지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.12
- 수록면
- 118 - 125 (8page)
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Purpose: Nutrition status is an important factor for perioperative morbidity in cancer surgery. The aim of this study was to evaluate the impact of the malnutrition risk, determined by Seoul National University Hospital-nutrition screening index (SNUH-NSI), on operative morbidity after colorectal surgery for cancer.
Methods: This study enrolled 2,462 patients who had undergone colectomy for initially diagnosed colorectal cancer at Seoul National University Hospital from January 2011 to December 2014. We collected general patient information, SNUH-NSI and prognostic nutritional index (PNI) at administration and related parameters (serum albumin, cholesterol, total lymphocyte counts, hemoglobin and body mass index), operative method, hospital stay and operative morbidity.
Results: Patients’ mean age was 62.12 years, and 423 patients (17.18%) were rated as severe malnutrition risk. Patients with high risk of malnutrition by SNUH-NSI or PNI, men, higher American Society of Anesthesiologists (ASA) class, palliative operation, and higher stage showed higher operative morbidity (P<0.05). On multivariate analysis, significant independent risk factors for operative morbidity were severe malnutrition by SNUH-NSI (odds ratio [OR], 1.868; 95% confidence interval [CI], 1.429–2.442; P<0.001) or PNI (OR, 1.596; 95% CI, 1.258–2.025; P<0.001), men (OR, 1.483; 95% CI, 1.174–1.876; P=0.001), or high ASA class (OR, 1.782; 95% CI, 1.136–2.795; P=0.012).
Conclusion: Overall nutritional status, rather than single data, shows significant association with postoperative morbidity in patients who underwent colectomy. Especially severe malnutrition determined by SNUH-NSI, is an independent risk factor for perioperative morbidity. Nutritional support to severely malnourished patient by SNUH-NSI is expected to be effective in preventing complications after colectomy of colorectal carcinoma patients.
Methods: This study enrolled 2,462 patients who had undergone colectomy for initially diagnosed colorectal cancer at Seoul National University Hospital from January 2011 to December 2014. We collected general patient information, SNUH-NSI and prognostic nutritional index (PNI) at administration and related parameters (serum albumin, cholesterol, total lymphocyte counts, hemoglobin and body mass index), operative method, hospital stay and operative morbidity.
Results: Patients’ mean age was 62.12 years, and 423 patients (17.18%) were rated as severe malnutrition risk. Patients with high risk of malnutrition by SNUH-NSI or PNI, men, higher American Society of Anesthesiologists (ASA) class, palliative operation, and higher stage showed higher operative morbidity (P<0.05). On multivariate analysis, significant independent risk factors for operative morbidity were severe malnutrition by SNUH-NSI (odds ratio [OR], 1.868; 95% confidence interval [CI], 1.429–2.442; P<0.001) or PNI (OR, 1.596; 95% CI, 1.258–2.025; P<0.001), men (OR, 1.483; 95% CI, 1.174–1.876; P=0.001), or high ASA class (OR, 1.782; 95% CI, 1.136–2.795; P=0.012).
Conclusion: Overall nutritional status, rather than single data, shows significant association with postoperative morbidity in patients who underwent colectomy. Especially severe malnutrition determined by SNUH-NSI, is an independent risk factor for perioperative morbidity. Nutritional support to severely malnourished patient by SNUH-NSI is expected to be effective in preventing complications after colectomy of colorectal carcinoma patients.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (28)
참고문헌 신청
[학술지(정기간행물)] - Brenner H / 2014 / Colorectal cancer / Lancet 383 : 1490 ~ 1502
[학술지(정기간행물)] - Winawer S / 2003 / Colorectal cancer screening and surveillance: clinical guidelines and rationale-Update based on new evidence / Gastroenterology 124 : 544 ~ 560
[학술지(정기간행물)] - Ryan AM / 2016 / Cancer-associated malnutrition, cachexia and sarcopenia: the skeleton in the hospital closet 40 years later / Proc Nutr Soc 75 : 199 ~ 211
[학술지(정기간행물)] - Schwegler I / 2010 / Nutritional risk is a clinical predictor of postoperative mortality and morbidity in surgery for colorectal cancer / Br J Surg 97 : 92 ~ 97
[학술지(정기간행물)] - Cooper C / 2013 / Improving adherence to a care plan generated from the Malnutrition Universal Screening Tool / Eur J Clin Nutr 67 : 174 ~ 179
[학술지(정기간행물)] - Winawer S / 2003 / Colorectal cancer screening and surveillance: clinical guidelines and rationale-Update based on new evidence / Gastroenterology 124 : 544 ~ 560
[학술지(정기간행물)] - Ryan AM / 2016 / Cancer-associated malnutrition, cachexia and sarcopenia: the skeleton in the hospital closet 40 years later / Proc Nutr Soc 75 : 199 ~ 211
[학술지(정기간행물)] - Schwegler I / 2010 / Nutritional risk is a clinical predictor of postoperative mortality and morbidity in surgery for colorectal cancer / Br J Surg 97 : 92 ~ 97
[학술지(정기간행물)] - Cooper C / 2013 / Improving adherence to a care plan generated from the Malnutrition Universal Screening Tool / Eur J Clin Nutr 67 : 174 ~ 179
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UCI(KEPA) : I410-ECN-0101-2018-514-001685078