title: Outcomes of pancreaticoduodenectomy for pancreatic malignancy in octogenarians: an American College of Surgeons National Surgical Quality Improvement Program analysis.
abstract: BACKGROUND
  Most series analyzing outcomes of pancreaticoduodenectomy in octogenarians are limited by a small sample size. The investigators used the American College of Surgeons National Surgical Quality Improvement Program database for an analysis of the impact of advanced age on outcomes after pancreatic cancer surgery.
  
  
  METHODS
  The National Surgical Quality Improvement Program database from 2005 to 2010 was accessed to study the outcomes of 475 pancreaticoduodenectomies performed in patients ≥80 years of age compared with 4,102 patients <80 years of age using chi-square and Student's t tests. A multivariate logistic regression was used to analyze factors associated with 30-day mortality and the occurrence of major complications.
  
  
  RESULTS
  Octogenarians had significantly more preoperative comorbidities compared with patients <80 years of age. On multivariate analysis, age ≥80 years was associated with an increased likelihood of experiencing 30-day mortality and major complications compared with patients <80 years of age. On subgroup analysis, septuagenarians had a similar odds ratio of experiencing mortality or complications compared with octogenarians, whereas patients <70 years of age were at lower risk.
  
  
  CONCLUSIONS
  Although octogenarians have an increased risk for mortality and major complications compared with patients <80 years of age, on subgroup analysis, they do not differ from septuagenarians.
authors.affiliation: Department of Surgery, St. Luke's-Roosevelt Hospital Center, 1000 10th Avenue, New York, NY 10019, USA. Electronic address: leedy81@yahoo.com.
authors.forename: David Y
authors.initials: DY
authors.lastname: Lee
authors.affiliation: Department of Surgery, St. Luke's-Roosevelt Hospital Center, 1000 10th Avenue, New York, NY 10019, USA.
authors.forename: Jamie A
authors.initials: JA
authors.lastname: Schwartz
authors.affiliation: Department of Surgery, St. Luke's-Roosevelt Hospital Center, 1000 10th Avenue, New York, NY 10019, USA.
authors.forename: Barbara
authors.initials: B
authors.lastname: Wexelman
authors.affiliation: Department of Surgery, St. Luke's-Roosevelt Hospital Center, 1000 10th Avenue, New York, NY 10019, USA.
authors.forename: Daniel
authors.initials: D
authors.lastname: Kirchoff
authors.affiliation: Department of Surgery, St. Luke's-Roosevelt Hospital Center, 1000 10th Avenue, New York, NY 10019, USA.
authors.forename: Kevin C
authors.initials: KC
authors.lastname: Yang
authors.affiliation: Department of Surgery, St. Luke's-Roosevelt Hospital Center, 1000 10th Avenue, New York, NY 10019, USA.
authors.forename: Fadi
authors.initials: F
authors.lastname: Attiyeh
mesh_terms: D000367:Age Factors; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D017052:Hospital Mortality / Q000639:trends; D006801:Humans; D008297:Male; D010190:Pancreatic Neoplasms / Q000401:mortality / Q000601:surgery*; D016577:Pancreaticoduodenectomy / Q000592:standards*; D015397:Program Evaluation / Q000379:methods*; D058996:Quality Improvement; D012189:Retrospective Studies; D015996:Survival Rate / Q000639:trends; D014481:United States / Q000453:epidemiology
keywords: Elderly; Malignancy; Octogenarians; Outcomes; Pancreaticoduodenectomy