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Elderly Patients Have Similar Short Term Outcomes and Five-year Survival Compared to Younger Patients After Pancreaticoduodenectomy by Awad Shamali; Henry D. De’Ath; Bashar Jaber; Mahmoud Abuawad; Salvatore Barbaro; Zaed Hamaday; Mohammad Abu Hilal is a Medicine article available to read on EtoBox.
What is Elderly Patients Have Similar Short Term Outcomes and Five-year Survival Compared to Younger Patients After Pancreaticoduodenectomy about?
## Background: Outcomes following pancreaticoduodenectomy (pd) in elderly patients in the united kingdom (uk) remain uncertain. this study aimed to analyse peri-operative outcomes in the elderly, and investigate the impact of age on five-year survival following pd in a uk tertiary centre. ## Materials and methods: All patients who underwent pd in a single hepatobiliary and pancreatic unit in the uk between january 2007 to december 2015 were analysed from a prospectively collected database. individuals were divided into two groups (group a <75 years and group b ≥ 75 years "elderly") and outcomes compared. ## Results: Five hundred and twenty-four patients were included (group a n = 422, group b n = 102). post-operative cardiac events and peri-operative mortality were higher in the elderly (10.8 vs 3.6%, p = 0.008 and 5.9 vs 1.9%, 0.037, respectively). multivariate analysis revealed only asa score (or 0.279, 95% ci 0.063-1.130), post-pancreatectomy haemorrhage (or 0.055, 95% ci 0.006-0.518) and pulmonary embolism (or 0.03, 95% ci 0.00-0.148) as independent risk factors for peri-operative mortality. age was not (or 0.978, 95% ci 0.911-1.049). median survival was 22 months in group a an
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- Author
- Awad Shamali; Henry D. De’Ath; Bashar Jaber; Mahmoud Abuawad; Salvatore Barbaro; Zaed Hamaday; Mohammad Abu Hilal
- Publisher
- Ovid Technologies (Wolters Kluwer Health)
- Published
- 2017
- Language
- EN
- Field
- Medicine (Health Sciences)