Some Nursing Screening Tools Can Be Used to Assess High-Risk Older Adults Who Undergo Colorectal Surgery for Cancer

Lisa Cooper,1,2 Baha Siam,2,3 Aviv Sagee,2,4 Ran Orgad,2,3 Yochai Levi,1,2 Nir Wasserberg,2,3 Yichayaou Beloosesky,1,2 Hanoch Kashtan2,3 1Department of Geriatric Medicine, Rabin Medical Center, Campus Beilinson, Petah Tiqva, Israel; 2The Sackler School of Medicine, Tel-Aviv University, Tel Aviv, Isr...

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Autores principales:	Cooper L, Siam B, Sagee A, Orgad R, Levi Y, Wasserberg N, Beloosesky Y, Kashtan H
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	colorectal cancer nursing screening tools octogenarians post-operative outcomes pre-operative assessment Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/41b13c7c703a47df99fa68214234afed
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spelling	oai:doaj.org-article:41b13c7c703a47df99fa68214234afed2021-12-02T12:55:41ZSome Nursing Screening Tools Can Be Used to Assess High-Risk Older Adults Who Undergo Colorectal Surgery for Cancer1178-1998https://doaj.org/article/41b13c7c703a47df99fa68214234afed2020-08-01T00:00:00Zhttps://www.dovepress.com/some-nursing-screening-tools-can-be-used-to-assess-high-risk-older-adu-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Lisa Cooper,1,2 Baha Siam,2,3 Aviv Sagee,2,4 Ran Orgad,2,3 Yochai Levi,1,2 Nir Wasserberg,2,3 Yichayaou Beloosesky,1,2 Hanoch Kashtan2,3 1Department of Geriatric Medicine, Rabin Medical Center, Campus Beilinson, Petah Tiqva, Israel; 2The Sackler School of Medicine, Tel-Aviv University, Tel Aviv, Israel; 3Department of Surgery, Rabin Medical Center, Campus Beilinson, Petah Tiqva, Israel; 4Department of Internal Medicine C, Rabin Medical Center, Campus Beilinson, Petah Tiqva, IsraelCorrespondence: Hanoch KashtanDepartment of Surgery, Rabin Medical Center, Campus Beilinson, Petah Tikva 49100, IsraelTel +972-3-9376201Fax +972-3-9376251Email hkashtan@clalit.org.ilAim: Life expectancy and incidence of cancer among older adults are increasing. The aim of this study was to assess whether routinely used nursing screening tools can predict surgical outcomes in older adults with colorectal cancer.Methods: Data of patients who underwent elective colorectal cancer surgery at Rabin Medical Center during the years 2014– 2016 were collected retrospectively. Patients were divided into study group (age 80– 89 y), and control group (age 60– 69 y) for comparing surgical outcomes and six-month mortality. In the study group, screening tool scores were evaluated as potential predictors of surgical outcomes. These included Malnutrition Universal Screening Tool (MUST), Admission Norton Scale Scores (ANSS), Morse Fall Scale (MFS), and Charlson Co-morbidity Index (CCI).Results: The study group consisted of 77 patients, and the control group consisted of 129 patients. Postoperative mortality and morbidity were similar in both groups. Nursing screening tools did not predict immediate postoperative outcomes in the study group. MUST and CCI were predictors for six-month mortality. CCI score was 9.43± 2.44 in those who died within six months from surgery compared to 7.07 ± 1.61 in those who were alive after six months (p< 0.05). Post-operative complications were not associated with increased 30-day mortality. Advanced grade complications were associated with an increased six-month mortality (RR=1.37, 95% CI 0.95– 1.98, p=0.013).Conclusion: Different screening tools for high-risk older adults who are candidates for surgery have been developed, with the caveat of necessitating skilled physicians and resources such as time. Routinely used nursing screening tools may be helpful in better patient selection and informed decision making. These tools, specifically MUST and CCI who were found to predict six-month survival, can be used to additionally identify high-risk patients by the nursing staff and promote further evaluation. This can be a valuable tool in multidisciplinary and patient-centered care.Keywords: colorectal cancer, nursing screening tools, octogenarians, post-operative outcomes, pre-operative assessmentCooper LSiam BSagee AOrgad RLevi YWasserberg NBeloosesky YKashtan HDove Medical Pressarticlecolorectal cancernursing screening toolsoctogenarianspost-operative outcomespre-operative assessmentGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 15, Pp 1505-1511 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	colorectal cancer nursing screening tools octogenarians post-operative outcomes pre-operative assessment Geriatrics RC952-954.6
spellingShingle	colorectal cancer nursing screening tools octogenarians post-operative outcomes pre-operative assessment Geriatrics RC952-954.6 Cooper L Siam B Sagee A Orgad R Levi Y Wasserberg N Beloosesky Y Kashtan H Some Nursing Screening Tools Can Be Used to Assess High-Risk Older Adults Who Undergo Colorectal Surgery for Cancer
description	Lisa Cooper,1,2 Baha Siam,2,3 Aviv Sagee,2,4 Ran Orgad,2,3 Yochai Levi,1,2 Nir Wasserberg,2,3 Yichayaou Beloosesky,1,2 Hanoch Kashtan2,3 1Department of Geriatric Medicine, Rabin Medical Center, Campus Beilinson, Petah Tiqva, Israel; 2The Sackler School of Medicine, Tel-Aviv University, Tel Aviv, Israel; 3Department of Surgery, Rabin Medical Center, Campus Beilinson, Petah Tiqva, Israel; 4Department of Internal Medicine C, Rabin Medical Center, Campus Beilinson, Petah Tiqva, IsraelCorrespondence: Hanoch KashtanDepartment of Surgery, Rabin Medical Center, Campus Beilinson, Petah Tikva 49100, IsraelTel +972-3-9376201Fax +972-3-9376251Email hkashtan@clalit.org.ilAim: Life expectancy and incidence of cancer among older adults are increasing. The aim of this study was to assess whether routinely used nursing screening tools can predict surgical outcomes in older adults with colorectal cancer.Methods: Data of patients who underwent elective colorectal cancer surgery at Rabin Medical Center during the years 2014– 2016 were collected retrospectively. Patients were divided into study group (age 80– 89 y), and control group (age 60– 69 y) for comparing surgical outcomes and six-month mortality. In the study group, screening tool scores were evaluated as potential predictors of surgical outcomes. These included Malnutrition Universal Screening Tool (MUST), Admission Norton Scale Scores (ANSS), Morse Fall Scale (MFS), and Charlson Co-morbidity Index (CCI).Results: The study group consisted of 77 patients, and the control group consisted of 129 patients. Postoperative mortality and morbidity were similar in both groups. Nursing screening tools did not predict immediate postoperative outcomes in the study group. MUST and CCI were predictors for six-month mortality. CCI score was 9.43± 2.44 in those who died within six months from surgery compared to 7.07 ± 1.61 in those who were alive after six months (p< 0.05). Post-operative complications were not associated with increased 30-day mortality. Advanced grade complications were associated with an increased six-month mortality (RR=1.37, 95% CI 0.95– 1.98, p=0.013).Conclusion: Different screening tools for high-risk older adults who are candidates for surgery have been developed, with the caveat of necessitating skilled physicians and resources such as time. Routinely used nursing screening tools may be helpful in better patient selection and informed decision making. These tools, specifically MUST and CCI who were found to predict six-month survival, can be used to additionally identify high-risk patients by the nursing staff and promote further evaluation. This can be a valuable tool in multidisciplinary and patient-centered care.Keywords: colorectal cancer, nursing screening tools, octogenarians, post-operative outcomes, pre-operative assessment
format	article
author	Cooper L Siam B Sagee A Orgad R Levi Y Wasserberg N Beloosesky Y Kashtan H
author_facet	Cooper L Siam B Sagee A Orgad R Levi Y Wasserberg N Beloosesky Y Kashtan H
author_sort	Cooper L
title	Some Nursing Screening Tools Can Be Used to Assess High-Risk Older Adults Who Undergo Colorectal Surgery for Cancer
title_short	Some Nursing Screening Tools Can Be Used to Assess High-Risk Older Adults Who Undergo Colorectal Surgery for Cancer
title_full	Some Nursing Screening Tools Can Be Used to Assess High-Risk Older Adults Who Undergo Colorectal Surgery for Cancer
title_fullStr	Some Nursing Screening Tools Can Be Used to Assess High-Risk Older Adults Who Undergo Colorectal Surgery for Cancer
title_full_unstemmed	Some Nursing Screening Tools Can Be Used to Assess High-Risk Older Adults Who Undergo Colorectal Surgery for Cancer
title_sort	some nursing screening tools can be used to assess high-risk older adults who undergo colorectal surgery for cancer
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/41b13c7c703a47df99fa68214234afed
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Some Nursing Screening Tools Can Be Used to Assess High-Risk Older Adults Who Undergo Colorectal Surgery for Cancer

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