Predictive value of the Groningen Frailty Indicator for treatment outcomes in elderly patients after head and neck, or skin cancer surgery in a retrospective cohort

Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery
L BrasG B Halmos

Abstract

Careful selection of patients eligible for extensive head and neck cancer surgery is extremely important. A reliable predictor for postoperative outcomes in the vulnerable elderly population is not yet available. The concept of frailty describes a clinical state of increased vulnerability and can be assessed using frailty tests, such as the Groningen Frailty Indicator. In the current study, the influence of Groningen Frailty Indicator-measured frailty on clinical outcome was investigated in elderly patients surgically treated for head and neck cancer. Retrospective, explorative cohort study. Tertiary referral centre. A total of 90 patients of 65 years and older receiving surgical treatment for head and neck cancer with different primary sites. The influence of frailty (Groningen Frailty Indicator) on postoperative complications (Clavien-Dindo classification), subjective postoperative experience of both patient and surgeon and survival were analysed. A total of 36 patients were considered as frail (40%). Postoperative complications could not be predicted by frailty status. However, the Groningen Frailty Indicator dimension 'health problems' was a significant predictor for postoperative complications (P = 0.020). Unlike age and c...Continue Reading

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Citations

Dec 14, 2016·British Journal of Anaesthesia·V L KronzerM S Avidan
Oct 18, 2018·The Laryngoscope·Anthony NoorAndrew Foreman
Oct 2, 2019·European Journal of Cancer Care·Linda BrasGyorgy B Halmos
Jul 29, 2017·Craniomaxillofacial Trauma & Reconstruction·Jan Pieter de GijtMaarten J Koudstaal
May 14, 2020·Journal of the European Academy of Dermatology and Venereology : JEADV·M E C van WindenS F K Lubeek
Feb 8, 2020·Journal of the European Academy of Dermatology and Venereology : JEADV·A J G LeusE Rácz
Oct 22, 2019·The Laryngoscope·Terence S FuDavid P Goldstein
Jul 31, 2019·Current Oncology Reports·Ashley AlbertRoss I S Zbar
Feb 19, 2019·Geriatric Orthopaedic Surgery & Rehabilitation·Jennifer M T A MeessenRob G H H Nelissen
Aug 4, 2020·Annals of Geriatric Medicine and Research·Alicia Wan Yan Poh, Shyh Poh Teo
Dec 9, 2020·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Alexander Joseph JonesAvinash V Mantravadi
Sep 26, 2020·Clinical Oncology : a Journal of the Royal College of Radiologists·J G MiddelburgUNKNOWN LPRO (Dutch National Organization for Radiotherapy in the Elderly)
May 12, 2021·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Khodayar GoshtasbiEdward C Kuan
Sep 15, 2021·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Rohith S VooraRyan K Orosco

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