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Preoperative Risk Assessment

  • Siri Rostoft Kristjansson
  • Monica Ramello
  • Riccardo A. AudisioEmail author
Chapter

Abstract

Surgical excision and/or cytoreduction currently represent the treatment of choice for most gynecological tumors, regardless of the patients’ age. A robust body of evidence supports this. Despite operative complications and mortality, long-term cancer-related survival may be significantly improved by an aggressive surgical approach in the older age group as it is for younger women.

As older patients are characterized by a marked heterogeneity that increases with advancing age, it is important to establish preoperatively whether the older surgical patient is fit or has limited physiological reserves. Elements of a geriatric assessment, such as functional status including gait speed, comorbidity, nutritional status, depression, and cognitive function have all been found to be associated with post-operative morbidity. Some of these factors may be optimized before surgery. Thus, adding geriatric assessment to the standard preoperative protocol in older women with gynecological cancers may provide a more precise risk assessment and guide preoperative interventions.

Keywords

Preoperative risk Comorbidity Gynecological cancer Cytoreduction Geriatric oncology 

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Copyright information

© Springer-Verlag London 2013

Authors and Affiliations

  • Siri Rostoft Kristjansson
    • 1
  • Monica Ramello
    • 2
  • Riccardo A. Audisio
    • 3
    Email author
  1. 1.Department of Internal MedicineDiakonhjemmet HospitalOsloNorway
  2. 2.UOC Onocologia MedicaOspedle Ca’ FoncelloTrevisoItaly
  3. 3.Department of SurgerySt. Helens Teaching HospitalSt. Helens, MerseysideUK

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