From: Outcomes of colorectal cancer surgery in the nonagenarians: 20-year result from a tertiary center
Factors | Postoperative complications | 30-day mortality | 180-day mortality | |||
---|---|---|---|---|---|---|
(%) | p | (%) | p | (%) | p | |
Sex | 0.568 | 0.119 | 0.683 | |||
Male | 40 | 15 | 35 | |||
Female | 32.4 | 2.7 | 29.7 | |||
ASA | 0.039 | 0.011 | 0.028 | |||
II-III | 31.5 | 3.7 | 27.8 | |||
IV | 100 | 66.7 | 100 | |||
ECOG | 1.0 | 0.464 | 0.094 | |||
< 4 | 34.7 | 6.1 | 26.5 | |||
≥ 4 | 37.5 | 12.5 | 62.5 | |||
CCI | 0.53 | 0.042 | 0.025 | |||
< 9 | 32.6 | 2.3 | 23.3 | |||
≥ 9 | 42.9 | 21.4 | 57.1 | |||
Chronic smoker | 1.0 | 1.0 | 1.0 | |||
No | 34.5 | 7.3 | 32.7 | |||
Yes | 50 | 0 | 0 | |||
Hypertension | 0.898 | 0.623 | 0.526 | |||
No | 36 | 4 | 36 | |||
Yes | 34.3 | 9.3 | 28.1 | |||
Diabetes mellitus | 1.0 | 0.464 | 0.698 | |||
No | 34.7 | 6.1 | 30.6 | |||
Yes | 37.5 | 12.5 | 37.5 | |||
Ischemic heart disease | 0.017 | 0.051 | 0.072 | |||
No | 29.4 | 3.9 | 27.5 | |||
Yes | 83.3 | 33.3 | 66.7 | |||
Cerebrovascular disease | 1.0 | 0.464 | 1.0 | |||
No | 34.7 | 6.1 | 32.7 | |||
Yes | 37.5 | 12.5 | 25 | |||
Respiratory disease | 0.687 | 0.07 | 1.0 | |||
No | 34 | 4 | 32 | |||
Yes | 42.8 | 28.6 | 28.6 | |||
Chronic renal failure | 1.0 | 1.0 | 1.0 | |||
No | 35.8 | 7.5 | 32.1 | |||
Yes | 25 | 0 | 25 | |||
Cirrhosis | 1.0 | 1.0 | 1.0 | |||
No | 35.7 | 7.1 | 32.1 | |||
Yes | 0 | 0 | 0 | |||
Current antiplatelet use | 0.332 | 0.315 | 0.646 | |||
No | 32.7 | 5.8 | 30.8 | |||
Yes | 60 | 20 | 40 | |||
Surgical urgency | 0.044 | 0.3 | 0.162 | |||
Elective | 24.2 | 3 | 24.2 | |||
Emergency | 50 | 12.5 | 41.7 | |||
Surgical approach | 0.182 | 0.569 | 0.303 | |||
Laparoscopic | 16.7 | 0 | 16.7 | |||
Open | 40 | 8.9 | 35.6 | |||
Surgical intent | 0.346 | 1.0 | 0.087 | |||
Curative | 38.6 | 6.8 | 25 | |||
Palliative | 23.1 | 7.7 | 53.8 | |||
Tumor location | 0.031 | 1.0 | 0.227 | |||
Colon | 44.7 | 7.9 | 36.8 | |||
Rectum | 15.8 | 5.2 | 21.1 | |||
Disease staging | 0.651 | 1.0 | 0.351 | |||
1–3 | 36.2 | 6.4 | 27.7 | |||
4 | 16.7 | 0 | 50 | |||
Serum biochemistry^ | ||||||
Hemoglobin | 0.173 | 0.852 | 0.189 | |||
White cell count | 0.566 | 0.981 | 0.021 | |||
Albumin | 0.629 | 0.041 | 0.008 | |||
Creatinine | 0.675 | 0.473 | 0.885 | |||
Overall complications | 0.012 | 0.005 | ||||
No | 0 | 18.9 | ||||
Yes | 20 | 55 | ||||
Pulmonary complications | < 0.001 | 0.001 | ||||
No | 0 | 22.4 | ||||
Yes | 50 | 87.5 | ||||
Reoperation | 1.0 | 0.536 | ||||
No | 7.3 | 30.9 | ||||
Yes | 0 | 50 |