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Presentation Description
Institution: Bankstown-Lidcombe Hospital - NSW, Australia
Purpose
As the population ages, the incidence of pancreatic cancer is expected to increase with most patients being diagnosed in their 70s and 80s. Pancreatic resections were historically associated with high morbidity and mortality but outcomes in Australia have improved significantly. We aimed to evaluate the effect of age on survival and postoperative outcomes of pancreatic resections.
Methodology
391 patients who underwent a pancreatic resection at a high volume centre between January 2005 and June 2022 were identified from a prospectively maintained database and categorised into age groups <70, 70-74, 75-79 and 80+. Baseline clinicopathologic features were analysed and postoperative mortality rate (POMR), length of stay (LOS) and overall survival (OS) were compared between the <70 group and the older groups using the Kaplan-Meier method and univariable and multivariable Cox regression analyses.
Results
Compared to the <70 group, increasing age was not a significant predictor of POMR (HR=2.63, 2.58, 1.37 and p=0.086, p=0.115, p=0.771 for 70-74, 75-79 and 80+ respectively) nor median LOS (HR=3.02, 3.50, 3.00 and p=0.329, p=0.321, p=0.573 for 70-74, 75-79 and 80+ respectively). Compared to the <70 group, the 75-79 group had poorer 1-, 3- and 5-year OS (p=0.01, p=0.04, p=0.03 respectively) and the 80+ group had poorer 3- and 5-year OS (p=0.02, p=0.049 respectively).
Conclusions
While overall survival is poorer in some instances, older age was not associated with postoperative mortality or hospital length of stay. Thus, carefully selected elderly patients can still safely undergo pancreatic cancer resection with acceptable outcomes.
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Authors
Authors
Dr Joshua Li - , Dr Dharmesh Sharma - , Prof Neil Merrett -