Document Detail


Short-term outcomes after surgery for colorectal cancer in Turkish patients aged 70 and above.
MedLine Citation:
PMID:  20931429     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND/AIMS: We aimed to evaluate the impact of age on short-term surgical outcomes and to investigate the risk factors for postoperative mortality in 660 Turkish colorectal cancer patients.
METHODS: Between January 2002 and January 2007, 660 consecutive patients who were operated for colorectal cancer at our institution were enrolled in this study. The patients were divided into two groups as: a younger group (<70 years) and an older group (≥70 years). Patient data were recorded prospectively with the use of specially designed forms. Variables and short-term patient results were compared.
RESULTS: American Society of Anesthesiologists (ASA) scores were significantly higher and albumin levels were lower in the older group compared with the younger group (p<0.05). Morbidity and mortality rates were 16.8% (83/494) and 2.6% (13/494) in the younger group and 22.9% (38/166) and 3.0% (5/166) in the older group, respectively. These differences in rates were not statistically significant. ASA score (ASA 4) and non-resective procedures were found to be independent risk factors for mortality.
CONCLUSIONS: Age should not be regarded as a reason for limited surgery. Elderly patients should undergo the same standard surgical approach as younger patients. The patient's general state of health is more effective on postoperative mortality.
Authors:
Yusuf Bayram Özoğul; Murat Ulaş; İlter Özer; Metin Ercan; Ismail Gömcelı; Erdal Bırol Bostanci; Fuat Atalay; Musa Akoğlu
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology     Volume:  21     ISSN:  1300-4948     ISO Abbreviation:  Turk J Gastroenterol     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-10-08     Completed Date:  2011-01-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9515841     Medline TA:  Turk J Gastroenterol     Country:  Turkey    
Other Details:
Languages:  eng     Pagination:  257-61     Citation Subset:  IM    
Affiliation:
Department of Gastrointestinal Surgery, Türkiye Yüksek İhtisas Hospital, Ankara. yusufozogul@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Aged
Colorectal Neoplasms / surgery*
Female
Humans
Male
Middle Aged
Postoperative Complications / mortality
Prospective Studies
Risk Factors
Time Factors
Treatment Outcome
Turkey

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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