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The perioperative approach adopted in a cohort of adult oncological patients undergoing major abdominal surgery will be described. In particular, the physician's attitude toward use of sCr for identification of patients at risk for PO-AKI will be described, as well as the patients who should be reassessed in the long term for progression toward CKD. The incidence and risk factors associated with PO-AKI and renal function deterioration within a year postoperatively will be also evaluated.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| surgical patients | Adult patients undergoing major elective general abdominal surgery for ontological disease |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Serum creatinine | Diagnostic Test | Will be described: 1) the number of patients actually screened with postoperative serum creatinine and 2) the number of patients actually screened with the same parameter at the long-term after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Adoption of serum creatinine as marker of acute kidney injury postoperively | Number of actual patients screened postoperatively | 3rd postoperative day |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of acute kidney injury | Number of patients with a postoperative diagnostic increase of serum creatinine, in accordance with KDIGO guidelines | 3rd postoperative day |
| Adoption of serum creatinine as marker of long term kidney dysfunction |
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Inclusion Criteria:
Exclusion Criteria:
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All patients were older than 18 years, underwent surgery under general anesthesia for oncological disease who underwent major elective general abdominal surgery from November 2016 to February 2017 at the Department of Anaesthesia of Careggi Hospital
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Azienda Ospedaliero Universitaria Careggi | Florence | 50100 | Italy |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34030728 | Derived | Villa G, De Rosa S, Scire Calabrisotto C, Nerini A, Saitta T, Degl'Innocenti D, Paparella L, Bocciero V, Allinovi M, De Gaudio AR, Ostermann M, Romagnoli S. Perioperative use of serum creatinine and postoperative acute kidney injury: a single-centre, observational retrospective study to explore physicians' perception and practice. Perioper Med (Lond). 2021 May 25;10(1):13. doi: 10.1186/s13741-021-00184-6. |
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IPD will be not shared
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| ID | Term |
|---|---|
| D009369 | Neoplasms |
| D058186 | Acute Kidney Injury |
| ID | Term |
|---|---|
| D051437 | Renal Insufficiency |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
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Number of actual patients screened at the long term
| 12 month after surgery |
| Incidence of long term kidney dysfunction | Number of patients with a long term reduction in GFR greater than 10 ml/min with respect to the baseline | 12 month after surgery |
| D005261 |
| Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |