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Patient-reported performance status and postoperative complications in elective colorectal cancer surgery

  • 0Department of Surgery, Copenhagen University Hospital - Herlev and Gentofte, Borgmester Ib Juuls Vej 1, 2730, Herlev, Denmark. heyi@regionsjaelland.dk.
International Journal of Colorectal Disease +

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November 20, 2024

|

November 20, 2024

View abstract on PubMed

Summary

This summary is machine-generated.

Patient-reported performance status (prPS) shows poor agreement with surgeon-reported performance status (srPS) in colorectal cancer surgery. Both prPS and srPS correlate with postoperative complications, with srPS showing a slightly stronger link.

Area Of Science

  • Oncology
  • Surgical Oncology
  • Patient Outcomes Research

Background

  • Accurate assessment of patient performance status (PS) is crucial for surgical decision-making in colorectal cancer (CRC) patients.
  • Discrepancies between patient-reported performance status (prPS) and surgeon-reported performance status (srPS) may impact surgical suitability and outcomes.
  • Understanding the concordance and correlation of these assessments with postoperative complications is vital for optimizing patient care.

Purpose Of The Study

  • To evaluate the concordance between prPS and srPS in patients undergoing elective colorectal cancer surgery.
  • To assess the correlation between srPS, prPS, and 30-day postoperative complications.
  • To determine if prPS can assist surgeons in preoperative decision-making.

Main Methods

  • A retrospective analysis of 524 patients undergoing colorectal cancer surgery.
  • Collection of prPS via questionnaires and srPS from surgical records.
  • Utilizing linearly weighted kappa statistics for agreement assessment and rank-biserial correlation for complication analysis.

Main Results

  • A 71% concordance was observed between prPS and srPS, with significant disagreement in nearly one-third of cases.
  • Both prPS and srPS correlated significantly with overall postoperative complications, minor surgical complications, and medical complications.
  • srPS showed a stronger correlation with postoperative complications, particularly major surgical complications, compared to prPS.

Conclusions

  • The agreement between patient-reported and surgeon-reported performance status is poor in colorectal cancer surgery.
  • Both patient and surgeon assessments of performance status are associated with postoperative complications.
  • Surgeon-reported performance status demonstrates a slightly higher predictive value for complications than patient-reported status.

Keywords:

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