Geriatrics 8 scores as a predictor of postoperative outcome in elderly patients with Head and Neck cancer in Rajavithi Supertertiary Care Hospital

Abstract

BackgroundTo determine preoperative Geriatric 8 (G8) score in predicting postoperative complications for elderly head and neck cancer patients.Material and MethodsThe prospective study in elderly head and neck cancer patients who underwent surgery during 30th January 2021-25th January 2022. G8 score were collected before surgery and analysed for the association with complication outcome.ResultOf 104 patients included in this study, The mean age was 68.84 (SD =6.99 years). The Geriatric 8 (G8)score ≤ 14 which were frail group in 73 cases (70.2%) The Clavien-Dindo complications grade III-IV were 30 patients (28.8%). Among these groups, 26 patients (86.7%) was in frail groups and 4 patients (13.3%) with non frail group which is statistically significant different (p=0.019) and Odd ratio of 3.32, CI =1.01-10.87, p=0.048ConclusionThe G8 score is a practical tool for prediction post operative complication in elderly Head and Neck Cancer surgery.