Comparison of four frailty assessment tools in preoperative assessment of elderly colorectal cancer patients
10.3760/cma.j.cn115682-20221017-05025
- VernacularTitle:4种衰弱评估工具在老年结直肠癌患者术前评估中的应用比较
- Author:
Jiawei FAN
1
;
Ying WANG
;
Xiaoqing SHI
;
Shuwen QIN
;
Lifen MAO
;
Yaling XU
;
Jianhua YIN
Author Information
1. 宁波大学附属第一医院内分泌科，宁波 315000
- Keywords:
Aged;
Colorectal neoplasms;
Frailty assessment tool;
Postoperative complications;
Nursing assessment
- From:
Chinese Journal of Modern Nursing
2023;29(20):2743-2749
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the consistency of preoperative frailty assessment in elderly colorectal cancer patients using Frailty Phenotype (FP), FRAIL Scale (FS), Clinical Frailty Scale (CFS), and Edmonton Frailty Scale (EFS), and their predictive performance in predicting the postoperative complication, so as to provide reference for nurses to choose appropriate frailty assessment tools.Methods:From December 2020 to October 2021, 207 elderly patients who underwent radical surgery for colorectal cancer at the General Surgery of the First Affiliated Hospital of Soochow University were selected as the study subject by convenience sampling. FP, FS, CFS, and EFS were used to assess patients' frailty. Taking postoperative complications as the outcome indicator, the predictive performance of four frailty assessment tools was compared using the receiver operating characteristic (ROC) curve and Bayes discriminant analysis.Results:The frailty detection rates of FP, FS, CFS, and EFS in 207 elderly colorectal cancer patients were 19.8% (41/207), 11.6% (24/207), 22.2% (46/207), and 10.1% (21/207), respectively. The areas under the ROC curves of FP, FS, CFS, and EFS were 0.714, 0.643, 0.737, and 0.665, respectively, with statistically significant differences (all P<0.01). Pairwise comparison found that there were statistically significant differences in the area under the ROC curve between FP and FS, FS and CFS, CFS and EFS ( P<0.05). The cross validation accuracy of FP, FS, CFS and EFS in predicting the postoperative complication in elderly colorectal cancer patients was 78.7%, 68.6%, 76.3%, and 75.8%, respectively. Conclusions:FP and CFS have moderate predictive performance for postoperative complications in elderly colorectal cancer patients, and there is no difference in predictive performance between the two. Both CFS and FP can be used for the assessment of preoperative frailty in elderly colorectal cancer patients, but considering clinical applicability, CFS is recommended.
