The prevalence and prognostic value of frailty screening measures in patients undergoing surgery for colorectal cancer: observations from a systematic review

McGovern, J., Dolan, R. D. , Horgan, P. G. , Laird, B. J. and McMillan, D. C. (2022) The prevalence and prognostic value of frailty screening measures in patients undergoing surgery for colorectal cancer: observations from a systematic review. BMC Geriatrics, 22, 260. (doi: 10.1186/s12877-022-02928-5) (PMID:35351011) (PMCID:PMC8962494)

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Abstract

Introduction: Frailty is a complex multifactorial syndrome characterised by a significant increase in vulnerability and worsened health outcomes. Despite a range of proposed frailty screening measures, the prevalence and prognostic value of frailty in patients undergoing surgery for colorectal cancer is not clear. Aim: The aim of this present review was to examine the use of commonly employed frailty screening measures in patients undergoing surgery for colorectal cancer. Methods: A systematic search of PubMed and Medline was carried out to identify studies reporting the use of frailty screening tools or measures in patients undergoing surgery for colorectal cancer. The screening measure used and prevalence of frailty within the population were recorded. Outcomes of interest were the incidence of post-operative complications, 30-day mortality and overall survival. Results: Of the 15 studies included (n = 97, 898 patients), 9 studies were retrospective and included patients aged 70 years or older (n = 96, 120 patients). 5 of 12 studies reported that frailty was independently associated with the incidence of post-operative complications. There was also evidence that frailty was independently associated with 30-day mortality (1 of 4 studies, n = 9, 252 patients) and long-term survival (2 of 3 studies, n = 1, 420 patients). Conclusions: Frailty was common in patients with colorectal cancer and the assessment of frailty may have prognostic value in patients undergoing surgery. However, the basis of the relationship between frailty and post-operative outcomes is not clear and merits further study.

Item Type:Articles
Keywords:Frailty, colorectal cancer, clinical outcomes.
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Horgan, Professor Paul and Dolan, Dr Ross and McMillan, Professor Donald and Laird, Dr Barry and McGovern, Mr Josh
Authors: McGovern, J., Dolan, R. D., Horgan, P. G., Laird, B. J., and McMillan, D. C.
College/School:College of Medical Veterinary and Life Sciences > School of Infection & Immunity
College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
Journal Name:BMC Geriatrics
Publisher:BioMed Central
ISSN:1471-2318
ISSN (Online):1471-2318
Copyright Holders:Copyright © 2022 The Authors
First Published:First published in BMC Geriatrics 22: 260
Publisher Policy:Reproduced under a Creative Commons License

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