Application of MFI-5 in severe complications and unfavorable outcomes after radical resection of colorectal cancer

Autor: Lihong Huang, Zhifa Li, Mengru Jian, Xiaobing Wu, Huixian Chen, Haifeng Qin, Ziqiao Li, Shixi Song, Yingjun Xie, Rong Chen
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: World Journal of Surgical Oncology, Vol 21, Iss 1, Pp 1-8 (2023)
Druh dokumentu: article
ISSN: 1477-7819
DOI: 10.1186/s12957-023-03186-4
Popis: Abstract Background Frailty is considered a characteristic manifestation of physiological decline in multiple organ systems, which significantly increases the vulnerability of elderly individuals with colorectal cancer (CRC) and is associated with a poor prognosis. While studies have demonstrated that the 11-factor Modified Frailty Index (mFI-11) can effectively predict adverse outcomes following radical resection of CRC, there is a lack of research on the applicability of the 5-factor Modified Frailty Index (mFI-5) within this patient population. Methods In this retrospective analysis, we examined a cohort of CRC patients aged 65 years and above who had undergone radical resection. For each patient, we calculated their mFI-5 score, considering a score of ≥ 2 as an indication of frailty. We conducted univariate and multivariate analyses to assess the association between the mFI-5 and adverse outcomes as well as postoperative complications. Results Patients with an mFI-5 score ≥ 2 exhibited a significantly higher incidence of serious postoperative complications (53% vs. 30%; P = 0.001) and experienced a longer hospital stay [19.00 (15.00–24.50) vs. 17.00 (14.00–20.00); P
Databáze: Directory of Open Access Journals
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