Mortality of surgically treated 80-year-old or older intracranial meningioma patients in comparison to matched general population

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Rautalin , I , Schwartz , C , Niemelä , M & Korja , M 2021 , ' Mortality of surgically treated 80-year-old or older intracranial meningioma patients in comparison to matched general population ' , Scientific Reports , vol. 11 , no. 1 , 11454 . https://doi.org/10.1038/s41598-021-90842-y

Titel: Mortality of surgically treated 80-year-old or older intracranial meningioma patients in comparison to matched general population
Författare: Rautalin, Ilari; Schwartz, Christoph; Niemelä, Mika; Korja, Miikka
Upphovmannens organisation: Neurokirurgian yksikkö
HUS Neurocenter
University of Helsinki
Helsinki University Hospital Area
Department of Neurosciences
Clinicum
Datum: 2021-06-01
Språk: eng
Sidantal: 9
Tillhör serie: Scientific Reports
ISSN: 2045-2322
DOI: https://doi.org/10.1038/s41598-021-90842-y
Permanenta länken (URI): http://hdl.handle.net/10138/333346
Abstrakt: Population aging is likely increasing the number of surgically treated very old (>= 80-year-old) intracranial meningioma (IM) patients. Since there is little data on mortality in this patient group, we studied whether survival of surgically treated very old IM patients differs from survival of a matched general population. We retrospectively identified 83 consecutive very old IM patients (median age 83 years; 69% women) operated between 2010 and 2018. During the first postoperative year, operated IM patients suffered 2.5 times higher mortality as compared to age- and sex-matched general population but no annual survival difference occurred thereafter. Regarding cumulative estimates, no excess mortality was detected after the second postoperative year. Of the patient who were and who were not able to live at home preoperatively, 78% and 42% lived at home within 3 months, respectively. Preoperative loss of capability to live at home associated with a less frequent return to home [odds ratio (95% confidence interval) 0.21 (0.06-0.67)]. Operated very old IM patients had short-term excess mortality but similar cumulative survival as the matched general population. Moreover, most patients returned home soon after surgery.
Subject: 9TH DECADE
SURGERY
LIFE
3126 Surgery, anesthesiology, intensive care, radiology
3112 Neurosciences
Referentgranskad: Ja
Licens: cc_by
Användningsbegränsning: openAccess
Parallelpublicerad version: publishedVersion


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