Burden of Geriatric Events Among Older Adults Undergoing Major Cancer Surgery
Open accessAbstract
Purpose: Most malignancies are diagnosed in older adults who are potentially susceptible to aging-related health conditions; however, the manifestation of geriatric syndromes during surgical cancer treatment is not well quantified. Accordingly, we sought to assess the prevalence and ramifications of geriatric events during major surgery for cancer. Patients and Methods: Using Nationwide Inpatient Sample data from 2009 to 2011, we examined hospital admissions for major cancer surgery among elderly patients (ie, age ≥ 65 years) and a referent group age 55 to 64 years. From these observations, we identified geriatric events that included delirium, dehydration, falls and fractures, failure to thrive, and pressure ulcers. We then estimated the collective prevalence of these events according to age, comorbidity, and cancer site and further explored their relationship with other hospital-based outcomes. Results: Within a weighted sample of 939,150 patients, we identified at least one event in 9.2% of patients. Geriatric events were most common among patients age ≥ 75 years, with a Charlson comorbidity score ≥ 2, and who were undergoing surgery for cancer of the bladder, ovary, colon and/or rectum, pancreas, or stomach (P < .001). Adjusting for patient and hospital characteristics, those patients who experienced a geriatric event had a greater likelihood of concurrent complications (odds ratio [OR], 3.73; 95% CI, 3.55 to 3.92), prolonged hospitalization (OR, 5.47; 95% CI, 5.16 to 5.80), incurring high cost (OR, 4.97; 95% CI, 4.58 to 5.39), inpatient mortality (OR, 3.22; 95% CI, 2.94 to 3.53), and a discharge disposition other than home (OR, 3.64; 95% CI, 3.46 to 3.84). Conclusion: Many older patients who receive cancer-directed surgery experience a geriatric event, particularly those who undergo major abdominal surgery. These events are linked to operative morbidity, prolonged hospitalization, and more expensive health care. As our population ages, efforts focused on addressing conditions and complications that are more common in older adults will be essential to delivering high-quality cancer care.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Older adults who undergo cancer surgery face a higher risk of poor postoperative outcomes, including morbidity, longer hospital stays, and impaired functional status.
“Older adults undergoing cancer surgery are at greater risk for poor postoperative outcomes, including morbidity, increased length of hospital stay, and impaired functional status [5, 6].”
From Pilot study of a telehealth perioperative physical activity intervention for older adults with cancer and their caregivers (2020) · cites this paper as [6]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Part of this paper’s reference list could not be split into single entries.
SEER Cancer Statistics Review, 1975-2003
Ries, L. A. G., Harkins, D., Krapcho, M. F., Mariotto, A. B., Miller, B., Feuer, E. J., Clegg, L. X., Eisner, M. P., Horner, M., Howlader, N., et al. (2006) · Digital Archive @ GSU · Cited by 11,404 · see citing works
Comorbidity measures for use with administrative data.
Elixhauser, A., Steiner, C., Harris, D. R., & Coffey, R. M. (1998) · Medical Care · doi:10.1097/00005650-199801000-00004 · Cited by 9,921 · see citing works
Predicting chemotherapy toxicity in older adults with cancer: a prospective multicenter study
Hurria, A., Togawa, K., Mohile, S. G., Owusu, C., Klepin, H. D., Gross, C. P., Lichtman, S. M., Gajra, A., Bhatia, S., Katheria, V., et al. (2011) · Journal of Clinical Oncology · doi:10.1200/jco.2011.34.7625 · Cited by 1,841 · see citing works
Neighborhood of residence and incidence of coronary heart disease
Roux, A. V. D., Merkin, S. S., Arnett, D., Chambless, L., Massing, M., Nieto, F. J., Sorlie, P., Szklo, M., Tyroler, H. A., & Watson, R. L. (2001) · New England Journal of Medicine · doi:10.1056/nejm200107123450205 · Cited by 1,799 · see citing works
Future of Cancer Incidence in the United States: Burdens Upon an Aging, Changing Nation
Smith, B. D., Smith, G. L., Hurria, A., Hortobágyi, G. N., & Buchholz, T. A. (2009) · Journal of Clinical Oncology · doi:10.1200/jco.2008.20.8983 · Cited by 1,723 · see citing works
Reducing Delirium After Hip Fracture: A Randomized Trial
Marcantonio, E. R., Flacker, J. M., Wright, R. J., & Resnick, N. M. (2001) · Journal of the American Geriatrics Society · doi:10.1046/j.1532-5415.2001.49108.x · Cited by 1,344 · see citing works
Use of comprehensive geriatric assessment in older cancer patients:
Extermann, M., Aapro, M., Bernabei, R., Cohen, H. J., Droz, J.-P., Lichtman, S., Mor, V., Monfardini, S., Repetto, L., Sørbye, L., et al. (2005) · Critical Reviews in Oncology/Hematology · doi:10.1016/j.critrevonc.2005.06.003 · Cited by 1,098 · see citing works
Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis
Levit, L. A., Balogh, E. P., Nass, S. J., & Ganz, P. A. (2014) · Cited by 956 · see citing works
Hospital and Patient Characteristics Associated With Death After Surgery
Silber, J. H., Williams, S. V., Krakauer, H., & Schwartz, S. (1992) · Medical Care · doi:10.1097/00005650-199207000-00004 · Cited by 954 · see citing works
Dimick, J. B., Chen, S. L., Taheri, P. A., Henderson, W. G., Khuri, S. F., & Campbell, D. A. (2004) · Journal of the American College of Surgeons · doi:10.1016/j.jamcollsurg.2004.05.276 · Cited by 933 · see citing works
Chow, W. B., Rosenthal, R. A., Merkow, R. P., Ko, C. Y., & Esnaola, N. F. (2012) · Journal of the American College of Surgeons · doi:10.1016/j.jamcollsurg.2012.06.017 · Cited by 908 · see citing works
Retooling for an aging America: building the health care workforce
(2009) · Choice Reviews Online · doi:10.5860/choice.46-5066 · Cited by 688 · see citing works
Risk factors for 30-day hospital readmission among general surgery patients
Kassin, M. T., Owen, R. M., Perez, S. D., Leeds, I., Cox, J. C., Schnier, K., Sadiraj, V., & Sweeney, J. F. (2012) · Journal of the American College of Surgeons · doi:10.1016/j.jamcollsurg.2012.05.024 · Cited by 622 · see citing works
Postoperative Delirium in Older Adults: Best Practice Statement from the American Geriatrics Society
Inouye, S. K., Robinson, T., Blaum, C. S., Busby‐Whitehead, J., Boustani, M. A., Chalian, A. A., Deiner, S. G., Fick, D. M., Hutchison, L. C., Johanning, J. M., et al. (2014) · Journal of the American College of Surgeons · doi:10.1016/j.jamcollsurg.2014.10.019 · Cited by 521 · see citing works
Shall we operate? Preoperative assessment in elderly cancer patients (PACE) can help
participants, P. (2007) · Critical Reviews in Oncology/Hematology · doi:10.1016/j.critrevonc.2007.11.001 · Cited by 462 · see citing works
Waikar, S. S., Wald, R., Chertow, G. M., Curhan, G. C., Winkelmayer, W. C., Liangos, O., Sosa, M.-A., & Jaber, B. L. (2006) · Journal of the American Society of Nephrology · doi:10.1681/asn.2006010073 · Cited by 460 · see citing works
Identifying Complications of Care Using Administrative Data
Iezzoni, L. I., Daley, J., Heeren, T., Foley, S. M., Fisher, E. S., Duncan, C. C., Hughes, J. S., & Coffman, G. A. (1994) · Medical Care · doi:10.1097/00005650-199407000-00004 · Cited by 454 · see citing works
Identification of In-Hospital Complications From Claims Data
Lawthers, A. G., McCarthy, E. P., Davis, R. B., Peterson, L. E., Palmer, R. H., & Iezzoni, L. I. (2000) · Medical Care · doi:10.1097/00005650-200008000-00003 · Cited by 402 · see citing works
Harari, D., Hopper, A., Dhesi, J., Babic-Illman, G., Lockwood, L., & Martin, F. (2007) · Age and Ageing · doi:10.1093/ageing/afl163 · Cited by 387 · see citing works
Use of Geriatric Assessment for Older Adults in the Oncology Setting: A Systematic Review
Puts, M. T. E., Hardt, J., Monette, J., Girre, V., Springall, E., & Alibhai, S. M. H. (2012) · JNCI Journal of the National Cancer Institute · doi:10.1093/jnci/djs285 · Cited by 335 · see citing works
Use of Administrative Data to Find Substandard Care
Weingart, S. N., Iezzoni, L. I., Davis, R. B., Palmer, R. H., Cahalane, M. J., Hamel, M. B., Mukamal, K. J., Phillips, R. S., Davies, D. T., & Banks, N. J. (2000) · Medical Care · doi:10.1097/00005650-200008000-00004 · Cited by 289 · see citing works
Hospital Characteristics Associated with Failure to Rescue from Complications after Pancreatectomy
Ghaferi, A. A., Osborne, N. H., Birkmeyer, J. D., & Dimick, J. B. (2010) · Journal of the American College of Surgeons · doi:10.1016/j.jamcollsurg.2010.04.025 · Cited by 279 · see citing works
Gustafson, Y., Brännström, B., Berggren, D., Ragnarsson, J. I., Sigaard, J. V. A., Bucht, G., Reiz, S., Norberg, A., & Winblad, B. G. (1991) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1991.tb03618.x · Cited by 264 · see citing works
Association of Cancer With Geriatric Syndromes in Older Medicare Beneficiaries
Mohile, S. G., Fan, L., Reeve, E., Jean‐Pierre, P., Mustian, K. M., Peppone, L. J., Janelsins, M. C., Morrow, G. R., Hall, W. J., & Dale, W. (2011) · Journal of Clinical Oncology · doi:10.1200/jco.2010.31.6695 · Cited by 216 · see citing works
Dimick, J. B., Pronovost, P. J., Cowan, J. A., & Lipsett, P. A. (2003) · Journal of the American College of Surgeons · doi:10.1016/s1072-7515(03)00122-4 · Cited by 164 · see citing works
González-Montalvo, J. I., Alarcón, T., Mauleon, J. L., Gil-Garay, E., Gotor, P., & Martín-Vega, A. (2010) · Hip International · doi:10.1177/112070001002000214 · Cited by 130 · see citing works
The First National Examination of Outcomes and Trends in Robotic Surgery in the United States
Anderson, J. E., Chang, D. C., Parsons, J. K., & Talamini, M. A. (2012) · Journal of the American College of Surgeons · doi:10.1016/j.jamcollsurg.2012.02.005 · Cited by 122 · see citing works
The State of Cancer Care in America, 2015: A Report by the American Society of Clinical Oncology
American Society of Clinical Oncology (2015) · Journal of Oncology Practice · doi:10.1200/jop.2015.003772 · Cited by 103 · see citing works
Effects of a Geriatrician‐Led Hip Fracture Program: Improvements in Clinical and Economic Outcomes
Miura, L. N., DiPiero, A., & HOMER, L. D. (2008) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2008.02069.x · Cited by 91 · see citing works
Hospital administrative database underestimates delirium rate after cardiac surgery
Katznelson, R., Djaiani, G. N., Tait, G., Wąsowicz, M., Sutherland, A. M., Styra, R. G., Lee, C., & Beattie, W. S. (2010) · Canadian Journal of Anesthesia/Journal canadien d anesthésie · doi:10.1007/s12630-010-9355-8 · Cited by 89 · see citing works
Sharpening the focus on causes and timing of readmission after radical cystectomy for bladder cancer
Hu, M., Jacobs, B. L., Montgomery, J. S., He, C., Ye, J., Zhang, Y., Brathwaite, J., Morgan, T. M., Hafez, K. S., Weizer, A. Z., et al. (2014) · Cancer · doi:10.1002/cncr.28586 · Cited by 80 · see citing works
Validating the Patient Safety Indicators in the Veterans Health Administration
Rosen, A. K., Itani, K. M. F., Cevasco, M., Kaafarani, H. M. A., Hanchate, A. D., Shin, M. H., Shwartz, M., Loveland, S. A., Chen, Q., & Borzecki, A. M. (2011) · Medical Care · doi:10.1097/mlr.0b013e3182293edf · Cited by 79 · see citing works
Laparoscopy for Renal Cell Carcinoma: Diffusion Versus Regionalization?
Miller, D. C., Taub, D. A., Dunn, R. L., Wei, J. T., & Hollenbeck, B. K. (2006) · The Journal of Urology · doi:10.1016/j.juro.2006.04.101 · Cited by 77 · see citing works
Risk Factors Associated with 30-Day Postoperative Readmissions in Major Gastrointestinal Resections
Kelly, K. N., Iannuzzi, J. C., Rickles, A. S., Monson, J. R. T., & Fleming, F. J. (2013) · Journal of Gastrointestinal Surgery · doi:10.1007/s11605-013-2354-7 · Cited by 72 · see citing works
Spyropoulou, D., Pallis, A. G., Leotsinidis, M., & Kardamakis, D. M. (2013) · Journal of Geriatric Oncology · doi:10.1016/j.jgo.2013.08.002 · Cited by 57 · see citing works
Complications and Failure to Rescue After Laparoscopic Versus Open Radical Nephrectomy
Tan, H.-J., Wolf, J. S., Ye, Z., Wei, J. T., & Miller, D. C. (2011) · The Journal of Urology · doi:10.1016/j.juro.2011.05.074 · Cited by 54 · see citing works
Self-citationPOTTER, J. F., Burton, J., Drach, G. W., Eisner, J., Lundebjerg, N. E., & Solomon, D. H. (2005) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2005.53173.x · Cited by 47 · see citing works
Lin, R. Y.-W., Heacock, L. C., & Fogel, J. F. (2009) · Drugs & Aging · doi:10.2165/11531060-000000000-00000 · Cited by 44 · see citing works
The New Frontier: Increasing Geriatrics Expertise in Surgical and Medical Specialties
Solomon, D. H., Burton, J. R., Lundebjerg, N. E., & Eisner, J. (2000) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2000.tb04734.x · Cited by 41 · see citing works
Sukumar, S., Roghmann, F., Trinh, V. Q., Sammon, J. D., Gervais, M., Tan, H.-J., Ravi, P. K., Kim, S. P., Hu, J. C., Karakiewicz, P. I., et al. (2013) · BMJ Open · doi:10.1136/bmjopen-2013-002843 · Cited by 41 · see citing works
Self-citationBell, R. H., Drach, G. W., & Rosenthal, R. A. (2011) · Journal of the American College of Surgeons · doi:10.1016/j.jamcollsurg.2011.08.004 · Cited by 34 · see citing works
Ketefian, A., Hu, J., Bartolucci, A. A., & Azziz, R. (2006) · Fertility and Sterility · doi:10.1016/j.fertnstert.2006.07.020 · Cited by 33 · see citing works
Is Geriatric Care Associated with Less Emergency Department Use?
D'Arcy, L. P., Stearns, S. C., Domino, M. E., Hanson, L. C., & Weinberger, M. (2012) · Journal of the American Geriatrics Society · doi:10.1111/jgs.12039 · Cited by 31 · see citing works
Heisler, C. A., Melton, L. J., Weaver, A. L., & Gebhart, J. B. (2009) · Journal of the American College of Surgeons · doi:10.1016/j.jamcollsurg.2009.03.017 · Cited by 30 · see citing works
Zrelak, P. A., Utter, G. H., Tancredi, D. J., Mayer, L., Cerese, J., Cuny, J., & Romano, P. S. (2013) · Journal for Healthcare Quality · doi:10.1111/jhq.12052 · Cited by 10 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Loh, K. P., Soto‐Pérez‐de‐Celis, E., Hsu, T., de Glas, N. A., Battisti, N. M. L., Baldini, C., Rodrigues, M. J., Lichtman, S. M., & Wildiers, H. P. M. W. (2018) · Journal of Oncology Practice · doi:10.1200/jop.2017.026435 · Cited by 168 · see citing works
Lafaro, K. J., Raz, D. J., Kim, J. Y., Hite, S., Ruel, N., Varatkar, G., Erhunmwunsee, L., Melstrom, L., Lee, B., Singh, G., et al. (2020) · Supportive Care in Cancer · doi:10.1007/s00520-019-05230-0 · Cited by 64 · see citing works
Patient Frailty and Discharge Disposition Following Radical Cystectomy
Pearl, J. A., Patil, D. H., Filson, C. P., Arya, S., Mehrdad Alemozaffar, A., Master, V. A., & Ogan, K. (2017) · Clinical Genitourinary Cancer · doi:10.1016/j.clgc.2016.12.013 · Cited by 58 · see citing works
Perioperative Pain Management Issues Unique to Older Adults Undergoing Surgery
Shellito, A. D., Dworsky, J. Q., Kirkland, P., Rosenthal, R. A., Sarkisian, C. A., Ko, C. Y., & Russell, M. M. (2021) · Annals of Surgery Open · doi:10.1097/as9.0000000000000072 · Cited by 55 · see citing works
Ha, A., Krasnow, R. E., Mossanen, M., Nagle, R. T., Hshieh, T. T., Rudolph, J. L., & Chang, S. L. (2018) · Urologic Oncology Seminars and Original Investigations · doi:10.1016/j.urolonc.2018.04.012 · Cited by 54 · see citing works
National Trends in Admission for Aspiration Pneumonia in the United States, 2002–2012
Wu, C.-P., Chen, Y., Wang, M., & Pinelis, E. (2017) · Annals of the American Thoracic Society · doi:10.1513/annalsats.201611-867oc · Cited by 47 · see citing works
In-hospital length of stay after major surgical oncological procedures
Nazzani, S., Preißer, F., Mazzone, E., Tian, Z., Mistretta, F. A., Shariat, S. F., Fred Saad, C., Graefen, M., Derya Tilki, A., Montanari, E., et al. (2018) · European Journal of Surgical Oncology · doi:10.1016/j.ejso.2018.05.001 · Cited by 47 · see citing works
Fagard, K., Casaer, J., Wolthuis, A. M., Flamaing, J., Milisen, K., Lobelle, J. ‐., Wildiers, H. P. M. W., & Kenis, C. (2017) · Colorectal Disease · doi:10.1111/codi.13821 · Cited by 45 · see citing works
Ramsay, G., Wohlgemut, J. M., & Jansen, J. O. (2018) · The Journal of Trauma: Injury, Infection, and Critical Care · doi:10.1097/ta.0000000000002010 · Cited by 42 · see citing works
Nipp, R. D., Qian, C. L., Knight, H. P., Ferrone, C. R., Kunitake, H., Castillo, C. F. F.-D., Lanuti, M. D., Qadan, M., Ricciardi, R., Lillemoe, K. D., et al. (2022) · Journal of Geriatric Oncology · doi:10.1016/j.jgo.2022.01.001 · Cited by 42 · see citing works
Huang, M. H., Blackwood, J., Godoshian, M., & Pfalzer, L. (2017) · Journal of Geriatric Oncology · doi:10.1016/j.jgo.2017.05.008 · Cited by 39 · see citing works
Lin, R. J., Hilden, P. D., Elko, T. A., Dahi, P. B., Shahrokni, A., Jakubowski, A. A., Perales, M., Sauter, C. S., Castro-Malaspina, H. R., Barker, J. N., et al. (2019) · Blood Advances · doi:10.1182/bloodadvances.2018028241 · Cited by 37 · see citing works
Frailty and long-term survival of patients with colorectal cancer: a meta-analysis
Su-hua, C., Ma, T., Cui, W., Li, T., Liu, D., Chen, L., Zhang, G., Zhang, L., & Fu, Y. (2022) · Aging Clinical and Experimental Research · doi:10.1007/s40520-021-02072-x · Cited by 34 · see citing works
Trevino, K. M., Nelson, C. J., Saracino, R. M., Korc‐Grodzicki, B., Sarraf, S., & Shahrokni, A. (2019) · Cancer · doi:10.1002/cncr.32564 · Cited by 31 · see citing works
Postoperative recovery of accelerometer-based physical activity in older cancer patients
Jonker, L. T., Hendriks, S., Lahr, M. M. H., Munster, B. C. V., de Bock, G. H., & van Leeuwen, B. L. (2020) · European Journal of Surgical Oncology · doi:10.1016/j.ejso.2020.06.012 · Cited by 31 · see citing works
Haneuse, S., Dominici, F., Normand, S. T., & Schrag, D. (2018) · JAMA Network Open · doi:10.1001/jamanetworkopen.2018.3038 · Cited by 30 · see citing works
Yang, Q., Wang, J., Chen, Y., Lian, Q., Shi, Z., & Zhang, Y. (2022) · The Knee · doi:10.1016/j.knee.2022.02.006 · Cited by 27 · see citing works
The hospital care experiences of older patients compared to younger patients
Elliott, M. N., Beckett, M. K., Cohea, C. W., Lehrman, W. G., Russ, C., Cleary, P. D., Giordano, L. A., Goldstein, E. H., & Saliba, D. (2022) · Journal of the American Geriatrics Society · doi:10.1111/jgs.18003 · Cited by 27 · see citing works
Self-citationNazzani, S., Bandini, M., Preißer, F., Mazzone, E., Marchioni, M., Tian, Z., Stubinski, R., Clementi, M. C., Fred Saad, C., Shariat, S. F., et al. (2019) · Surgical Oncology · doi:10.1016/j.suronc.2019.01.011 · Cited by 26 · see citing works
Huang, M. H., Blackwood, J., Godoshian, M., & Pfalzer, L. (2018) · Journal of Geriatric Oncology · doi:10.1016/j.jgo.2018.04.009 · Cited by 24 · see citing works
How to Optimize Cancer Treatment in Older Patients
Pamoukdjian, F., Liuu, É., Caillet, P., Herbaud, S., Gisselbrecht, M., Poisson, J., Boudou, P., Zelek, L. H., & Paillaud, É. (2018) · American Journal of Clinical Oncology · doi:10.1097/coc.0000000000000488 · Cited by 20 · see citing works
Osaki, T., Tatebe, S., Orihara, J., Uchinaka, E., Ashida, K., Hirooka, Y., & Fujiwara, Y. (2023) · World Journal of Surgery · doi:10.1007/s00268-023-07200-4 · Cited by 19 · see citing works
Outcomes in older patients with biliary tract cancer
McNamara, M. G., Carino, N. D. L., Kapacee, Z. A., Lamarca, Á., & Valle, J. W. (2020) · European Journal of Surgical Oncology · doi:10.1016/j.ejso.2020.03.202 · Cited by 18 · see citing works
Munoz‐Bendix, C., Rapp, M., Mijderwijk, H.-J., von Saß, C., Dibué, M., Cornelius, J. F., Steiger, H., Turowski, B., Sabel, M., & Kamp, M. A. (2019) · Scientific Reports · doi:10.1038/s41598-019-43942-9 · Cited by 18 · see citing works
Shahrokni, A., & Alexander, K. (2019) · European Journal of Surgical Oncology · doi:10.1016/j.ejso.2019.07.026 · Cited by 17 · see citing works
The Impact of Comorbidity on Surgical Outcomes in Older Adults with Cancer
Sun, V., Burhenn, P. S., Lai, L., & Hurria, A. (2017) · Seminars in Oncology Nursing · doi:10.1016/j.soncn.2016.11.008 · Cited by 15 · see citing works
Ovarian cancer in the older patient: where are we now? What to do next?
Rousseau, F., Ranchon, F., Bardin, C., Bakrin, N., Lavoué, V., Bengrine-Lefèvre, L., & Falandry, C. (2023) · Therapeutic Advances in Medical Oncology · doi:10.1177/17588359231192397 · Cited by 15 · see citing works
Melucci, A. D., Loria, A., Aquina, C. T., McDonald, G., Schymura, M. J., Schiralli, M. P., Cupertino, A. P., Temple, L. K. F., Ramsdale, E. E., & Fleming, F. J. (2023) · Annals of Surgery · doi:10.1097/sla.0000000000006108 · Cited by 14 · see citing works
Patient Function and the Value of Surgical Care for Kidney Cancer
Tan, H., Shirk, J. D., Chamie, K., Litwin, M. S., & Hu, J. C. (2016) · The Journal of Urology · doi:10.1016/j.juro.2016.12.012 · Cited by 13 · see citing works
Self-citationMariano, C. J., Lund, J. L., Hinton, S. P., Htoo, P. T., Muss, H. B., & Reeder-Hayes, K. E. (2017) · Journal of Geriatric Oncology · doi:10.1016/j.jgo.2017.05.005 · Cited by 13 · see citing works
Association of Geriatric Events With Perioperative Outcomes After Elective Inpatient Surgery
Dworsky, J. Q., Shellito, A. D., Childers, C. P., Copeland, T. P., Maggard-Gibbons, M. A., Tan, H., Saliba, D., & Russell, M. M. (2020) · Journal of Surgical Research · doi:10.1016/j.jss.2020.11.011 · Cited by 12 · see citing works
Self-citationProtein-energy malnutrition and worse outcomes after major cancer surgery: A nationwide analysis
Jin, J., Zhu, X., Deng, Z., Zhang, P., Xiao, Y., Han, H., Li, Y., & Li, H. (2023) · Frontiers in Oncology · doi:10.3389/fonc.2023.970187 · Cited by 12 · see citing works
Treating Elderly Patients With Muscle-Invasive Bladder Cancer
Kessler, E. R., Kukreja, J. B., Geiger, C. L., & Fischer, S. M. (2020) · Journal of the National Comprehensive Cancer Network · doi:10.6004/jnccn.2020.7585 · Cited by 12 · see citing works
Prieto, R., FERRELL, B. R., Kim, J. H., & Sun, V. C.-Y. (2021) · Clinical journal of oncology nursing · doi:10.1188/21.cjon.290-296 · Cited by 12 · see citing works
Combining prehabilitation with enhanced recovery programs in gynecological surgery
Falandry, C., Fauvet, R., Alfonsi, P., Foulon, A., Texier, C., Bourdel, N., Simonet, T., Azaïs, H., & Lambaudie, É. (2022) · Journal of Gynecology Obstetrics and Human Reproduction · doi:10.1016/j.jogoh.2022.102376 · Cited by 12 · see citing works
RISK FACTORS AND PREVENTIVE INTERVENTIONS FOR PRESSURE INJURIES IN CANCER PATIENTS
Lima, A. R., Palmer, C. R., & Nogueira, P. C. (2021) · Revista Estima · doi:10.30886/estima.v19.1005_in · Cited by 11 · see citing works
Bengrine-Lefèvre, L., Bakrin, N., Rousseau, F., Lavoué, V., & Falandry, C. (2022) · Cancers · doi:10.3390/cancers14051295 · Cited by 11 · see citing works
Fahimnia, S., Roudsari, H. M., Doucette, J. T., & Shahrokni, A. (2018) · Current Gerontology and Geriatrics Research · doi:10.1155/2018/5713285 · Cited by 11 · see citing works
Roche, M., Ravot, C., Malapert, A., Paget‐Bailly, S., Garandeau, C., Pitiot, V., Tomatis, M., Riche, B., Galamand, B., Granger, M., et al. (2021) · BMJ Open · doi:10.1136/bmjopen-2020-042960 · Cited by 11 · see citing works
Alabraba, E., & Gomez, D. (2021) · American Journal of Clinical Oncology · doi:10.1097/coc.0000000000000803 · Cited by 10 · see citing works
Osaki, T., Matsunaga, T., Makinoya, M., Shimizu, S., Shishido, Y., Miyatani, K., Tsuda, A., Endo, K., Ashida, K., Tatebe, S., et al. (2024) · Journal of Gastrointestinal Surgery · doi:10.1016/j.gassur.2024.101931 · Cited by 9 · see citing works
Takei, H., Kunitoh, H., Wakabayashi, M., Kataoka, T., Sekino, Y., Mizutani, T., Tsuboi, M., Ikeda, N., Asamura, H., Okada, M., et al. (2023) · JTO Clinical and Research Reports · doi:10.1016/j.jtocrr.2023.100550 · Cited by 8 · see citing works
Geriatric Events among Older Adults Undergoing Nonelective Surgery are Associated with Poor Outcomes
Dworsky, J. Q., Childers, C. P., Copeland, T. P., Maggard-Gibbons, M. A., Tan, H., Saliba, D., & Russell, M. M. (2019) · The American Surgeon · doi:10.1177/000313481908501003 · Cited by 8 · see citing works
Self-citationComprehensive analysis of in-hospital delirium after major surgical oncology procedures
Bandini, M., Marchioni, M., Preißer, F., Nazzani, S., Tian, Z., Graefen, M., Montorsi, F., Fred Saad, C., Shariat, S. F., Schips, L., et al. (2019) · Canadian Urological Association Journal · doi:10.5489/cuaj.6030 · Cited by 7 · see citing works
Falandry, C., Stefani, L., André, L., Granger, M., Barbavara, C., Habchi, H., Bourgeois, C., Curé, H., Passot, G., & Gilbert, T. (2020) · Medicine · doi:10.1097/md.0000000000021780 · Cited by 7 · see citing works
Wounds Related to Malignancy in Postacute and Long-term Care: A Case Series
Levine, J. M., Menezes, R., & Namagiri, S. (2020) · Advances in Skin & Wound Care · doi:10.1097/01.asw.0000617840.23507.61 · Cited by 6 · see citing works
Loudovici-Krug, D., André, L., Blumensaat, H. P., Granger, M., Stefani, L., Kühnemund, J., Lemhöfer, C., & Falandry, C. (2025) · Aging and Disease · doi:10.14336/ad.2024.0957 · Cited by 5 · see citing works
Symptom and functional recovery monitoring in thoracic surgery
Sun, V. C.-Y., & Kim, J. H. (2020) · Journal of Thoracic Disease · doi:10.21037/jtd.2020.03.59 · Cited by 5 · see citing works
Preoperative frailty predicts postoperative falls in older patients with cancer
Meckstroth, S., Tin, A. L., Downey, R. J., Korc‐Grodzicki, B., Vickers, A. J., & Shahrokni, A. (2023) · Journal of Geriatric Oncology · doi:10.1016/j.jgo.2023.101688 · Cited by 5 · see citing works
van Soolingen, N. J., Smorenburg, C. H., Hamaker, M. E., Groen, W. G., Retèl, V. P., Lok, C. A. R., van de Poll-Franse, L. V., & Trum, J. W. (2020) · Trials · doi:10.1186/s13063-020-4157-y · Cited by 5 · see citing works
Mizutani, T., Takei, H., Kunitoh, H., Wakabayashi, M., Sekino, Y., Tsuboi, M., Ikeda, N., Asamura, H., Okada, M., Takahama, M., et al. (2025) · Journal of Geriatric Oncology · doi:10.1016/j.jgo.2025.102268 · Cited by 4 · see citing works
The vision and role of geriatric oncology in surgical treatment of the elderly patient
Bouras, A. F., Ioos, E., Aoudia, A., Kaci, H. A., Benaibouche, D., & Boudia, F. M. (2018) · Journal of Visceral Surgery · doi:10.1016/j.jviscsurg.2018.10.003 · Cited by 4 · see citing works
Postoperative delirium in patients with cancer: a narrative review of major risk factors
de Oliveira, A. B., Handa, A. M., Sakai, E., de Morais, A. C., Quezada, M. M. D. L. C., Mitsunaga, J. K., Portugal, A. M. M. D. C., Joaquim, E. H. G., & Nakamura, G. [. (2026) · Sao Paulo Medical Journal · doi:10.1590/1516-3180.2025.0016.r2.13102025 · Cited by 3 · see citing works
Baldo, A., Chatzipanagiotou, O. P., Woldesenbet, S., Akabane, M., Spolverato, G., & Pawlik, T. M. (2025) · Journal of the American College of Surgeons · doi:10.1097/xcs.0000000000001661 · Cited by 3 · see citing works
Zhang, M., Sun, J., Zhu, M., Sun, T., Shi, Z., Zhang, L., Wang, X., Song, Y., Ye, X., Deng, Y., et al. (2022) · International Wound Journal · doi:10.1111/iwj.14051 · Cited by 3 · see citing works
Jensen‐Battaglia, M., Mohammed, M., Loh, K. P., Wells, M., Tylock, R. G., Ramsdale, E. E., Canin, B. E., Geer, J., O’Rourke, M. A., Liu, J. J., et al. (2023) · Journal of Geriatric Oncology · doi:10.1016/j.jgo.2023.101650 · Cited by 3 · see citing works
Wu, J., Xie, Z., Lei, C., Yu, L., Huang, R., Li, M., Yuan, L., & Zhang, W. (2022) · Aging and Cancer · doi:10.1002/aac2.12057 · Cited by 2 · see citing works
FATORES DE RISCO E INTERVENÇÕES PREVENTIVAS PARA LESÃO POR PRESSÃO EM PACIENTES ONCOLÓGICOS
Lima, A. R., Palmer, C. R., & Nogueira, P. C. (2021) · Revista Estima · doi:10.30886/estima.v19.1005_pt · Cited by 2 · see citing works
Levassort, H., Pépin, M., Teillet, L., Ghebriou, D., & Cudennec, T. (2021) · La Revue de Médecine Interne · doi:10.1016/j.revmed.2021.10.006 · Cited by 2 · see citing works
Trends in Aging‐Related Services During Nephrectomy: Implications for Surgery in an Aging Population
Tan, H., Litwin, M. S., Chamie, K., Saliba, D., & Hu, J. C. (2017) · Journal of the American Geriatrics Society · doi:10.1111/jgs.15046 · Cited by 2 · see citing works
Self-citationElderly patients diagnosed with hepatopancreatobiliary malignancies: A challenge beyond resection
Lamarca, Á., Pihlak, R., Frizziero, M., McNamara, M. G., Hubner, R. A., & Valle, J. W. (2017) · Cancer · doi:10.1002/cncr.30502 · Cited by 2 · see citing works
Lof, P., van Soolingen, N. J., Piek, J. M. J., Aarts, J. W. M., Retèl, V. P., Bukman, M., Smorenburg, C. H., van Driel, W. J., Amant, F. C., Trum, J. W., et al. (2024) · Gynecologic Oncology · doi:10.1016/j.ygyno.2024.05.018 · Cited by 1 · see citing works
Aregui, A., Estrada, J., Lefèvre, M., Carteaux-Taieb, A., Béraud-Chaulet, G., Hammel, P. R., Fossey-Diaz, V., & Aparicio, T. (2025) · Cancers · doi:10.3390/cancers17091589 · Cited by 1 · see citing works
Selle, F., Rodrigues, M. J., You, B., Gladieff, L., Bessard, A. C. H., Rouge, T. D. L. M., Fumet, J.-D., Saux, O. L., Colombo, P., Ferron, G., et al. (2026) · Bulletin du Cancer · doi:10.1016/j.bulcan.2025.12.004 · Cited by 1 · see citing works
Rafters, S., Schleper, J. R., Lean, N., Hwang, M., Rohra, A., & Lillington, L. M. (2021) · Clinical journal of oncology nursing · doi:10.1188/21.cjon.297-304 · Cited by 1 · see citing works
Alpert, A. B., Obedin‐Maliver, J., Gjelsvik, A., Amanullah, S., Shireman, T. I., & Blosnich, J. R. (2024) · Contemporary Clinical Trials · doi:10.1016/j.cct.2024.107695 · Cited by 1 · see citing works
Issues in the Management of Esophagogastric Cancer in Geriatric Patients
Won, E. S. (2017) · Surgical Oncology Clinics of North America · doi:10.1016/j.soc.2016.10.010 · Cited by 1 · see citing works
La préhabilitation, innovation thérapeutique
Falandry, C., Ravot, C., & Collange, V. (2019) · Soins Gérontologie · doi:10.1016/j.sger.2018.11.007 · Cited by 1 · see citing works
Cancer Surgery in Elderly People - Specific Facts Concerning the Management: Review of Literature
Tudor, Ș. (2019) · Biomedical Journal of Scientific & Technical Research · doi:10.26717/bjstr.2019.15.002664 · Cited by 1 · see citing works
Place de la vision oncogériatrique dans la prise en charge chirurgicale chez le patient âgé
Bouras, A. F., Ioos, E., Aoudia, A., Kaci, H. A., Benaibouche, D., & Boudia, F. M. (2018) · Journal de Chirurgie Viscérale · doi:10.1016/j.jchirv.2018.09.008
Prehabilitation in Older Adults with Cancer
Falandry, C., Valéro, M., Lecardonnel, C., Stefani, L., & Gilbert, T. (2020) · Springer eBooks · doi:10.1007/978-3-319-69892-2_784-1
Prehabilitation in Older Adults with Cancer
Falandry, C., Valéro, M., Lecardonnel, C., Stefani, L., & Gilbert, T. (2021) · Springer eBooks · doi:10.1007/978-3-030-22009-9_784
Cancer colorectal et évaluation gériatrique préopératoire
Levassort, H., Benyahia, S., Pépin, M., Guido, M., & Cudennec, T. (2022) · Soins Gérontologie · doi:10.1016/j.sger.2021.12.003
Valéro, S., Moreno, Y., Bernardeau, S., Vallée, M., Bouchaert, P., Migeot, V., & Liuu, É. (2022) · Progrès en Urologie - FMC · doi:10.1016/j.fpurol.2022.05.001
Frailty in the Perioperative Setting for Cancer Patients
Lin, H., Reid, N., & Hubbard, R. E. (2022) · Elsevier eBooks · doi:10.1016/b978-0-323-69584-8.00035-9
Unplanned hospital readmission of older adults having undergone digestive surgery
Puygrenier, P., Taweel, B. A., Herrero, A., & Gaillard, M. (2025) · Journal of Visceral Surgery · doi:10.1016/j.jviscsurg.2025.04.002
Réhospitalisations non programmées chez le sujet âgé en chirurgie digestive
Puygrenier, P., Taweel, B. A., Herrero, A., & Gaillard, M. (2025) · Journal de Chirurgie Viscérale · doi:10.1016/j.jchirv.2025.03.007
Bertrand, N., Fauchon, H., Jean, C., Neveu, E., Gilbert, T., Leray, E., Puisieux, F., & Somme, D. (2026) · BMC Geriatrics · doi:10.1186/s12877-026-07273-5
- Authors
- Tan, H.-J., Saliba, D., Kwan, L., Moore, A. A., & Litwin, M. S.
- Affiliations
- University of California, Los Angeles (US)
- Corresponding author
- Tan, Hung-Jui
- Venue
- Journal of Clinical Oncology
- Published
- 2016-04-10
- Volume
- 34
- Issue
- 11
- Pages
- 1231-1238
- ISSN
- 0732-183X (ISSN-L)
- 1527-7755
- PMC
- PMC4872324
- OpenAlex
- W2277027128
- Cited by
- 80
- References
- 45
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 3 · 2023: 7 · 2022: 11 · 2021: 10 · 2020: 9 · 2019: 10 · 2018: 10 · 2017: 9 · 2016: 2
- FWCI
- 5.93
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Clinical Oncology (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- American Cancer Society
- U.S. Department of Veterans Affairs
- Robert Wood Johnson Foundation
- National Institute on Alcohol Abuse and Alcoholism (K24AA015957, K24AA15957)
- National Institute on Aging (P30AG028748, P30AG021684)
- Topics
- Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Intensive Care Unit Cognitive Disorders
- Keywords
- geriatric syndromes, older adults, cancer surgery, major abdominal surgery, delirium, dehydration, falls and fractures, failure to thrive, pressure ulcers, postoperative complications, prolonged hospital stay, health care costs, in-hospital mortality, comorbidities, tumor location
- MeSH terms
- Accidental Falls, Age Factors, Aged, Pressure Ulcer, Dehydration, Delirium, Failure to Thrive, Female, Humans, Male, Middle Aged, Neoplasms, Postoperative Complications, Risk Factors, Sampling Studies, Surgical Procedures, Operative, United States, Comorbidity, Prevalence, Odds Ratio, Cost of Illness, Fractures, Bone
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
