Gynecologic Cancers
Conditions
Keywords
geriatric surgery, scoring systems, mortality
Brief summary
Sınce old age includes variables such as genetics, chronic diseases, lifestyle, aging can be classified as chronological, social, physiological and psychological. According to the World Health Organization's chronological classification, 0-18 years old is considered adolescent, 18-65 years old is young, 65-74 years old is young-old, 74-84 years old is old, and over 85 years old is very old. With advancing age, many physiological changes occur in the body and the risk of non-communicable diseases such as heart and respiratory diseases, cancer, and diabetes increases. Geriatric assessment can be defined as a multidimensional diagnostic process aimed at developing a coordinated and integrated plan for treatment and long-term follow-up in order to determine the medical, psychosocial and functional abilities of an elderly person. Therefore, in order to obtain information about mortality and morbidity in patients undergoing geriatric gynecologic cancer surgery, many risk factors will be evaluated and the usability and reliability of scores and indices will be investigated. For this purpose, many risk scores are used.
Detailed description
Geriatric assessment can be defined as a multidimensional diagnostic process aimed at developing a coordinated and integrated plan for treatment and long-term follow-up in order to determine the medical, psychosocial and functional abilities of an elderly person. Therefore, in order to obtain information about mortality and morbidity in patients undergoing geriatric gynecologic cancer surgery, many risk factors will be evaluated and the usability and reliability of scores and indices will be investigated. For this purpose, many risk scores are used. There are preoperative ASA clinical classification and many postoperative risk protections. ARISCAT risk score is used to investigate postoperative respiratory complications. It consists of a seven-variable model (age, preoperative oxygen saturation (SpO2), respiratory tract infection in the month before surgery, preoperative anemia, surgical incision, duration of surgery and emergency system of the procedure) that separates patients into low, medium and high groups. One of the risk score calculation methods calculated by evaluating comorbidities is the Charlson Comorbidity Index. This score consists of 17 parameters. Participants will be evaluated with the GA-GYN score, which can be separated in this way for geriatric patients and gynecological cancer group surgery. AC surgical risk score is also a score consisting of many parameters such as patients' comorbidities, surgical procedure performed and calculating the risk of disease and death. Walter index will be calculated in order to evaluate these personal 1-year death estimates.
Interventions
PROCEDUREmorbidity and mortality
Relationship of scoring systems with postoperative morbidity and mortality in geriatric patients undergoing gynecologic cancer surgery.
Sponsors
Bakirkoy Dr. Sadi Konuk Research and Training Hospital
Study design
Observational model
COHORT
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
FEMALE
Age
74 Years to 84 Years
Healthy volunteers
No
Inclusion criteria
* Patients older than 74 years of age
Exclusion criteria
* Incomplete or inadequate patient records
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Correlation of Geriatric assesment- Gynaecology( GA-GYN) score with postoperative mortality | postoperative 1 year | In this score, high scores represent poor results. The GA-GYN score consists of eight parameters: 1. Need for assistance in taking medications: 1 point 2. Limited in walking one block : 2 point 3. Decreased social activity at least sometimes due to physical/emotional health (item from social activity survey):1 point 4. Number of falls in the last 6 months ≥ 1:3 point 5. Fair or worse Hearing: 2 point 6. Age \>=72 years: 2 point 7. Hemoglobin \<10 g/dl: 3 point 8. Creatinine clearance \<34 ml/min: 3 point |
Countries
Turkey (Türkiye)
Outcome results
None listed