The purpose of this study is to compare the post-operative course in patients suffering from sarcopenia who had colorectal surgery for cancer. Our primary outcome is the comparaison of the length of hospital stay in sarcopenic and non sarcopenic patients.
Sarcopenia is the loss of muscle mass that occurs usually with aging, but it may have multiple contributing factors, especially related to chronic diseases such as colorectal cancer. When present, sarcopenia is predictive of poor post-operative course. The identification of sarcopenia needs either the identification of low muscle strength, low muscle quantity/quality, or finally a low physical performance. Multiple clinical, biological or radiological tools were proposed. Our purpose is to compare the post-operative outcome of sarcopenic and non sarcopenic patients using a simple, available, reproducible and rapid radiological method, which will help the healthcare professionals to rapidly identify high risk patients for possible complicated and long post-operative course allowing them to take appropriate perioperative measures to reduce the risks.
Study Type
OBSERVATIONAL
Enrollment
58
Patient with colonic resection followed by ileocolic, or colo colic, or colorectal, or coloanal anastomosis for cancer by laparoscopy or laparotomy
Centre Hospitalier René Dubos
Pontoise, France
Comparison of the average postoperative length of stay in sacopenic and non-sarcopenic patients
Comparison of the number of post-operative hospital days between the two groups
Time frame: Until discharge from hospital, an average of 30 days
Comparison between complication rate in sarcopenic and non sarcopenic patients
Measurement of the complication rate according to the Clavien Dindo score (relevant score if greater than or equal to 2, considered severe complication if greater than or equal to 3) between the two groups
Time frame: At the end of the 30 post-operative days
Assessment of re-hospitalization rate between sarcopenic and non sarcopenic patients
Evaluation of the number of hospitalizations of more than 24 hours at 30 days after the operation between the two groups
Time frame: At the end of the 30 post-operative days
Comparison of the transfer rate to rehabilitation or nursing home center between sarcopenic and non sarcopenic patients
Evaluation of the number of transfer to rehabilitation or nursing home center at 30 days after the operation between the two groups
Time frame: At the end of the 30 post-operative days
Comparison of the length of stay in the rehabilitation center for sarcopenic and non sarcopenic transferred patients
Comparison of the number of hospital days for transferred patients between the two groups
Time frame: At the end of the 30 post-operative days
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