Outcomes of octogenarians undergoing gastrectomy performed for malignancy.
Publication Title
The Journal of surgical research
Document Type
Article
Publication Date
1-1-2017
Keywords
Age Factors; Aged, 80 and over; Databases, Factual; Female; Gastrectomy; Humans; Male; Postoperative Complications; Risk Factors; Stomach Neoplasms; Treatment Outcome
Abstract
BACKGROUND: Studies on perioperative outcomes of octogenarians with gastric cancer are limited by small sample size. Our aim was to determine the outcomes of gastrectomy and the variation of treatments associated with advanced age (≥80 y).
METHODS: The National Surgical Quality Improvement Program database was queried from 2005 to 2011. Patients who underwent gastrectomy for malignancy were identified using International Classification of Diseases, Ninth Revision and Current Procedural Terminology codes.
RESULTS: Of 2591 cases, 487 patients were octogenarians (≥80) and 2104 were nonoctogenarians (
CONCLUSIONS: Advanced age (≥80 y) was associated with worse outcomes in patients undergoing gastrectomy for malignancy. Therefore, careful staging is necessary to reduce unnecessary operations in this population. Furthermore, surgeons must place greater attention on optimizing the octogenarian population before surgery.
Area of Special Interest
Cancer
Specialty/Research Institute
Oncology
Specialty/Research Institute
Geriatrics
Specialty/Research Institute
Surgery
