The effect of preoperative nutritional status on postoperative complications and overall survival in patients undergoing pelvic exenteration: A multi-disciplinary, multi-institutional cohort study

Optimization of preoperative nutritional status has been recommended and associated with improved outcomes for other oncologic procedures, but has not been studied in patients undergoing pelvic exenteration. A retrospective chart review of 199 patients was conducted. Overall survival (OS) was calcul...

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Bibliographic Details
Published in:The American journal of surgery 2019-08, Vol.218 (2), p.275-280
Main Authors: Lyell, N.J., Kitano, M., Smith, B., Gleisner, A.L., Backes, F.J., Cheng, G., McCarter, M.D., Abdel-Misih, S., Jones, E.L.
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Bladder
Blood transfusions
Body mass index
Cardiac arrhythmia
Cohort analysis
Cohort Studies
Complications
Exenteration
Female
Fistula
Hazards
Hospitals
Humans
Infections
Male
Medical personnel
Middle Aged
Morbidity
Mortality
Multivariate analysis
Nutrition
Nutritional Status
Oncology
Optimization
Patients
Pelvic
Pelvic Exenteration
Pneumonia
Postoperative Complications - epidemiology
Postoperative period
Preoperative Period
Radiation therapy
Retrospective Studies
Sepsis
Serum albumin
Surgery
Survival
Survival Rate
Young Adult
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Description
Summary:Optimization of preoperative nutritional status has been recommended and associated with improved outcomes for other oncologic procedures, but has not been studied in patients undergoing pelvic exenteration. A retrospective chart review of 199 patients was conducted. Overall survival (OS) was calculated using the Kaplan-Meier method and multivariate analysis was performed with Cox proportional hazards. 199 patients underwent PE with 61 (31%), 78 (40%) and 58 (29%) patients having colorectal, gynecologic and urologic histological diagnoses, respectively. Median OS following PE was 25 months. Preoperative serum albumin
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2019.03.021