The relation between health-related quality of life, past medical history, and American Society of Anesthesiologists’ ASA grade in patients having primary operations for oral and oropharyngeal cancer

Rogers, Simon N.; Kenyon, Peter; Lowe, Derek; Grant, Colin A.; Dempsey, Ged

doi:10.1016/j.bjoms.2004.03.007

Cited by 20 publications

(11 citation statements)

References 29 publications

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“…However, because of the low number of events (22 deaths) in the study, a valid multivariate regression model could not be built to run an analysis that includes three independent variables. These three variables (MMSE, ADL & ASA) have been confirmed in other studies as significant predictors of mortality independent of other variables [76,77,82,83,84,111,115,116,117]. Also, these variables assess different domains of human body i.e.…”

Section: Development Of Breast Cancer In Elderly Treatment Algorithm supporting

confidence: 66%

“…Rogers S et al [117] explored the relation between American Society of Anesthesiologists' (ASA) score and 18 months survival in 278 patients treated for oral and oropharyngeal squamous cell carcinoma from 1995 to 1999. They reported the ASA score a significant predictor of survival (p=0.003) in these patients.…”

Section: American Society Of Anaesthesiologist Scorementioning

confidence: 99%

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Optimising the management of breast cancer in older patients

Tahir

2010

European Journal of Surgical Oncology

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This study aimed to optimise the treatment of early breast cancer in older patients. It tested the hypothesis that comprehensive geriatric assessment (CGA) could be used to predict two-year survival in older breast cancer patients. Based on the CGA scoring a treatment algorithm was devised that could help in recommending whether primary endocrine treatment (PET) or surgery plus endocrine treatment would be best indicated in individual patients.Methods: The study included women >70 years of age with early breast

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Section: Development Of Breast Cancer In Elderly Treatment Algorithm supporting

confidence: 66%

Section: American Society Of Anaesthesiologist Scorementioning

confidence: 99%

Optimising the management of breast cancer in older patients

Tahir

2010

European Journal of Surgical Oncology

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“…[13–15] On the contrary, others showed a significant correlation between ASA score and postoperative morbidity. [816–18] The controversial value achieved with the ASA score is possibly because this system is primarily based on subjective clinical judgments. [19]…”

Section: Discussionmentioning

confidence: 99%

Comparative evaluation of ASA classification and ACE-27 index as morbidity scoring systems in oncosurgeries

Thomas¹,

George²,

Gowri³

et al. 2010

Indian J Anaesth

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The primary intention of the study was to find out whether Adult Comorbidity Evaluation Index (ACE-27) was better than the American Society of Anaesthesiologists’ (ASA) risk classification system in predicting postoperative morbidity in head and neck oncosurgery. Another goal was to identify other risk factors for complications which are not included in these indexes. Univariate and multivariate analyses were performed on 250 patients to determine the impact of seven variables on morbidity-ACE-27 grade, ASA class, age, sex, duration of anaesthesia, chemotherapy and radiotherapy. In univariate analysis ACE-27 index, ASA score, duration of anaesthesia, radiotherapy and chemotherapy were significant. As both comorbidity scales were significant in univariate analysis they were analyzed together and separately in multivariate analysis to illustrate their individual strength. In the first multivariate analysis (excluding ACE-27 grade) ASA class, duration of anaesthesia, radiotherapy and chemotherapy were significant. The positive predictive value (PPV) of this model to predict morbidity was 60.86% and negative predictive value (NPV) was 77.9%. The sensitivity was 75% and specificity 62.2%. In the second multivariate analysis (excluding ASA class) ACE-27 grade, duration of anaesthesia and radiotherapy were significant. The PPV of this model to predict morbidity was 62.1% and NPV was 76.5%. The sensitivity was 61.6% and specificity 70.9%. In the third multivariate analysis which included both ACE-27 grade and ASA class only ASA class, duration of anaesthesia, radiotherapy and chemotherapy remained significant. In conclusion, ACE-27 grade and ASA class were reliable predictors of major complications but ASA class had more impact on complications than ACE-27 grade.

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“…1,8,9,21,23,24 We have previously evaluated comorbidity scoring systems in patients undergoing major resection and reconstructive surgery of the head and neck and found that the ASA score and the KFI score were the most useful tools for measuring patient comorbidity. 9 Although the KFI was originally designed to measure the influence of comorbidity on longterm survival in head and neck cancer patients, 6,7,25 more recently it has been used to assess the influence of comorbidity on perioperative morbidity.…”

Section: -18mentioning

confidence: 99%

Clinicopathologic and therapeutic risk factors for perioperative complications and prolonged hospital stay in free flap reconstruction of the head and neck

et al. 2010

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Reconstruction of circumferential pharyngeal defects following total pharyngolaryngectomy presents major challenges with respect to surgical morbidity and restoration of functional deficits, which are often made more demanding by the increasing trend to utilize primary chemoradiation protocols with surgery reserved for salvage cases. The present review evaluates the reconstructive techniques described in the literature, including historical techniques as well as more recent innovative methods. Each technique is critically appraised with particular reference to postoperative morbidity and functional rehabilitation. Treatment recommendations are made based on the available evidence.

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The relation between health-related quality of life, past medical history, and American Society of Anesthesiologists’ ASA grade in patients having primary operations for oral and oropharyngeal cancer

Cited by 20 publications

References 29 publications

Optimising the management of breast cancer in older patients

Optimising the management of breast cancer in older patients

Comparative evaluation of ASA classification and ACE-27 index as morbidity scoring systems in oncosurgeries

Clinicopathologic and therapeutic risk factors for perioperative complications and prolonged hospital stay in free flap reconstruction of the head and neck

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