The Prognostic Value of a Geriatric Risk Score for Older Patients with Colorectal Cancer

• DOI: 10.1245/s10434-018-6867-x
• Publication Date: 2018-10-25T14:12:01Z
• Authors: E. T. D. Souwer; D. Hultink; E. Bastiaannet; M. E. Hamaker; A. Schiphorst; A. Pronk; J. M. van der Bol; W. H. Steup; J. W. T. Dekker; J. E. A. Portielje; F. van den Bos
• Keywords: Surgical oncology; Colorectal Surgery; Geriatric oncology

VMS is a Dutch risk assessment tool for hospitalized older adults that includes short evaluation of four geriatric domains: delirium, undernutrition, physical impairments, and fall risk. We investigated whether the information derived from this has prognostic value outcomes colorectal surgery.All consecutive patients over age 70 years who underwent elective cancer surgery in three hospitals (2014-2016) were studied. The presence was scored prior to per domain as either 0 (risk absent) or 1 present). total number factors summed. primary outcome long-term survival. Secondary postoperative complications, including delirium. Cox proportional hazards models used evaluate sumscore associated with overall survival.Five hundred fifty included. Median 76.5 years, median follow-up 870 days. Patients intermediate (1-2) high (3-4) independently lower survival, hazard ratio (HR) 1.9 [95% confidence interval (CI) 1.1-3.5; p = 0.03] 8.7 (95% CI 4.0-19.2; < 0.001), respectively. Sumscores also complications (intermediate OR 1.8; 95% 1.2-2.7; 2.4; 1.02-5.5).This easy-to-use strong associations morbidity after surgery. This may be included mortality can shared decision-making.