| Outcome 1 year after digestive surgery in malnourished, elderly patients, with an emphasis on quality of life analysis. | |
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MedLine Citation:
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PMID: 23351500 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Céline Zacharias; Thomas Zacharias |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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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:
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Created Date: 2013-03-22 Completed Date: 2013-05-16 Revised Date: 2013-05-20 |
Medline Journal Info:
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Nlm Unique ID: 0372715 Medline TA: Can J Surg Country: Canada |
Other Details:
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Languages: eng Pagination: 128-34 Citation Subset: IM |
Affiliation:
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The Cabinet de medecine générale, Habsheim, France. zachariast@ch-mulhouse.fr |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Digestive System Neoplasms / complications*, surgery* Digestive System Surgical Procedures* Female Health Status Humans Male Malnutrition / complications* Postoperative Complications / epidemiology Prospective Studies Quality of Life* Treatment Outcome |
| Comments/Corrections | |
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