Key result
Preoperative geriatric assessment, specifically Fried's 'exhaustion', independently predicted major complications (OR 4.06, P=0.01) in older adults undergoing pancreaticoduodenectomy.
Why the study?
Does geriatric assessment improve prediction of postoperative adverse events in older adults undergoing pancreaticoduodenectomy?
Cohort (n=76)
Single-blind
Does geriatric assessment improve prediction of postoperative adverse events in older adults undergoing pancreaticoduodenectomy?
Odds Ratio: 4.06
p-value: p=0.01
Geriatric assessment, particularly frailty components like exhaustion, independently predicts major complications and resource utilization in older adults undergoing pancreaticoduodenectomy.
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Exhaustion on geriatric assessment may enhance risk stratification before pancreaticoduodenectomy; hypothesis-generating and requires prospective validation.
Dale et al. (2013) conducted a cohort in Pancreatic tumors (n=76). Geriatric assessment (Fried's exhaustion) vs. Standard preoperative assessments was evaluated on Major complications (Clavien-Dindo grade ≥III) (OR 4.06, p=0.01). Preoperative geriatric assessment, specifically Fried's 'exhaustion', independently predicted major complications (OR 4.06, P=0.01) in older adults undergoing pancreaticoduodenectomy.
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