dostęp otwarty
Postoperative functional results of older patients after pancreas and liver surgery
Afiliacje- Department of General, Gastrointestinal, Oncologic Surgery and Transplantology, I Chair of General Surgery, Jagiellonian University Medical College, Krakow, Poland
dostęp otwarty
Streszczenie
In clinical observational studies, overall survival and cancer-specific survival are usually considered the gold standard endpoints. Equally or even more important for older patients are patient-reported outcomes, defined as a set of patient-centered measures that evaluate physical, mental, and social health.
This is particularly important due to the complexity of surgical treatment and the higher risk of postoperative morbidity and mortality. The studies showed that after these operations, the quality of life (QoL) decreases and that is improving with time. After 6 months there was no difference in QoL between younger and older patients. Nevertheless, the results refer mostly to the group of patients who survived the follow-up period and had no recurrence. Therefore, age itself should not be a contraindication for pancreatic or liver surgery. QoL of patients not qualified for surgery decreased constantly.
Streszczenie
In clinical observational studies, overall survival and cancer-specific survival are usually considered the gold standard endpoints. Equally or even more important for older patients are patient-reported outcomes, defined as a set of patient-centered measures that evaluate physical, mental, and social health.
This is particularly important due to the complexity of surgical treatment and the higher risk of postoperative morbidity and mortality. The studies showed that after these operations, the quality of life (QoL) decreases and that is improving with time. After 6 months there was no difference in QoL between younger and older patients. Nevertheless, the results refer mostly to the group of patients who survived the follow-up period and had no recurrence. Therefore, age itself should not be a contraindication for pancreatic or liver surgery. QoL of patients not qualified for surgery decreased constantly.
Słowa kluczowe
older patients; frailty; functional results; quality of life
Informacje o artykuleTytuł
Postoperative functional results of older patients after pancreas and liver surgery
Czasopismo
Biuletyn Polskiego Towarzystwa Onkologicznego Nowotwory
Numer
Typ artykułu
Artykuł przeglądowy
Strony
230-234
Opublikowany online
2022-05-23
Wyświetlenia strony
4434
Wyświetlenia/pobrania artykułu
252
Rekord bibliograficzny
Biuletyn Polskiego Towarzystwa Onkologicznego Nowotwory 2022;7(3):230-234.
Słowa kluczowe
older patients
frailty
functional results
quality of life
Autorzy
Jakub Kenig
Jerzy Krzeszowiak
Kuba Kupniewski
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