In:
Journal of the American Geriatrics Society, Wiley, Vol. 61, No. 8 ( 2013-08), p. 1351-1357
Abstract:
To evaluate long‐term morbidity, mortality, and quality of life ( Q o L ) after pancreaticoduodenectomy ( PD ) in elderly adults. Design Retrospective cohort study. Setting T el‐ A viv S ourasky Medical Center, T el‐ A viv, I srael. Participants One hundred and sixty‐eight individuals aged 70 and older who underwent PD between 1995 and 2010. Measurements A prospective pancreatic surgery database was analyzed for postoperative morbidity; mortality; intensive care unit ( ICU ), hospital, and rehabilitation facility stay; and readmissions after surgery. Q o L was assessed using a validated questionnaire completed 3, 6, and 12 months after surgery. Results Seventy‐two percent of the participants had an A merican S ociety of A nesthesiologists score of 3 or greater. There was no intraoperative death. Thirty‐ and 60‐day postoperative mortality rates were 5.9% and 6.5%, respectively. Median ICU stay was 2 days, and median hospital stay was 22 days. Sixty‐four participants (37.5%) were discharged to a rehabilitation facility. The first‐year readmission rate was 31%. One‐ and 2‐year overall survival rates were 58% and 36%, respectively. Global Q o L scores 3 and 12 months after surgery were 68% and 73%, respectively. Scores were lower yet comparable with those of matched individuals undergoing laparoscopic cholecystectomy. Conclusion Most elderly adults with pancreatic cancer survive longer than 1 year after PD ; 36% survive longer than 2 years. These individuals are likely to have acceptable long‐term morbidity and overall good Q o L , corresponding with their age.
Type of Medium:
Online Resource
ISSN:
0002-8614
,
1532-5415
DOI:
10.1111/jgs.2013.61.issue-8
Language:
English
Publisher:
Wiley
Publication Date:
2013
detail.hit.zdb_id:
2040494-3
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