Risk assessment for cancer surgery in elderly patients

Figures & data

Table 1 Validated instruments used with PACE

Mini Mental State Examination (MMS)

Satariano’s Modified Index of Comorbidities

Activities of Daily Living (ADL)

Instrumental Activities of Daily Living (IADL)

Geriatric Depression Scale (GDS)

Brief Fatigue Inventory (BFI)

Eastern Co-operative Oncology Group Performance Status (PS)

American Society of Anesthesiologists Physical Status (ASA)

Physiological and Operative Severity Score for EnUmeration of Mortality and Morbidity (POSSUM)

Portsmouth POSSUM Modification (P-POSSUM)

Abbreviations: PACE, Preoperative Assessment of Cancer in Elderly.

Table 2 30 days morbidity check

Complications	Absent	Minor	Major
Respiratory
Cardiac failure
Renal failure
Generalized sepsis
Stroke/Neurological problems
Hemorrhage and bleeding
Nutritional problems
Other organ failure
Wound infection/dehiscence
Thromboembolic problems
Hepatic failure
Urinary retention
Anastomotic failure
Peripheral ischemia
Endocrine failure
Pressure sores
Analgesic problems
Others

Table 3 PACE Interim analysis: association of PACE with postoperative morbidity

Components	Complications (64 patients)	No Complications (149 patients)	p
Median (IQR)
Comorbidities	2 (0–3)	1 (0–2)	0.024
MMS	28 (27–30)	28 (26–30)	0.917
GDS	3 (1–6)	2 (1–4)	0.018
BFI	2.2 (0.2–4.4)	1.2 (0–4.4)	0.156
Number of patients (%)
PS = 0	30 (46.9)	122 (81.9)	<0.0001
ADL (Dependent)	38 (59.4)	55 (36.9)	0.005
IADL (Independent)	38 (59.4)	114(76.5)	0.043
ASA = 1 or 2	29 (45.1)	72 (49.0)	0.449

Abbreviations: ADL, activities of daily living; ASA, American Society of Anesthesiologists scoring system; BFI, Brief Fatigue Inventory ; GDS, Geriatric Depression Scale; IADL, independent activities of daily living; IQR, interquartile; MMS, Mini Mental State; PS, performance status.