Higher surgical volume is associated with better outcomes for frail patients undergoing surgery for ovarian cancer

Frailty is a syndrome of decreased physiologic reserve and decreased resilience to stress that has been associated with adverse outcomes following many operative procedures. We aimed to evaluate these findings among patients undergoing surgery for ovarian cancer (OC) using a nationwide database. Inp...

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Bibliographic Details
Published in:Gynecologic oncology 2021-08, Vol.162, p.S21-S21
Main Authors: Nakhla, Morcos, Furey, Katelyn, Salani, Ritu, Benharash, Peyman, Cohen, Joshua
Format: Article
Language:English
Online Access:Get full text
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Summary:Frailty is a syndrome of decreased physiologic reserve and decreased resilience to stress that has been associated with adverse outcomes following many operative procedures. We aimed to evaluate these findings among patients undergoing surgery for ovarian cancer (OC) using a nationwide database. Inpatient hospitalizations were identified for patients undergoing surgery for OC using the 2005-2017 National Inpatient Sample database. International Classification of Diseases-9th and -10th Revision (ICD-9 and ICD-10) codes were used in conjunction with the Johns Hopkins Adjusted Clinical Groups (ACG) frailty-defining diagnosis indicator to designate frailty. Multivariate regression models were used to assess the association of frailty with postoperative outcomes and resource utilization. Of an estimated 198,820 patients, 6.1% (12,085) were considered frail. Frail patients were older (66 vs. 60 years; p
ISSN:0090-8258
1095-6859
DOI:10.1016/S0090-8258(21)00686-7