Obesity as a determinant of perioperative and postoperative outcome in patients following colorectal cancer surgery: A population-based study (2009–2016)

Obesity is an increasing problem worldwide that can influence perioperative and postoperative outcomes. However, the relationship between obesity and treatment-related perioperative and short-term postoperative morbidity after colorectal resections is still subject to debate. Patients were selected...

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Bibliographic Details
Published in:European journal of surgical oncology 2018-12, Vol.44 (12), p.1849-1857
Main Authors: Poelemeijer, Youri Q.M., Lijftogt, Niki, Detering, Robin, Fiocco, Marta, Tollenaar, Rob A.E.M., Wouters, Michel W.J.M.
Format: Article
Language:English
Subjects:
Colorectal cancer
Complications
Dutch ColoRectal audit
Obesity
Outcome
Population-based
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Summary:Obesity is an increasing problem worldwide that can influence perioperative and postoperative outcomes. However, the relationship between obesity and treatment-related perioperative and short-term postoperative morbidity after colorectal resections is still subject to debate. Patients were selected from the DCRA, a population-based audit including 83 hospitals performing colorectal cancer (CRC) surgery. Data regarding primary resections between 2009 and 2016 were eligible for analyses. Patients were subdivided into six categories: underweight, normal weight, overweight and obesity class I, II and III. Of 71,084 patients, 17.7% with colon and 16.4% with rectal cancer were categorized as obese. Significant differences were found for the 30-day overall postoperative complication rate (p 
ISSN:0748-7983
1532-2157
DOI:10.1016/j.ejso.2018.05.027