Short-term, postoperative breast cancer outcomes in patients with advanced age

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• 作者：Erica Pettke ; M.D. ; ^{epettke@chpnet.org" class="auth_mail" title="E-mail the corresponding author} ; Nicole Ilonzo ; M.D. ; Martha Ayewah ; D.O. ; Sara Tsantes ; P.A. ; Alison Estabrook ; M.D. ; Aye Moe Thu Ma ; M.D.
• 关键词：Breast cancer ; Elderly ; Outcomes ; National Surgical Quality Improvement Program (NSQIP)
• 刊名：The American Journal of Surgery
• 出版年：2016
• 出版时间：October 2016
• 年：2016
• 卷：212
• 期：4
• 页码：677-681
• 全文大小：224 K

文摘

This study compares early postoperative breast cancer outcomes between patients 80 years and older (older patients) and those younger than 80 years (<80 years).

Methods

The National Surgical Quality Improvement Program database was used to identify patients who had breast surgery between 2005 and 2013 for malignancy.

Results

Older patients had a significantly higher percentage of comorbidities and partial mastectomies. Postoperatively, they had higher rates of pneumonia, urinary tract infection, cardiac arrest, and mortality but had lower rates of wound dehiscence, deep wound, and organ space infections. Thirty-day mortality is independently associated with hypertension, coronary artery disease, American Society of Anesthesiology class IV, and older age.

Conclusions

The overall perioperative morbidity and mortality after breast surgery, regardless of age, is low. Older patients had a significantly higher rate of mortality and systemic complications but a lower rate of wound complications, likely because of less invasive surgical procedures.