

databasegastroenterological surgerygeriatric surgeryinternational comparison

Identifiers

PMID40922921
PMCPMC12414587

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