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Title of Journal: Int J Clin Oncol

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Abbravation: International Journal of Clinical Oncology

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Springer Japan

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DOI

10.1016/0047-2352(85)90076-5

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1437-7772

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Estimation of Physiologic Ability and Surgical Str

Authors: Yuki Kitano Masaaki Iwatsuki Junji Kurashige Daisuke Kuroda Keisuke Kosumi Yoshifumi Baba Yasuo Sakamoto Yuji Miyamoto Naoya Yoshida Yoshio Haga Hideo Baba
Publish Date: 2016/08/12
Volume: 22, Issue: 1, Pages: 80-87
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Abstract

Improvements in operative technique and perioperative management have resulted in increasing numbers of elderly patients undergoing gastrectomy for gastric cancer GC We evaluated the accuracy of Estimation of Physiologic Ability and Surgical Stress EPASS and modified mEPASS scores in predicting postoperative complications in elderly patients with GCWe retrospectively analyzed shortterm outcomes in 413 patients who underwent gastrectomy for GC between 2005 and 2014 They were divided into two groups Group N comprised 341 nonelderly patients 80 years of age and Group E comprised 72 elderly patients ≥80 years of age We calculated the EPASS and mEPASS scores and evaluated the correlation between the comprehensive risk score CRS and occurrence of postoperative complicationsMorbidity rates were 255  in Group N and 319  in Group E In Group N the CRS values of both the EPASS P  00001 and mEPASS P  00001 scores were significantly higher in patients with complications than in those without complications In Group E although the EPASS CRS was significantly higher in patients with complications than in patients without complications P = 001 the mEPASS CRS fixed CRSf score was not significantly correlated with the occurrence of postoperative complications P = 008Both EPASS and mEPASS can be used to predict the occurrence of postoperative complications in GC patients undergoing gastrectomy However the EPASS CRS is more accurate for elderly patients because variations in intraoperative parameters such as operation time blood loss and extent of skin incision have a strong influence on the occurrence of postoperative complicationsAll procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation institutional and national and with the Helsinki Declaration of 1964 and later versions Informed consent or substitute for it was obtained from all patients for being included in the study

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