SARC-F 问卷各项目对泌尿系统癌症大手术患者预后的影响

Kohei Hirose, Shugo Yajima, Ryo Andy Ogasawara, Naoki Imasato, Sao Katsumura, Madoka Kataoka, Yasukazu Nakanishi, Hitoshi Masuda
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摘要

目的我们旨在评估接受泌尿系统癌症大手术的患者在 SARC-F 问卷各项目上的得分与预期寿命之间的关系:这项回顾性研究包括1018名接受泌尿系统癌症大手术的患者。所有患者在术前都填写了 SARC-F 问卷。研究还收集了人口统计学和临床数据。研究的主要终点是SARC-F评分与总生存期(OS)之间的关系:在 1018 名患者中,中位年龄为 72 岁,920 人(90%)为男性。多变量分析显示,四个因素与较短的OS显著且独立相关:协助行走评分≥1(危险比:HR=2.18,P=0.044)、癌症分期≥III(分别为HR=7.98,PP=0.007和HR=2.41,P=0.037):本研究发现,在 SARC-F 问卷的各个项目中,协助行走是预测预期寿命的有力指标。将这样一个简单的筛查工具纳入术前评估将有助于确保为泌尿系统癌症患者提供更合适的围手术期护理。
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Prognostic Impact of Each Item of the SARC-F Questionnaire in Patients Undergoing Major Surgery for Urologic Cancer.

Objectives: We aimed to evaluate the association between scores on each item of the SARC-F questionnaire and life expectancy in patients undergoing major surgery for urologic cancer.

Methods: This retrospective study included 1018 patients undergoing elective major urologic cancer surgery. All patients completed the SARC-F questionnaire preoperatively. Demographic and clinical data were collected. The primary endpoint was an association between SARC-F scores and overall survival (OS).

Results: Of the 1018 patients, the median age was 72 years and 920 (90%) were male. Multivariate analysis revealed four factors significantly and independently associated with shorter OS: assistance with walking score ≥1 (Hazard ratio: HR=2.18, P=0.044), cancer stages ≥ III (HR=7.98, P<0.001), high blood loss ≥78 ml or blood transfusion during surgery (HR=4.53, P=0.007 and HR=2.41, P=0.037, respectively).

Conclusions: This study found that among the items of the SARC-F questionnaire, assistance with walking was a strong predictor of life expectancy. Incorporating such a simple screening tool into the preoperative assessment would help to ensure more appropriate perioperative care for urologic cancer patients.

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