Male Patients may be More Vulnerable to Acute Kidney Injury After Colorectal Surgery in an Enhanced Recovery Program: A Propensity Score Matching Analysis

Background Although many reports have shown that enhanced recovery after surgery (ERAS) programs improve the perioperative outcomes of patients undergoing colorectal surgery, the prevalence of early acute kidney injury (AKI) after surgery in such patients requires attention. Protective roles of the...

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Bibliographic Details
Published in:World journal of surgery 2021-06, Vol.45 (6), p.1642-1651
Main Authors: Shim, Jung-Woo, Ro, Hojun, Lee, Chul Seung, Park, Jaesik, Lee, Hyung Mook, Kim, Yong-Suk, Moon, Young Eun, Hong, Sang Hyun, Chae, Min Suk
Format: Article
Language:English
Subjects:
Abdominal Surgery
Cardiac Surgery
Colorectal carcinoma
Colorectal surgery
Complications
Females
General Surgery
Glomerular filtration rate
Injuries
Ischemia
Kidney diseases
Kidneys
Laparoscopy
Males
Medicine
Medicine & Public Health
Original Scientific Report
Recovery
Recovery (Medical)
Renal function
Sex
Surgery
Surgical outcomes
Thoracic Surgery
Vascular Surgery
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Summary:Background Although many reports have shown that enhanced recovery after surgery (ERAS) programs improve the perioperative outcomes of patients undergoing colorectal surgery, the prevalence of early acute kidney injury (AKI) after surgery in such patients requires attention. Protective roles of the female sex in terms of chronic kidney disease and progression of ischemic renal injury have been described in many studies. We thus explored whether a sex difference was evident in terms of postoperative AKI in a colorectal ERAS setting. Methods From January 2017 to August 2019, 453 patients underwent laparoscopic colorectal cancer resection in an enhanced recovery program. Of these, 217 female patients were propensity score (PS)-matched with 236 male patients. Then, 215 patients of either sex were compared in terms of postoperative renal function and complications. Results Among the PS-matched patients, the incidence of AKI was significantly higher in male than female patients (24.2% vs. 9.8%, P  
ISSN:0364-2313
1432-2323
DOI:10.1007/s00268-021-06041-3