Value of Geriatric Frailty and Nutritional Status

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events (i.e., complications at Clavien–Dindo grade ≥3a), length of stay, and a 6-month mortality. All necessary data were obtained retrospectively through the ...
Value of Geriatric Frailty and Nutritional Status Assessment in Predicting Postoperative Mortality in Gastric Cancer Surgery Juul J. W. Tegels, M. F. G. de Maat, K. W. E. Hulsewé, A. G. M. Hoofwijk & J. H. M. B. Stoot Journal of Gastrointestinal Surgery ISSN 1091-255X J Gastrointest Surg DOI 10.1007/s11605-013-2443-7

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Author's personal copy J Gastrointest Surg DOI 10.1007/s11605-013-2443-7

2013 SSAT PLENARY PRESENTATION

Value of Geriatric Frailty and Nutritional Status Assessment in Predicting Postoperative Mortality in Gastric Cancer Surgery Juul J. W. Tegels & M. F. G. de Maat & K. W. E. Hulsewé & A. G. M. Hoofwijk & J. H. M. B. Stoot

Received: 19 May 2013 / Accepted: 16 December 2013 # 2014 The Society for Surgery of the Alimentary Tract

Abstract Objectives This study seeks to evaluate assessment of geriatric frailty and nutritional status in predicting postoperative mortality in gastric cancer surgery. Methods Preoperatively, patients operated for gastric adenocarcinoma underwent assessment of Groningen Frailty Indicator (GFI) and Short Nutritional Assessment Questionnaire (SNAQ). We studied retrospectively whether these scores were associated with in-hospital mortality. Results From 2005 to September 2012 180 patients underwent surgery with an overall mortality of 8.3 %. Patients with a GFI≥3 (n=30, 24 %) had a mortality rate of 23.3 % versus 5.2 % in the lower GFI group (OR 4.0, 95%CI 1.1–14.1, P=0.03). For patients who underwent surgery with curative intent (n=125), this was 27.3 % for patients with GFI≥3 (n=22, 18 %) versus 5.7 % with GFI