Preoperative frailty as a predictive factor for postoperative complications in patients with pancreatic cancer

Frailty is considered one of the most important indicators of a patient's general condition. However, only a few studies have investigated the association between preoperative frailty and postoperative complications in pancreatic cancer. Therefore, this study aimed to examine this association i...

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Veröffentlicht in:Nagoya journal of medical science 2023-08, Vol.85 (3), p.518-527
Hauptverfasser: Onji, Makoto, Kakizoe, Shinji, Naito, Koichi, Date, Kenjiro, Nakai, Asuka, Shimizu, Kanami, Suyama, Masatake, Nakamura, So, Kuga, Hirotaka, Nishihara, Kazuyoshi
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container_end_page 527
container_issue 3
container_start_page 518
container_title Nagoya journal of medical science
container_volume 85
creator Onji, Makoto
Kakizoe, Shinji
Naito, Koichi
Date, Kenjiro
Nakai, Asuka
Shimizu, Kanami
Suyama, Masatake
Nakamura, So
Kuga, Hirotaka
Nishihara, Kazuyoshi
description Frailty is considered one of the most important indicators of a patient's general condition. However, only a few studies have investigated the association between preoperative frailty and postoperative complications in pancreatic cancer. Therefore, this study aimed to examine this association in patients with pancreatic cancer. We retrospectively reviewed 52 consecutive patients who underwent pancreatectomy for pancreatic cancer between July 2019 and March 2021. Patients were classified into two groups according to the presence of postoperative complications. Their characteristics and clinical parameters, including physical function, were analyzed. Patients with postoperative complications had a higher prevalence of frailty (58.8% vs 14.3%, = 0.003) and a shorter 6-min walk distance (380 m vs 436 m, = 0.020) than those without postoperative complications. Logistic regression analysis identified preoperative frailty as the only independent risk factor for complications after pancreatectomy ( = 0.002). Preoperative frailty is associated with postoperative complications of pancreatectomy. Since preoperative frailty can be easily evaluated, it is a useful predictor of postoperative complications after pancreatectomy.
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source MEDLINE; Freely Accessible Japanese Titles; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection; PubMed Central Open Access
subjects Frailty - diagnosis
Frailty - epidemiology
Humans
Original Paper
Pancreatic Neoplasms
Pancreatic Neoplasms - surgery
Postoperative Complications - epidemiology
Postoperative Complications - etiology
Retrospective Studies
Risk Factors
title Preoperative frailty as a predictive factor for postoperative complications in patients with pancreatic cancer
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