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Can I read Additional Value of Preoperative Albumin for Surgical Risk Stratification among Colorectal Cancer Patients on EtoBox?
Additional Value of Preoperative Albumin for Surgical Risk Stratification among Colorectal Cancer Patients by David W. Larson; Mohamed A. Abd El Aziz; William Perry; Anne-Lise D’Angelo; Kevin T. Behm; Kellie L. Mathis; Fabian Grass is a Medicine article available to read on EtoBox.
What is Additional Value of Preoperative Albumin for Surgical Risk Stratification among Colorectal Cancer Patients about?
**__Background:__** BMI ≤18.5 kg/m^2^ and preoperative weight loss may lead to inaccurate assessment of nutritional status, given the increasing prevalence of obesity. The aim of this study was to assess whether clinical evaluation of malnutrition based on these parameters is sufficient to predict complications after colorectal cancer surgery. **__Materials and Methods:__** The American College of Surgeons-National Quality Improvement Program database was queried from 2005 to 2018. Patients undergoing elective colorectal cancer surgery were divided into 4 groups: (1) albumin <3.1 g/dL within 21 days of surgery, (2) European Society for Clinical Nutrition and Metabolism (ESPEN) 2 clinical parameters for malnutrition (≥10% loss of weight/6 months __plus__ [BMI <20 kg/m^2^ if age <70 years OR BMI <22 kg/m^2^ if age ≥70 years]), (3) both aforementioned criteria, and (4) none of aforementioned criteria. **__Results:__** Of 82,280 patients, 5,932 (7.2%) had hypoalbuminemia <3.1 g/dL, 764 (0.9%) fulfilled clinical ESPEN 2 parameters, and 338 (0.4%) met both criteria. After adjusting for baseline confounders, patients in the hypoalbuminemia group had a higher risk of overall complications
Who reads Additional Value of Preoperative Albumin for Surgical Risk Stratification among Colorectal Cancer Patients?
It is typically read by researchers, students, and practitioners in Medicine.
- Author
- David W. Larson; Mohamed A. Abd El Aziz; William Perry; Anne-Lise D’Angelo; Kevin T. Behm; Kellie L. Mathis; Fabian Grass
- Publisher
- S. Karger AG
- Published
- 2020
- Language
- EN
- Field
- Medicine (Health Sciences)