Risk factors associated with 30-day complications following lower extremity sarcoma surgery: A national surgical quality improvement project analysis

Todd Hudson, Connor Burke, Donna Mullner, Fernando A. Herrera

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Our study aims to identify risk factors associated with complications in lower extremity (LE) sarcoma surgery, as well as the prevalence and complications associated with concurrent plastic surgery procedures (CPSP). Methods: ACS-NSQIP database was accessed to identify patients treated for LE sarcoma (2010−2019). Patient demographics, preoperative lab, comorbidities, tumor type, location, principle procedure, and presence/characteristics of CPSPs were recorded. Thirty-day soft tissue complications were analyzed. Bivariate and multivariate logistic regression was performed on IBM SPSS.™. Results: Nine hundred eighteen patients were included (483 males and 435 females), average age and body mass index (BMI) of 57 and 27.4 kg/m,2 respectively. Comorbidities included smoking (13.9%, 128), hypertension (37.3%, 342), and insulin-dependent diabetes (3.7%, 34). Preoperative lab values included albumin <3.5 (6.8%, 63), hematocrit <30% (8.2%, 75), and platelet count <150 000 (5.9%, 54). Thirty-day soft tissue complication rate was 5.7% (52 of 918). On multivariate logistic regression, increased age (p = 0.039), higher BMI (p = 0.017), and longer operative times (p = 0.002) were significant risk factors independently associated with soft tissue complications. Conclusions: Soft tissue complications within 30 days occur in 6% of patients. Graft procedures carry a 20% risk of complications. Risk factors independently associated with complications include increased age, increased BMI, and longer operative times.

Original languageEnglish (US)
Pages (from-to)1253-1262
Number of pages10
JournalJournal of surgical oncology
Volume126
Issue number7
DOIs
StatePublished - Dec 2022
Externally publishedYes

Keywords

  • bone
  • cancer
  • limb-sparing
  • oncology
  • skin
  • tumor

ASJC Scopus subject areas

  • Surgery
  • Oncology

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