open access

Vol 72, No 3 (2022)
Review paper
Published online: 2022-05-23
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Postoperative functional results of older patients after pancreas and liver surgery

Jakub Kenig1, Jerzy Krzeszowiak1, Kuba Kupniewski1
DOI: 10.5603/NJO.2022.0029
·
Nowotwory. Journal of Oncology 2022;72(3):202-206.
Affiliations
  1. Department of General, Gastrointestinal, Oncologic Surgery and Transplantology, I Chair of General Surgery, Jagiellonian University Medical College, Krakow, Poland

open access

Vol 72, No 3 (2022)
Oncogeriatrics
Published online: 2022-05-23

Abstract

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.

Abstract

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.

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Keywords

older patients; frailty; functional results; quality of life

About this article
Title

Postoperative functional results of older patients after pancreas and liver surgery

Journal

Nowotwory. Journal of Oncology

Issue

Vol 72, No 3 (2022)

Article type

Review paper

Pages

202-206

Published online

2022-05-23

Page views

398

Article views/downloads

48

DOI

10.5603/NJO.2022.0029

Bibliographic record

Nowotwory. Journal of Oncology 2022;72(3):202-206.

Keywords

older patients
frailty
functional results
quality of life

Authors

Jakub Kenig
Jerzy Krzeszowiak
Kuba Kupniewski

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