Copyright
©The Author(s) 2016.
World J Gastrointest Surg. Jan 27, 2016; 8(1): 27-40
Published online Jan 27, 2016. doi: 10.4240/wjgs.v8.i1.27
Published online Jan 27, 2016. doi: 10.4240/wjgs.v8.i1.27
Ref. | Country | Quality score1 | Study design | Sample size | Age (yr) | Male sex (%) | Surgery type | Parameter used to define frailty | Postoperative complication rate | Follow-up (mo) | 30-d morbidity (%) | 30-d mortality (%) | 1-yr OS (%) | 5-yr OS (%) | Outcome parameter | Frailty/outcome (OR) |
Rønning et al[67] | New Zealand | 6 | P | 84 | 82 | 41 | Colorectal surgery | Combined geriatric assessment | NR | 22 | NR | NR | NR | NR | No outcome analysis | NR - significant postoperative decrease of ADL |
Obeid et al[36] | United States | 5 | R | 58448 | NR | 48 | Colectomy (33% malignant causes) | Canadian frailty index | 26 | NR | 15.9 | 4.6 | NR | NR | 30 d mortality and morbidity | OR = 14.4; 95%CI: 18.76-31.2 |
Neuman et al[37] | United States | 6 | R | 12979 | 84 | 39 | Colectomy for colorectal cancer | Johns Hopkins adjusted case mix system | NR | 16 | NR | NR | 85.7 | NR | 1 yr survival | OR = 8.4; 95%CI: 6.4-11.1, P = 0.001 |
Robinson et al[68] | United States | 4 | P | 60 | 75 | 97 | Colectomy for colorectal cancer | Individual frailty score | 10 | 6 | 10 | 2 | NR | NR | Hospital and health care costs | NR - significant association to costs and length of stay |
Tran Ba Loc et al[29] | France | 7 | P | 1186 | 76 | NR | Major colorectal surgery | Elderly POSSUM score | 41 | 3 | NR | 2 | NR | NR | 30 d mortality | AUC 0.86 (0.81-0.92) |
Tan et al[31] | China | 6 | P | 83 | 82 | NR | Colorectal resections | Fried frailty criteria | 22 | NR | 29 | 0 | NR | NR | 30 d morbidity | OR = 4.08; 95%CI: 1.43-11.64, P = 0.006 |
Sabel et al[38] | United States | 5 | R | 302 | 68 | 52 | Colorectal resection | Psoas area; Psoas density | 58 | 34 | NR | NR | NR | NR | No outcome analysis | NR |
Lieffers et al[39] | Canada | 5 | R | 234 | 63 | 135 | Colorectal resection | Skeletal muscle index | 6 | NR | NR | NR | NR | NR | Postoperative complications | OR = 4.6; 95%CI: 1.513.9, P = 0.007 |
Reisinger et al[50] | The Netherlands | 5 | P/R | 340 | 69 | 50 | Colorectal resection | L3 muscle index | 21 | 24 | NR | 4.5 | NR | NR | Postoperative complications | OR = 43.3; 95%CI: 2.74-685.2, P = 0.007 |
Huang et al[30] | China | 6 | P | 142 | 62 | 62 | Colorectal resection | L3 muscle index and gait speed and grip strength | 28 | NR | NR | NR | NR | NR | Postoperative complications | OR = 4.524, 95%CI: 1.584-12.921, P = 0.007 |
- Citation: Wagner D, DeMarco MM, Amini N, Buttner S, Segev D, Gani F, Pawlik TM. Role of frailty and sarcopenia in predicting outcomes among patients undergoing gastrointestinal surgery. World J Gastrointest Surg 2016; 8(1): 27-40
- URL: https://www.wjgnet.com/1948-9366/full/v8/i1/27.htm
- DOI: https://dx.doi.org/10.4240/wjgs.v8.i1.27