Talk to the Veterans Crisis Line now
U.S. flag
An official website of the United States government

Health Services Research & Development

Go to the ORD website
Go to the QUERI website

HSR&D Citation Abstract

Search | Search by Center | Search by Source | Keywords in Title

A novel geriatric assessment tool that predicts postoperative complications in older adults with cancer.

Pollock Y, Chan CL, Hall K, Englesbe M, Diehl KM, Min L. A novel geriatric assessment tool that predicts postoperative complications in older adults with cancer. Journal of geriatric oncology. 2020 Jun 1; 11(5):866-872.

Dimensions for VA is a web-based tool available to VA staff that enables detailed searches of published research and research projects.

If you have VA-Intranet access, click here for more information vaww.hsrd.research.va.gov/dimensions/

VA staff not currently on the VA network can access Dimensions by registering for an account using their VA email address.
   Search Dimensions for VA for this citation
* Don't have VA-internal network access or a VA email address? Try searching the free-to-the-public version of Dimensions



Abstract:

INTRODUCTION: Comprehensive geriatric assessment prior to oncologic surgery can help predict surgical outcomes. We tested whether an abbreviated geriatric assessment tool, the Vulnerable Elderly Surgical Pathways and outcomes Assessment (VESPA), would predict post-operative complications among older adults undergoing oncologic surgery. METHOD: From 2008 to 2011, geriatric assessments were completed using the VESPA tool for patients age? = 70 seen in a pre-operative clinic. The VESPA assessed functional status, mood, cognition, and mobility, and can be completed in < 10?min. We selected the subset of patients who underwent oncologic surgery and evaluated the VESPA''s ability to predict post-operative surgical complications, geriatric complications (e.g., delirium), length of stay, and geriatric post-discharge needs (e.g., new functional dependence). RESULTS: A total of 476 patients who underwent oncologic surgery received the assessment using VESPA. Compared to patients with low VESPA scores ( < 9), patients with high VESPA scores ( = 9) had longer length of stay (mean 6.6 vs. 2.0?days; p? < .001), more geriatric complications (39.5% vs. 5.7%; p? < .001), more surgical complications (29.5% vs. 11.8%; p? < .001), and more likely to have post discharge needs (76.0% vs. 31.7%; p? < .001). Using logistic regression, each additional point on the VESPA scale was also associated with increased probability of geriatric complications (OR? = 1.3; 95% CI? = 1.2-1.4), surgical complications (OR? = 1.2; 95% CI? = 1.1-1.2), and geriatric post-discharge needs (OR? = 1.3; 95% CI? = 1.2-1.3). CONCLUSION: The VESPA identifies older patients with cancer who are at risk for postoperative surgical and geriatric complications as well as functional needs at hospital discharge.





Questions about the HSR&D website? Email the Web Team.

Any health information on this website is strictly for informational purposes and is not intended as medical advice. It should not be used to diagnose or treat any condition.