Application of the Geriatric 8 screening tool in predicting postoperative complications in elderly patients with radical prostatectomy
10.3760/cma.j.cn115682-20240625-03559
- VernacularTitle:老年筛查工具-8在老年前列腺癌根治术患者术后并发症预测中的应用
- Author:
Xumiao ZHANG
1
;
Lingxia KONG
;
Qin WANG
;
Li SUN
;
Guoqin REN
Author Information
1. 江南大学医学院，无锡 214000
- Publication Type:Journal Article
- Keywords:
Aged;
Prostate cancer;
Frailty;
Postoperative complications;
Risk assessment
- From:
Chinese Journal of Modern Nursing
2025;31(15):1988-1995
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the predictive value of preoperative frailty assessment using the Geriatric 8 (G8) screening tool for postoperative complications in elderly patients with radical prostatectomy.Methods:In this prospective cohort study, 145 elderly patients who underwent radical prostatectomy in the Urology Department of the Affiliated Central Hospital of Jiangnan University between September 2023 and March 2024 were selected using convenience sampling method. Preoperatively, frailty was assessed using the G8 screening tool. Postoperatively, complications within 30 days were evaluated using the Clavien-Dindo classification. The predictive value of the G8 frailty score for postoperative complications was analyzed using the receiver operating characteristic (ROC) curve.Results:The preoperative frailty incidence among the 145 elderly patients with radical prostatectomy was 43.45% (63/145). The postoperative complication rate was 63.49% (40/63) in the frail patients and 13.41% (11/82) in the non-frail patients, with a statistically significant difference (χ 2=39.184, P<0.01). After adjusting for age, smoking history, polypharmacy, albumin, tumor stage, International Prostate Symptom Score, and activities of daily living, the risk of postoperative complications in the frail patients was 6.011 times higher than in the non-frail patients [ OR=6.011, 95% CI (2.177, 16.594) ]. The area under the ROC curve for G8 frailty score in predicting postoperative complications was 0.798 [95% CI (0.723, 0.873) ] . Conclusions:Elderly patients undergoing radical prostatectomy with frailty have a higher incidence of postoperative complications. G8 screening tool has good efficacy in predicting the risk of postoperative complications in elderly prostate cancer patients.
