The British journal of surgery
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Review Meta Analysis
Systematic review and meta-analysis of risk factors for postoperative delirium among older patients undergoing gastrointestinal surgery.
Postoperative delirium (POD) is common after surgery. As age is a known risk factor, the increased ageing of the population undergoing surgery emphasizes the importance of the subject. Knowledge of other potential risk factors in older patients with surgical gastrointestinal diseases is lacking. The aim here was to collate and synthesize the published literature on risk factors for delirium in this group. ⋯ Delirium is common in older patients undergoing gastrointestinal surgery. Several risk factors were consistently associated with POD.
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Randomized Controlled Trial Multicenter Study Comparative Study
Patterns of recurrence in early-stage oesophageal cancer after chemoradiotherapy and surgery compared with surgery alone.
Patterns of disease recurrence in patients with oesophageal cancer following treatment with neoadjuvant chemoradiotherapy and surgery (nCRTS) or surgery alone are poorly reported. An understanding of patterns of disease recurrence is important for subsequent treatment planning. ⋯ Locoregional disease control following nCRTS indicated a local field effect not related solely to completeness of resection. pN+ disease was strongly predictive of time to locoregional and metastatic disease recurrence.