Perioperative Geriatric Assessment as A Predictor of Long-Term Hepatectomy Outcomes in Elderly Patients with Hepatocellular Carcinoma

摘要

Older patients are considered to have increased risk for complications and survival after major surgery, but age alone is not a reliable predictor of post-operative complications and outcomes. To date, no universal screening test adequately predicts postoperative outcomes in older patients. This retrospective study recorded pertinent baseline geriatric assessment variables to identify risk factors for recurrence-free survival (RFS) and overall survival (OS) in hepatocellular carcinoma (HCC) for patients aged ≥70 years who undergo hepatectomy. The change of geriatric 8 (G8) at six months postoperatively was the most significant predictive factor for RFS and OS among various geriatric assessments. G8 score is a useful screening method for older HCC patients who qualify for elective liver resection.