Publications

Authors:

Geroin, Christian; Weindelmayer, Jacopo; Camozzi, Serena; Leone, Barbara; Turolo, Cecilia; Hetoja, Selma; Bencivenga, Maria; Sacco, Michele; De Pasqual, Carlo Alberto; Mattioni, Eugenia; de Manzoni, Giovanni; Giacopuzzi, Simone

Title:

Clinical predictors of postoperative complications in the context of enhanced recovery (ERAS) in patients with esophageal and gastric cancer

Year:

2024

Type of item:

Articolo in Rivista

Tipologia ANVUR:

Articolo su rivista

Language:

Inglese

Referee:

No

Name of journal:

UPDATES IN SURGERY

ISSN of journal:

2038-131X

Page numbers:

1-10

Keyword:

Enhanced recovery after surgery; Gastric and esophageal cancer; Postoperative complications; Prehabilitation; Surgery

Short description of contents:

The overall frequency of postoperative complications in patients with esophageal and gastric cancer diverges between studies. We evaluated the frequency and assessed the relationship between complications and demographic and clinical features. For this observational study, data were extracted from the ERAS Registry managed by the University of Verona, Italy. Patients were evaluated and compared for postoperative complications according to the consensus-based classification and the Clavien-Dindo scale. The study population was 877 patients: 346 (39.5%) with esophageal and 531 (60.5%) with gastric cancer; 492 (56.2%) reported one or more postoperative complications, 213 (61.6%) of those with esophageal and 279 (52.5%) of those with gastric cancer. When stratified by consensus-based classification, patients with esophageal cancer reported general postoperative complications more frequently (p < 0.001) than those with gastric cancer, but there was no difference in postoperative surgical complications between the two groups. Multiple logistic regression models revealed an association between postoperative complications and the Charlson Comorbidity Index (adjusted odds ratio [OR] 1.22; 95% confidence interval [CI] 1.08-1.36), operation time (adjusted OR, 1.08; 95% CI 1.00-1.15), and days to solid diet intake (adjusted OR, 1.39; 95% CI 1.20-1.59). Complications in patients with esophageal and gastric cancer are frequent, even in those treated according to ERAS principles, and are often associated with comorbidities, longer operative time, and longer time to solid diet intake.

Product ID:

139449

Handle IRIS:

11562/1126028

Last Modified:

May 9, 2024

Bibliographic citation:

Geroin, Christian; Weindelmayer, Jacopo; Camozzi, Serena; Leone, Barbara; Turolo, Cecilia; Hetoja, Selma; Bencivenga, Maria; Sacco, Michele; De Pasqual, Carlo Alberto; Mattioni, Eugenia; de Manzoni, Giovanni; Giacopuzzi, Simone, Clinical predictors of postoperative complications in the context of enhanced recovery (ERAS) in patients with esophageal and gastric cancer «UPDATES IN SURGERY» , 2024 , pp. 1-10

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