The clinical impact of frailty on the postoperative outcomes of patients undergoing gastrectomy for gastric cancer: a propensity-score matched database study

Background Frailty aggregates a composite of geriatric and elderly features that is classified into a singular syndrome; literature thus far has proven its influence over postoperative outcomes. In this study, we evaluate the effects of frailty following gastrectomy for gastric cancer. Methods 2011–...

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Bibliographic Details
Published in:Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association 2022-03, Vol.25 (2), p.450-458
Main Authors: Lee, David Uihwan, Kwon, Jean, Han, John, Fan, Gregory Hongyuan, Hastie, David Jeffrey, Lee, Ki Jung, Karagozian, Raffi
Format: Article
Language:English
Subjects:
Abdominal Surgery
Aged
Cancer Research
Frailty
Frailty - complications
Frailty - surgery
Gastrectomy
Gastrectomy - adverse effects
Gastric cancer
Gastroenterology
Gastrointestinal surgery
Humans
Length of Stay
Medicine
Medicine & Public Health
Mortality
Oncology
Original Article
Patients
Postoperative Complications - epidemiology
Postoperative Complications - etiology
Postoperative Complications - surgery
Postoperative period
Propensity Score
Respiratory failure
Retrospective Studies
Risk Factors
Risk groups
Stomach Neoplasms - complications
Stomach Neoplasms - surgery
Surgical Oncology
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Summary:Background Frailty aggregates a composite of geriatric and elderly features that is classified into a singular syndrome; literature thus far has proven its influence over postoperative outcomes. In this study, we evaluate the effects of frailty following gastrectomy for gastric cancer. Methods 2011–2017 National Inpatient Sample was used to isolate patients with gastric cancer undergoing gastrectomy; from this, the Johns Hopkins ACG frailty criteria were applied to segregate frailty-present and absent populations. The case–controls were matched using propensity-score matching and compared to various endpoints. Results Post match, there were 1171 with and without frailty who were undergoing gastrectomy for gastric cancer. Those with frailty had higher mortality (6.83 vs 3.50% p  
ISSN:1436-3291
1436-3305
DOI:10.1007/s10120-021-01265-7