Document Detail

Outcome 1 year after digestive surgery in malnourished, elderly patients, with an emphasis on quality of life analysis.
MedLine Citation:
PMID:  23351500     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Quality of life data after digestive surgery in malnourished, elderly patients are rarely reported. What can we expect as 1-year outcomes in these high-risk patients after digestive surgery?
METHODS: We conducted a prospective observational study in a digestive surgery department in a tertiary, nonacademic hospital in Mulhouse, France. Malnourished, older patients (according to the Nutritional Risk Index) undergoing digestive surgery between November 2007 and December 2008 were included and followed up for 1 year. Quality of life was measured by the European Organization for Research and Treatment of Cancer QLQ-C30 questionnaire at the end of the study period.
RESULTS: We included 37 patients with a median age of 76 (range 66-86) years in our study. The mean global health status and quality of life score in 17 of 24 living patients 1 year after surgery was 68.6 (standard deviation [SD] 12.4), and no difference with the score of a reference population 70.8 (SD 22.1) was observed (p = 0.68). In-hospital mortality was 11% and morbidity was 70%.
CONCLUSION: The present study suggests that despite high postoperative mortality and morbidity, an acceptable quality of life can be achieved in malnourished, elderly survivors of digestive surgery.
Céline Zacharias; Thomas Zacharias
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Canadian journal of surgery. Journal canadien de chirurgie     Volume:  56     ISSN:  1488-2310     ISO Abbreviation:  Can J Surg     Publication Date:  2013 Apr 
Date Detail:
Created Date:  2013-03-22     Completed Date:  2013-05-16     Revised Date:  2013-07-11    
Medline Journal Info:
Nlm Unique ID:  0372715     Medline TA:  Can J Surg     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  128-34     Citation Subset:  IM    
The Cabinet de medecine générale, Habsheim, France.
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MeSH Terms
Digestive System Neoplasms / complications*,  surgery*
Digestive System Surgical Procedures*
Health Status
Malnutrition / complications*
Postoperative Complications / epidemiology
Prospective Studies
Quality of Life*
Treatment Outcome

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