Incidence and predictors of febrile morbidity after radical hysterectomy and pelvic lymphadenectomy for early stage cervical cancer patients.

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dc.contributor.authorKietpeerakool, Chumnanen_US
dc.contributor.authorLattiwongsakorn, Worashornen_US
dc.contributor.authorSrisomboon, Jatupolen_US
dc.date.accessioned2009-05-27T17:42:34Z
dc.date.available2009-05-27T17:42:34Z
dc.date.issued2008-04-21en_US
dc.descriptionAsian Pacific Journal of Cancer Prevention.en_US
dc.description.abstractThis study was undertaken to evaluate the incidence and independent predictors for febrile morbidity after radical hysterectomy and pelvic lymphadenectomy. Patients with FIGO stage IB-IIA cervical cancers who had undergone RHPL at Chiang Mai University Hospital between January 2003 and December 2005, were reviewed. The clinical variables including the age at diagnosis, menopausal status, body mass index, previous cervical conization, tumor size, preoperative chemotherapy, preoperative anemia, operative time, and estimated blood loss were analyzed for prediction of postoperative febrile morbidity. During the study period, 357 women were reviewed. The mean age was 44.7 years. Sixty-five (18.2%) women were postmenopausal. The majority of women (77.3%) were in FIGO stage IB1. The most common histology was squamous cell carcinoma (69.2%). Febrile morbidity was noted in 94 women (26.3%, 95% CI= 21.8-31.2) in whom 25 (7.0%) had urinary tract infection (19), abdominal wound infection (4), and vaginal cuff infection (2), respectively. Only massive blood loss (>1,500 ml) was noted as the significantly independent predictor for febrile morbidity (aOR= 2.7, 95% CI=1.1-6.6, P=0.028). In conclusion, approximately one-fourth of the women undergoing RHPL at our institute had postoperative febrile morbidity. Only massive blood loss is a significant predictor for this complication.en_US
dc.description.affiliationDepartment of Obstetrics and Gynecology, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand. kiet_ji@hotmail.comen_US
dc.identifier.citationKietpeerakool C, Lattiwongsakorn W, Srisomboon J. Incidence and predictors of febrile morbidity after radical hysterectomy and pelvic lymphadenectomy for early stage cervical cancer patients. Asian Pacific Journal of Cancer Prevention. 2008 Apr-Jun; 9(2): 213-6en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/37724
dc.language.isoengen_US
dc.source.urihttps://www.apocp.orgen_US
dc.subject.meshAdenocarcinoma --pathologyen_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshBlood Loss, Surgicalen_US
dc.subject.meshCarcinoma, Squamous Cell --pathologyen_US
dc.subject.meshFemaleen_US
dc.subject.meshFever --epidemiologyen_US
dc.subject.meshHumansen_US
dc.subject.meshHysterectomy --adverse effectsen_US
dc.subject.meshIncidenceen_US
dc.subject.meshLymph Node Excision --adverse effectsen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPostoperative Complicationsen_US
dc.subject.meshRisk Factorsen_US
dc.subject.meshSurgical Wound Infection --epidemiologyen_US
dc.subject.meshTreatment Outcomeen_US
dc.subject.meshUrinary Tract Infections --epidemiologyen_US
dc.subject.meshUterine Cervical Neoplasms --pathologyen_US
dc.titleIncidence and predictors of febrile morbidity after radical hysterectomy and pelvic lymphadenectomy for early stage cervical cancer patients.en_US
dc.typeJournal Articleen_US
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