Why the study?
What are the long-term survival rates and prognostic factors in elderly patients undergoing surgery?
What are the long-term survival rates and prognostic factors in elderly patients undergoing surgery?
In elderly surgical patients, long-term survival is primarily determined by specific coexisting morbidities rather than age alone, with conditions like severe cardiac disease driving excess mortality.
Comorbidities drive excess mortality after surgery in the elderly; leaves open whether targeted optimization improves survival.
Estimated survival rates in a series of 7,922 operated elderly patients with a 2- to 17-year follow-up indicate that long-term prognosis in geriatric surgery as well as immediate prognosis are to a large extent determined by the frequent coexisting diseases and morbid conditions. Some of these, i.e. hepatic diseases, strokes, senile dementia, severe cardiac disease, renal insufficiency, and diabetes carry an obvious excess mortality, while patients with obesity and arterial hypertension have survival experience equal to that of a Danish population comparable with regard to period, age, and sex.
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Andersen et al. (2009) studied this question.
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