Geriatric Patients Undergoing Gynaecological Cancer Surgery

Overview

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.

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.