The impact of preoperative corticosteroids on the systemic inflammatory response and postoperative complications following surgery for gastrointestinal cancer: a systematic review and meta-analysis

McSorley, S. T. , Horgan, P. G. and McMillan, D. C. (2016) The impact of preoperative corticosteroids on the systemic inflammatory response and postoperative complications following surgery for gastrointestinal cancer: a systematic review and meta-analysis. Critical Reviews in Oncology/Hematology, 101, pp. 139-150. (doi:10.1016/j.critrevonc.2016.03.011) (PMID:26997303)

[img]
Preview
Text
117484.pdf - Accepted Version

496kB

Abstract

Background: This meta-analysis examined the impact of preoperative corticosteroids on interleukin 6 (IL-6), C-reactive protein (CRP), and complications following surgery for gastrointestinal cancer. Methods: A systematic review was performed using appropriate keywords. Random-effects meta-analysis was performed. Results: 11 RCTs with 474 patients, were included. Corticosteroids were significantly associated with lower IL-6 on postoperative day 1 (mean difference −148 pg/mL, 95% CI −205 to −92, p < 0.001), 2 (–33 pg/mL, 95% CI −58 to −8, p = 0.01), and 3 (–31 pg/mL, 95% CI −52 to −11, p = 0.002), lower CRP on day 3 (–45 mg/L, 95% CI −68 to −21, p<0.001), and 7 (–14 mg/L, 95% CI −27 to −1, p = 0.04), and fewer postoperative infective complications (OR 0.47, 95% CI 0.26 to 0.83, p = 0.01). Conclusion: Corticosteroids were associated with reduction in the postoperative systemic inflammatory response and complications following surgery for gastrointestinal cancer.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Horgan, Professor Paul and McMillan, Professor Donald and McSorley, Dr Stephen
Authors: McSorley, S. T., Horgan, P. G., and McMillan, D. C.
College/School:College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
Journal Name:Critical Reviews in Oncology/Hematology
Publisher:Elsevier B.V.
ISSN:1040-8428
ISSN (Online):1879-0461
Copyright Holders:Copyright © 2016 Elsevier B.V.
First Published:First published in Critical Reviews in Oncology Hematology 101:139-150
Publisher Policy:Reproduced in accordance with the copyright policy of the publisher.

University Staff: Request a correction | Enlighten Editors: Update this record