Garcia, Jorge Cea , Jimenez, Inmaculada Rodriguez , Rios-Pena, Laura , Rodriguez, M. Carmen Rubio , Maraver, Francisco Marquez
No
J. Obstet. Gynaecol. Res.
Article
Científica
01/06/2025
001515175000006
2-s2.0-105006900137
ObjectiveSurgery for cervical cancer is a known risk factor for hospital readmission, often due to urological, lymphovascular, or neurological complications. While comorbidities are commonly used to assess surgical risk, patient-reported measures like baseline quality of life (QoL) may also help predict complications. This study aimed to estimate how often surgical complications occur and what factors predict them, with a focus on baseline QoL.MethodsWe conducted a prospective observational study of 100 cervical cancer patients who had surgery at a tertiary hospital between January 2010 and January 2019. A binary logistic regression model was used to predict surgical complications. Baseline QoL was measured with the Functional Assessment Cancer Therapy-cervix questionnaire. Data were analyzed using R software.ResultsSurgical complications occurred in 54% of patients, most of them after surgery. There was no significant difference in QoL scores between patients with and without complications (p = 0.753). The prediction model showed good calibration (Hosmer-Lemeshow p = 0.999), no multicollinearity (variance inflation factor = 1.01), and moderate accuracy (C-index = 0.67). A history of cesarean section and pelvic lymphadenectomy was significant predictors.ConclusionsSurgical complications were common in this group. Cesarean section history and pelvic lymphadenectomy were linked to a higher risk. However, baseline QoL did not predict complications. Further research is needed to test this model in other patient groups.
cancer of the cervix; constipation and defecatory dysfuntion; endoscopy (laparoscopy and hysteroscopy); surgery in GYN cancers; urinary incontinence