Modified Frailty Index is Useful in Predicting Non-home Discharge in Elderly Patients with Gastric Cancer Who Undergo Gastrectomy.

Aged Frailty Gastrectomy Humans Laparoscopy Lymph Node Excision Patient Discharge Postoperative Complications / epidemiology Retrospective Studies Stomach Neoplasms / surgery

Journal

World journal of surgery
ISSN: 1432-2323
Titre abrégé: World J Surg
Pays: United States
ID NLM: 7704052

Informations de publication

Date de publication:
Nov 2020
Historique:
accepted: 01 07 2020
pubmed: 15 7 2020
medline: 25 6 2021
entrez: 15 7 2020
Statut: ppublish

Résumé

Development of laparoscopic gastrectomy and the Enhanced Recovery After Surgery (ERAS) protocol enable early discharge to home of patients with gastric cancer (GC). However, a significant proportion of patients are still discharged to inpatient facilities after surgery. We aimed to identify predictive factors of non-home discharge in patients with GC who undergo gastrectomy. We enrolled 517 patients with histopathologically confirmed diagnosis of GC who underwent gastrectomy. The number of patients with non-home discharge was 23 (4.4%), and non-home discharge was only observed in patients with GC aged ≥65 years. Patients were divided into the mFI The combination of mFI, postoperative complications, and surgical approach is useful for predicting non-home discharge in patients aged ≥65 years who underwent gastrectomy for GC.

Sections du résumé

BACKGROUND BACKGROUND
Development of laparoscopic gastrectomy and the Enhanced Recovery After Surgery (ERAS) protocol enable early discharge to home of patients with gastric cancer (GC). However, a significant proportion of patients are still discharged to inpatient facilities after surgery. We aimed to identify predictive factors of non-home discharge in patients with GC who undergo gastrectomy.
METHODS METHODS
We enrolled 517 patients with histopathologically confirmed diagnosis of GC who underwent gastrectomy.
RESULTS RESULTS
The number of patients with non-home discharge was 23 (4.4%), and non-home discharge was only observed in patients with GC aged ≥65 years. Patients were divided into the mFI
CONCLUSIONS CONCLUSIONS
The combination of mFI, postoperative complications, and surgical approach is useful for predicting non-home discharge in patients aged ≥65 years who underwent gastrectomy for GC.

Identifiants

DOI: 10.1007/s00268-020-05691-z PMID: 32661696
pubmed: 32661696
doi: 10.1007/s00268-020-05691-z
pii: 10.1007/s00268-020-05691-z
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

3837-3844

Auteurs

Tomohiro Osaki (T)

Department of Surgery, Tottori Prefectural Central Hospital, 730 Ezu, Tottori, 680-0901, Japan. t.osaki228@gmail.com.

Hiroaki Saito (H)

Department of Surgery, Japanese Red Cross Tottori Hospital, 117 Shotoku-cho, Tottori, 680-8517, Japan.

Shota Shimizu (S)

Division of Surgical Oncology, Department of Surgery, School of Medicine, Tottori University, Faculty of Medicine, 36-1 Nishi-cho, Yonago, 683-8504, Japan.

Yuki Murakami (Y)

Department of Surgery, Japanese Red Cross Tottori Hospital, 117 Shotoku-cho, Tottori, 680-8517, Japan.

Kozo Miyatani (K)

Division of Surgical Oncology, Department of Surgery, School of Medicine, Tottori University, Faculty of Medicine, 36-1 Nishi-cho, Yonago, 683-8504, Japan.

Tomoyuki Matsunaga (T)

Division of Surgical Oncology, Department of Surgery, School of Medicine, Tottori University, Faculty of Medicine, 36-1 Nishi-cho, Yonago, 683-8504, Japan.

Shigeru Tatebe (S)

Department of Surgery, Tottori Prefectural Central Hospital, 730 Ezu, Tottori, 680-0901, Japan.

Masahide Ikeguchi (M)

Department of Surgery, Tottori Prefectural Central Hospital, 730 Ezu, Tottori, 680-0901, Japan.

Yoshiyuki Fujiwara (Y)

Division of Surgical Oncology, Department of Surgery, School of Medicine, Tottori University, Faculty of Medicine, 36-1 Nishi-cho, Yonago, 683-8504, Japan.

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Sujet âgé › Modified Frailty Index is Useful in Predicting...
questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Fragilité › Modified Frailty Index is Useful in Predicting...
questionsmedicales.fr › Procédures de chirurgie opératoire › Procédures de chirurgie digestive › Gastrectomie › Modified Frailty Index is Useful in Predicting...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Modified Frailty Index is Useful in Predicting...
questionsmedicales.fr › Procédures de chirurgie opératoire › Interventions chirurgicales mini-invasives › Endoscopie › Laparoscopie › Modified Frailty Index is Useful in Predicting...
questionsmedicales.fr › Procédures de chirurgie opératoire › Lymphadénectomie › Modified Frailty Index is Useful in Predicting...
questionsmedicales.fr › Administration des services de santé › Gestion des soins aux patients › Services de santé polyvalents › Soins de santé primaires › Continuité des soins › Sortie du patient › Modified Frailty Index is Useful in Predicting...
questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Complications postopératoires › Modified Frailty Index is Useful in Predicting...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études de cohortes › Études rétrospectives › Modified Frailty Index is Useful in Predicting...
questionsmedicales.fr › Maladies de l'appareil digestif › Maladies gastro-intestinales › Maladies de l'estomac › Tumeurs de l'estomac › Modified Frailty Index is Useful in Predicting...