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dc.contributor.authorOmmundsen, Nina
dc.contributor.authorNesbakken, Arild
dc.contributor.authorWyller, Torgeir Bruun
dc.contributor.authorSkovlund, Eva
dc.contributor.authorBakka, Arne Olav
dc.contributor.authorJordhøy, Marit Slaaen
dc.contributor.authorRostoft, Siri
dc.date.accessioned2019-05-20T08:49:08Z
dc.date.available2019-05-20T08:49:08Z
dc.date.created2018-10-02T16:03:37Z
dc.date.issued2018
dc.identifier.citationEuropean Journal of Surgical Oncology. 2018, 44 (10), 1542-1547.nb_NO
dc.identifier.issn0748-7983
dc.identifier.urihttp://hdl.handle.net/11250/2597964
dc.description.abstractBackground The incidence of postoperative complications after colorectal cancer surgery varies between publications. Complications occurring after discharge from hospital are often not reported. The aims of this study were to investigate the proportion of frail older colorectal cancer patients who developed complications only after discharge, the severity of post-discharge complications, and the time point at which the most frequent complications occurred. Methods Patients were included if they were 65 years and older, screened positively for frailty and were scheduled for colorectal cancer surgery. Included patients were followed prospectively both in hospital and after discharge for 30 days after surgery, and complications were graded according to the Clavien-Dindo classification. Results We included 114 patients. Median age was 79 years. Twenty-two patients (19%) were discharged without complications, but developed complications after discharge. These patients had shorter length of stay (6.5 versus 10 days), were more often discharged to their own home without assistance, and had higher 5-year survival (76% vs 54%) than patients who developed complications in hospital. Post-discharge complications were most frequently grade II. The most common types of complications that occurred late in the postoperative course were urinary tract infections and superficial surgical site infections. Conclusions Complications after colorectal cancer surgery in frail older patients frequently arise after discharge from hospital. Doctors should be aware of this and inform their patients. This is increasingly important as length of stay after surgery decreases. When complications are used as a quality measure, it should be clear whether only in-hospital complications are registered.nb_NO
dc.language.isoengnb_NO
dc.publisherElseviernb_NO
dc.titlePost-discharge complications in frail older patients after surgery for colorectal cancernb_NO
dc.typeJournal articlenb_NO
dc.typePeer reviewednb_NO
dc.description.versionpublishedVersionnb_NO
dc.source.pagenumber1542-1547nb_NO
dc.source.volume44nb_NO
dc.source.journalEuropean Journal of Surgical Oncologynb_NO
dc.source.issue10nb_NO
dc.identifier.doi10.1016/j.ejso.2018.06.024
dc.identifier.cristin1617320
dc.description.localcodeThis article will not be available due to copyright restrictions © 2018 by Elsevier.nb_NO
cristin.unitcode194,65,20,0
cristin.unitnameInstitutt for samfunnsmedisin og sykepleie
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1


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