Long-Term Survival and Risk of Institutionalization in Onco-Geriatric Surgical Patients: Long-Term Results of the PREOP Study.

Journal of the American Geriatrics Society
Monique G HuismanBarbara L van Leeuwen

Abstract

To evaluate long-term survival and institutionalization in onco-geriatric surgical patients, and to analyze the association between these outcomes and a preoperative risk score. Prospective cohort study with long-term follow-up. International and multicenter locations. Patients aged 70 years or older undergoing elective surgery for a malignant solid tumor at five centers (n = 229). We assessed long-term survival and institutionalization using the Preoperative Risk Estimation for Onco-geriatric Patients (PREOP) score, developed to predict the 30-day risk of major complications. The PREOP score collected data about sex, type of surgery, and the American Society for Anesthesiologists classification, as well as the Timed Up & Go test and the Nutritional Risk Screening results. An overall score higher than 8 was considered abnormal. We included 149 women and 80 men (median age = 76 y; interquartile range = 8). Survival at 1, 2, and 5 years postoperatively was 84%, 77%, and 56%, respectively. Moreover, survival at 1 year was worse for patients with a PREOP risk score higher than 8 (70%) compared with 8 or lower (91%). Of those alive at 1 year, 43 (26%) were institutionalized, and by 2 years, almost half of the entire cohort (46%) wer...Continue Reading

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Citations

Jan 26, 2021·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·S H J KetelaersR G Orsini

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