Cancer Diagnosis & Prognosis · 2021 · 22 citations · 35 references
MedicineGeriatric MedicineOncologyClinical NutritionGeriatric AssessmentGeriatricsComprehensive Geriatric AssessmentGeriatric Health AssessmentGeriatric NutritionGeriatric OncologyNutrition In Gastrointestinal SurgeryOncology NutritionElderly Patient Risk AssessmentGeriatric Nutrition AssessmentGeriatric Prognostic ModelsNutritional Assessment In CancerNutritional ComplicationsNutritional Risk StratificationNutritional Screening ToolsOverall Mortality
Background: The Geriatric Nutritional Risk Index (GNRI) is a nutritional measure for predicting the risk of morbidity and mortality in hospitalized patients. We evaluated the utility of the GNRI to predict the short-term and long-term outcomes after curative surgery for gastric cancer (GC). Patients and Methods: Patients who underwent curative surgery for GC between 2008 and 2016 were reviewed (n=795). We classified patients into two groups according to the GNRI (high GNRI: low and no risk; low GNRI: major and moderate risk) and compared the utility of the GNRI. Results: A low GNRI was an independent prognostic factor for poorer overall survival (hazard ratio=2.34, p<0.001). The GNRI tended to be a better prognostic indicator in elderly patients with GC. Low GNRI was associated with postoperative complications (odds ratio=2.27, p=0.002), especially in patients aged ≥75 (odds ratio=2.26, p=0.042). Conclusion: Low GNRI was associated with poor prognosis and occurrence of postoperative complications in patients with GC, especially in elderly patients.
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The Clavien-Dindo Classification of Surgical Complications
Pierre A. Clavien, Jeffrey Barkun, Michelle Oliveira et al. · Annals of Surgery · 2009 · 11.3K citations