open access

Vol 72, No 4 (2022)
Invited editorial
Published online: 2022-08-22
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Evaluation of postoperative complications in the older population

Mateusz Sitkowski12, Jakub Kenig3
DOI: 10.5603/NJO.2022.0039
·
Nowotwory. Journal of Oncology 2022;72(4):250-257.
Affiliations
  1. Doctoral School in Medical and Health Sciences, Jagiellonian University Medical College, Krakow, Poland
  2. III Chair of General Surgery, Jagiellonian University Medical College, Krakow, Poland
  3. Department of General, Gastrointestinal, Oncologic Surgery and Transplantology, I Chair of General Surgery, Jagiellonian University Medical College, Krakow, Poland

open access

Vol 72, No 4 (2022)
Invited editorial
Published online: 2022-08-22

Abstract

Evaluation of the frequency and severity of postoperative complications is an integral part of establishing the clinical utility of a specific treatment. They define the possible consequences resulting from the chosen method of treatment, and thus the potential risks associated with this choice. Thanks to the analysis of complications, it is possible to evaluate patients’ safety, identify a problem in the course of surgery within a given hospital and surgical team or carry a financial analysis. Not only is the frequency of occurrence important, but so is the severity of complications. Therefore, in recent years we have seen the development of several new tools for assessing postoperative complications such as the Cla­vien-Dindo scale, the Accordion Severity Grading System, the Postoperative Morbidity Index or the Comprehensive Complication Index. Analysis of the above-mentioned scales may contribute to the development of clear algorithms for the management of older patients at increased risk of severe complications and higher mortality, which subsequently may lead to increased efficacy and safer treatment in this population.

Abstract

Evaluation of the frequency and severity of postoperative complications is an integral part of establishing the clinical utility of a specific treatment. They define the possible consequences resulting from the chosen method of treatment, and thus the potential risks associated with this choice. Thanks to the analysis of complications, it is possible to evaluate patients’ safety, identify a problem in the course of surgery within a given hospital and surgical team or carry a financial analysis. Not only is the frequency of occurrence important, but so is the severity of complications. Therefore, in recent years we have seen the development of several new tools for assessing postoperative complications such as the Cla­vien-Dindo scale, the Accordion Severity Grading System, the Postoperative Morbidity Index or the Comprehensive Complication Index. Analysis of the above-mentioned scales may contribute to the development of clear algorithms for the management of older patients at increased risk of severe complications and higher mortality, which subsequently may lead to increased efficacy and safer treatment in this population.

Get Citation

Keywords

postoperative complications; elderly; Accordion Severity Grading System; Postoperative Morbidity Index; Comprehensive Complication Index

About this article
Title

Evaluation of postoperative complications in the older population

Journal

Nowotwory. Journal of Oncology

Issue

Vol 72, No 4 (2022)

Article type

Invited editorial

Pages

250-257

Published online

2022-08-22

Page views

345

Article views/downloads

68

DOI

10.5603/NJO.2022.0039

Bibliographic record

Nowotwory. Journal of Oncology 2022;72(4):250-257.

Keywords

postoperative complications
elderly
Accordion Severity Grading System
Postoperative Morbidity Index
Comprehensive Complication Index

Authors

Mateusz Sitkowski
Jakub Kenig

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