In the last years the incidence of renal neoplasms has been steadily increasing, along with the average age of patients at the time of diagnosis. Surgical management for localized disease is becoming more challenging because of patients' frailty. We conducted a multi-center prospective study to evaluate the role of the G8 as a screening tool in the assessment of intra and post-operative complications of elderly patients (≥70 y.o.) undergoing surgery for kidney cancer. A total of 162 patients were prospectively enrolled between January 2015 to January 2019 and divided into two study groups (frail vs. not-frail) according to their geriatric risk profile based on G8 score. Several factors (i.e., age, CCI, ASA score, preoperative anemia, RENAL score, surgical procedures, and techniques) were analyzed to identify whether any of them would configure as a statistically significant predictor of surgical complications. According to the G8 Score, 90 patients were included in the frail group. A total of 52 frail patients vs. 4 non-frail patients developed a postoperative complication of any kind (p < 0.001). Of these, 11 were major complications and all occurred in the frail group. Our results suggest that the G8 screening tool is an effective and useful instrument to predict the risk of overall complications in elderly patients prior to renal surgery.
Journal of clinical medicine. 2022 Jun 30*** epublish ***
Fabio Traunero, Francesco Claps, Tommaso Silvestri, Maria Carmen Mir, Luca Ongaro, Michele Rizzo, Andrea Piasentin, Giovanni Liguori, Francesca Vedovo, Antonio Celia, Carlo Trombetta, Nicola Pavan
Urology Clinic, Department of Medical, Surgical and Health Sciences, Cattinara Hospital, University of Trieste, Strada di Fiume, 447, 34149 Trieste, Italy., Department of Urology, San Bassiano Hospital, 36061 Bassano del Grappa, Italy., Department of Urology, Valencian Oncology Institute Foundation, FIVO, 46009 Valencia, Spain.