Burden of Geriatric Events Among Older Adults Undergoing Major Cancer Surgery

Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology
Hung-Jui TanMark S Litwin

Abstract

Most malignancies are diagnosed in older adults who are potentially susceptible to aging-related health conditions; however, the manifestation of geriatric syndromes during surgical cancer treatment is not well quantified. Accordingly, we sought to assess the prevalence and ramifications of geriatric events during major surgery for cancer. Using Nationwide Inpatient Sample data from 2009 to 2011, we examined hospital admissions for major cancer surgery among elderly patients (ie, age ≥ 65 years) and a referent group age 55 to 64 years. From these observations, we identified geriatric events that included delirium, dehydration, falls and fractures, failure to thrive, and pressure ulcers. We then estimated the collective prevalence of these events according to age, comorbidity, and cancer site and further explored their relationship with other hospital-based outcomes. Within a weighted sample of 939,150 patients, we identified at least one event in 9.2% of patients. Geriatric events were most common among patients age ≥ 75 years, with a Charlson comorbidity score ≥ 2, and who were undergoing surgery for cancer of the bladder, ovary, colon and/or rectum, pancreas, or stomach (P < .001). Adjusting for patient and hospital character...Continue Reading

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Citations

Dec 18, 2016·The Journal of Urology·Hung-Jui TanJim C Hu
Mar 9, 2017·Annals of the American Thoracic Society·Chao-Ping WuEvgeny Pinelis
Jul 19, 2018·The Journal of Trauma and Acute Care Surgery·George RamsayJan O Jansen
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Aug 13, 2017·Journal of the American Geriatrics Society·Hung-Jui TanJim C Hu
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May 22, 2021·Clinical Journal of Oncology Nursing·Sherry L RaftersLinda Lillington
Feb 2, 2022·Aging Clinical and Experimental Research·Suhua ChenYali Fu

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