25 research outputs found
Poor nutritional status is associated with other geriatric domain impairments and adverse postoperative outcomes in onco-geriatric surgical patients – a multicentre cohort study
Background: Nutritional status (NS), though frequently affected in onco-geriatric patients, is no standard
part of a geriatric assessment. The aim of this study was to analyse the association between a preoperatively
impaired NS and geriatric domain impairments and adverse postoperative outcomes in onco-geriatric surgical patients.
Methods: 309 patients ≥70 years undergoing surgery for solid tumours were prospectively recruited. Nine screening tools were preoperatively administered as part of a geriatric assessment. NS was based on BMI, weight loss and food intake. Odds ratio’s (OR) and 95% confidence intervals (95%CI) were estimated using logistic regression analysis. The occurrence of 30-day adverse postoperative outcomes was recorded.
Results: At a median age of 76 years, 107 patients (34.6%) had an impaired NS. Decreased performance
status and depression were associated with an impaired NS, when adjusted for tumour characteristics and comorbidities (ORPS>1 3.46; 95%CI 1.56-7.67. ORGDS>5 2.11; 95%CI 1.05-4.26). An impaired NS was an independent predictor for major complications (OR 3.3; 95%CI 1.6-6.8). Ten out of 11 patients who deceased had an impaired NS.
Conclusion: An impaired NS is prevalent in onco-geriatric patients considered to be fit for surgery. It is associated with decreased performance status and depression. An impaired NS is a predictor for adverse postoperative outcomes. NS should be incorporated in a geriatric assessment
Mapping novel protein interactions in the 3’utr of the master chondrocyte regulatory factor SOX9
Longitudinal analysis of primary human articular chondrocyte transcriptomic regulation by interleukin 1β under hyperosmotic conditions
Quasars measured by the Infrared Astronomical Satellite
Wetensch. publicatieFaculteit der Wiskunde en Natuurwetenschappe