小野寺らのｐｒｏｇｎｏｓｔｉｃ　ｎｕｔｒｉｔｉｏｎａｌ　ｉｎｄｅｘの再評価－特に高齢者胃・大腸癌に対する手術患者での検討－

• 若林 久男

  坂出市立病院外科

• 大谷 剛

  坂出市立病院外科

• 近藤 昭宏

  坂出市立病院外科

• 森 誠治

  坂出市立病院外科

書誌事項

タイトル別名

• Re-evaluation of the Usefulness of the Prognostic Nutritional Index Reported by Onodera, Especially for the Elderly Patients Undergoing Gastrointestinal Surgery for the Gastric and Colon Cancer
• Reported by Onodera, Especially for the Elderly Patients Undergoing Gastrointestinal Surgery for the Gastric and Colon Cancer
• 特に高齢者胃・大腸癌に対する手術患者での検討

抄録

Background: We evaluated the prognostic nutritional index (PNI), reported by Onodera, in patients un- dergoing gastrointestinal surgery for the gastric and colon cancer, and compared criteria for risk evaluation between younger and older patients. Methods: Subjects were 65 patients, 38 with gastric cancer, 18 with co-lon cancer, and 9 with rectal cancer, rated as Stage I or II. We evaluated the relationship between patient age and preoperative PNI, dividing by postoperative course into those with and without complications. We com- pared PNI was compared between groups. Patients were further assigned by age into an older group (≥75) or younger group. PNI was also compared between these groups. Results: The correlation between patient PNI and age was negative. The PNI in patients without complications was 42.9±5.7, while that in those with complications was 37.8±4.3, statistically significant (P=0.003). PNI in older patients was 39.8±5.0, while that in younger patients was 44.5±5.7, again statistically significant (P=0.001). In older and younger patients with complications, PNI was significantly lower in the older group at 35.5±4.8, versus 40.0±3.0 in the younger group (P=0.045). In the relationship between PNI and age relative to the postoperative course, a demarcation (PNI=46.2-0.071×Age) was observed between patients without and with complications. Conclusion: PNI decreased concomitantly with aging. In originally reported risk assessment criteria, most older patients were evaluated as risky or contraindicated for surgery. The demarcation line decreased concomitantly with age, in- dicating that preoperative risk assessment of older patients should take into account the decrease in PNI with aging.

収録刊行物

• 日本消化器外科学会雑誌

  日本消化器外科学会雑誌 37 (5), 472-478, 2004

  一般社団法人 日本消化器外科学会

キーワード

• prognostic nutritional index
• elderly patients
• gastrointestinal surgery
• postoperative complication
• older patients

詳細情報

• CRID: 1390282679894231808
• NII論文ID: 130004344076
• NII論文ID: 110001344618
• NII書誌ID: AN00192066
• DOI: 10.5833/jjgs.37.472
• ISSN: 13489372
• ISSN: 03869768
• ISSN: http://id.crossref.org/issn/03869768
• Web Site: https://www.jstage.jst.go.jp/article/jjgs1969/37/5/37_5_472/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2004233561
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可