Functional outcome and frailty in colorectal surgery patients

Background Frailty is a recognized risk and predictor of poor health outcomes in older patients undergoing surgery. A significant proportion of elderly patients undergoing colorectal cancer‐related surgery are nevertheless not routinely assessed for frailty in current clinical practice in Australia....

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Bibliographic Details
Published in:ANZ journal of surgery 2023-11, Vol.93 (11), p.2664-2668
Main Authors: Elabbas, Elhassan, Sharma, Anita, Thu, Khin, Tan, Azriel, Alim, Melissa, Zhang, Yan
Format: Article
Language:English
Subjects:
Cancer
Cognitive ability
Colorectal cancer
Colorectal carcinoma
Colorectal surgery
Comorbidity
elderly
Frailty
geriatrics
Impairment
Medical records
Multivariate analysis
Observational studies
Older people
Patients
pre‐operative assessment
Surgery
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Summary:Background Frailty is a recognized risk and predictor of poor health outcomes in older patients undergoing surgery. A significant proportion of elderly patients undergoing colorectal cancer‐related surgery are nevertheless not routinely assessed for frailty in current clinical practice in Australia. We examined the preoperative use of the Clinical Frailty Scale (CFS) to predict post‐operative functional outcomes in geriatric patients undergoing colorectal cancer surgery. Methods This retrospective observational cohort study included elderly colorectal cancer patients (n = 227) who underwent elective major colorectal surgery from 2016 to 2020 at Nepean Hospital, Australia. CFS was calculated retrospectively from medical records and the relationship between CFS and functional outcome factors was analysed. Results Frail patients (n = 111) had a significant postoperative functional decline as demonstrated by discharge to supported care (57% vs. 0.9%), Barthel Index change (P
ISSN:1445-1433
1445-2197
DOI:10.1111/ans.18602