AI Article Synopsis
- There is an agreement that elderly patients with head and neck cancer should receive curative treatment similar to younger patients, despite a higher risk of complications due to comorbidities.
- A study of 168 patients found that elderly patients had slightly lower median McPeek scores (8) compared to younger patients (9), suggesting that age may not be a significant factor influencing surgical outcomes.
- The findings indicate that while age and general health status do not independently affect results, the type and length of surgical procedures do impact postoperative outcomes, supporting aggressive treatment options for both older and younger patients when appropriate.
Article Abstract
Objectives: There is international consensus that elderly patients with head and neck cancer should be treated curatively, like younger patients. Because of common comorbidities in elderly patients, perioperative complications are likely. The McPeek postoperative outcome score was used to evaluate the success of surgical interventions in patients with head and neck cancer.
Methods: We included 168 patients in the study (56 in the study group, 75 years of age or more; and 112 in the control group, less than 60 years of age). All patients underwent major surgery for head and neck cancer.
Results: The median McPeek scores were 8 in the study group and 9 in the control group (p = 0.04). Regression analysis revealed that neither age (p = 0.085) nor the American Society of Anesthesiologists physical status score (p = 0.342) were independent predictors of the McPeek score. Synchronous surgical interventions (p = 0.00051) and duration of surgery (p = 0.0015) had a significant impact on McPeek score performance.
Conclusions: The McPeek score seems to be an appropriate tool for comparing major surgeries for head and neck cancer in different age groups. It is possible to assess the influence of anesthetic and surgical interventions and complications that affect the length of hospitalization. The results confirm that the overall complication rate after surgery in elderly patients does not differ significantly from that in their younger counterparts. Therefore, extended surgical treatment should be offered to both age groups when no serious comorbidities are present. The postoperative outcome seems to depend on the duration and extent of the surgical intervention.
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| http://dx.doi.org/10.1177/000348941112000207 | DOI Listing |
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