Surgery, Malignancy, Acute Kidney Injury, Cronich Kidney Disease
Conditions
Keywords
serum creatinine, kidney dysfunction
Brief summary
The perioperative approach adopted in a cohort of adult oncological patients undergoing major abdominal surgery will be described. In particular, the physician's attitude toward use of sCr for identification of patients at risk for PO-AKI will be described, as well as the patients who should be reassessed in the long term for progression toward CKD. The incidence and risk factors associated with PO-AKI and renal function deterioration within a year postoperatively will be also evaluated.
Interventions
DIAGNOSTIC_TESTSerum creatinine
Will be described: 1) the number of patients actually screened with postoperative serum creatinine and 2) the number of patients actually screened with the same parameter at the long-term after surgery
Sponsors
Careggi Hospital
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adult patients * Scheduled for elective surgery * Surgery for oncological disease
Exclusion criteria
* Patients undergoing postoperative chemotherapy * Patients who died within 12 month after surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Adoption of serum creatinine as marker of acute kidney injury postoperively | 3rd postoperative day | Number of actual patients screened postoperatively |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of acute kidney injury | 3rd postoperative day | Number of patients with a postoperative diagnostic increase of serum creatinine, in accordance with KDIGO guidelines |
| Adoption of serum creatinine as marker of long term kidney dysfunction | 12 month after surgery | Number of actual patients screened at the long term |
| Incidence of long term kidney dysfunction | 12 month after surgery | Number of patients with a long term reduction in GFR greater than 10 ml/min with respect to the baseline |
Countries
Italy
Outcome results
None listed