Geriatric Patients Undergoing Gynaecological Cancer Surgery

NCT ID: NCT07077629

Last Updated: 2025-07-25

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 100 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2025-05-21
• Study Completion Date: 2025-06-30

Brief Summary

Sınce old age includes variables such as genetics, chronic diseases, lifestyle, aging can be classified as chronological, social, physiological and psychological. According to the World Health Organization's chronological classification, 0-18 years old is considered adolescent, 18-65 years old is young, 65-74 years old is young-old, 74-84 years old is old, and over 85 years old is very old. With advancing age, many physiological changes occur in the body and the risk of non-communicable diseases such as heart and respiratory diseases, cancer, and diabetes increases. Geriatric assessment can be defined as a multidimensional diagnostic process aimed at developing a coordinated and integrated plan for treatment and long-term follow-up in order to determine the medical, psychosocial and functional abilities of an elderly person. Therefore, in order to obtain information about mortality and morbidity in patients undergoing geriatric gynecologic cancer surgery, many risk factors will be evaluated and the usability and reliability of scores and indices will be investigated. For this purpose, many risk scores are used.

Detailed Description

Geriatric assessment can be defined as a multidimensional diagnostic process aimed at developing a coordinated and integrated plan for treatment and long-term follow-up in order to determine the medical, psychosocial and functional abilities of an elderly person. Therefore, in order to obtain information about mortality and morbidity in patients undergoing geriatric gynecologic cancer surgery, many risk factors will be evaluated and the usability and reliability of scores and indices will be investigated. For this purpose, many risk scores are used. There are preoperative ASA clinical classification and many postoperative risk protections. ARISCAT risk score is used to investigate postoperative respiratory complications. It consists of a seven-variable model (age, preoperative oxygen saturation (SpO2), respiratory tract infection in the month before surgery, preoperative anemia, surgical incision, duration of surgery and emergency system of the procedure) that separates patients into low, medium and high groups. One of the risk score calculation methods calculated by evaluating comorbidities is the Charlson Comorbidity Index. This score consists of 17 parameters. Participants will be evaluated with the GA-GYN score, which can be separated in this way for geriatric patients and gynecological cancer group surgery. AC surgical risk score is also a score consisting of many parameters such as patients' comorbidities, surgical procedure performed and calculating the risk of disease and death. Walter index will be calculated in order to evaluate these personal 1-year death estimates.

Conditions

Gynecologic Cancers

Study Design

• Observational Model Type: COHORT
• Study Time Perspective: CROSS_SECTIONAL

Study Groups

Geriatric patients undergoing gynecologic cancer surgery

Relationship of scoring systems with postoperative morbidity and mortality in geriatric patients undergoing gynecologic cancer surgery.

morbidity and mortality

Intervention Type: PROCEDURE

Relationship of scoring systems with postoperative morbidity and mortality in geriatric patients undergoing gynecologic cancer surgery.

Interventions

morbidity and mortality

Relationship of scoring systems with postoperative morbidity and mortality in geriatric patients undergoing gynecologic cancer surgery.

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

• Patients older than 74 years of age

Exclusion Criteria

• Incomplete or inadequate patient records

• Minimum Eligible Age: 74 Years
• Maximum Eligible Age: 84 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: No

Sponsors

Bakirkoy Dr. Sadi Konuk Research and Training Hospital

OTHER_GOV

Sponsor Role: lead

Responsible Party

Duygu Akyol

Principal Investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Basaksehir Cam and Sakura City Hospital

Istanbul, , Turkey (Türkiye)

Countries

Turkey (Türkiye)

References

Vacante M, Cristaldi E, Basile F, Borzi AM, Biondi A. Surgical approach and geriatric evaluation for elderly patients with colorectal cancer. Updates Surg. 2019 Sep;71(3):411-417. doi: 10.1007/s13304-019-00650-3. Epub 2019 Apr 5.

Reference Type: BACKGROUND

PMID: 30953329 (View on PubMed)

Wozniak SE, Coleman J, Katlic MR. Optimal Preoperative Evaluation and Perioperative Care of the Geriatric Patient: A Surgeon's Perspective. Anesthesiol Clin. 2015 Sep;33(3):481-9. doi: 10.1016/j.anclin.2015.05.012. Epub 2015 Jul 3.

Reference Type: BACKGROUND

PMID: 26315633 (View on PubMed)

Turrentine FE, Wang H, Simpson VB, Jones RS. Surgical risk factors, morbidity, and mortality in elderly patients. J Am Coll Surg. 2006 Dec;203(6):865-77. doi: 10.1016/j.jamcollsurg.2006.08.026.

Reference Type: BACKGROUND

PMID: 17116555 (View on PubMed)

Other Identifiers

2025-181

Identifier Type: -

Identifier Source: org_study_id