Frailty as a predictor of outcomes in patients undergoing head and neck cancer surgery
The Laryngoscope May 04, 2020
Goldstein DP, Sklar MC, de Almeida JR, et al. - In patients undergoing head and neck cancer surgery, researchers conducted this prospective study to ascertain if frailty and functional measures are predictors of perioperative complications and length of hospital stay (LOS). Fried's Frailty Index, Barthel Index, Lawton‐Brody questionnaire and Vulnerable Elders Survey‐13 were performed preoperatively between 2011 and 2015 in patients 50 years and older undergoing major head and neck cancer surgery. Participants in the study were 274 patients (105 aged 50–64 and 169 aged 65 and older). Higher frailty score and less independence were predictors of increased LOS on the Lawton Brody and Barthel Index. Frailty has been a predictor of the type and severity of complications. Frailty as well as measures of independence in activities of daily living have been independent predictors of LOS. Frailty and functional assessment may help surgeons identify patients at risk of adverse postoperative outcomes, thus helping to inform patients and identify patients who may benefit from thorough geriatric evaluation and targeted interventions.
-
Exclusive Write-ups & Webinars by KOLs
-
Daily Quiz by specialty
-
Paid Market Research Surveys
-
Case discussions, News & Journals' summaries