Radical Hysterectomy in Elderly Patients
Author Information
Author(s): Mousavi Azamsadat, Karimi Zarchi Mojgan, Modares Gilani Mitra, Behtash Nadereh, Ghaemmaghami Fatemeh, Shams Maryam, Irvanipoor Maryam
Primary Institution: Vali-e-Asr Hospital, Imam Khomeini Hospital Complex, Tehran, Iran
Hypothesis
Can radical surgery be performed safely and effectively on patients above 60 years of age?
Conclusion
Wertheim Radical hysterectomy is a safe surgical procedure in the selected population of patients 60 years and over.
Supporting Evidence
- There was no operative mortality in either group.
- Minor and major morbidity rates were not statistically different between the two groups.
- Elderly patients had significantly higher comorbidity prior to surgery.
- The mean postoperative hospital stay was significantly longer in older patients.
Takeaway
Older patients can safely undergo a major surgery for cervical cancer without more risks than younger patients.
Methodology
Historical cohort study comparing elderly patients who underwent radical hysterectomy with matched younger patients.
Potential Biases
Potential selection bias in matching patients.
Limitations
Small sample size and retrospective design.
Participant Demographics
22 elderly women aged 60 and above compared to 128 younger women.
Statistical Information
P-Value
p<0.001
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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