폐경 후 부인암 환자의 수술 전 노쇠와 수술 후 건강 결과: 후향적 단면 조사 연구

Preoperative frailty and postoperative health outcomes in postmenopausal patients undergoing gynecological cancer surgery: a retrospective observational study

Purpose: This study aimed to assess preoperative frailty using the Frailty Index–Laboratory (FI-LAB) in postmenopausal patients undergoing gynecological cancer surgery and to investigate the association between frailty level and postoperative health outcomes. Methods: A retrospective review was con-ducted of medical records from 198 postmenopausal women who underwent gynecologic cancer sur-gery at Gyeongsang National University Hospital between January 2018 and December 2024. Frailty was evaluated using the FI-LAB, and postoperative outcomes included recovery room stay, hospital stay, transfusion, and complications. Data were analyzed using analysis of variance and the chi-square test. Results: Higher frailty levels were associated with older age (p = .030), cancer type (p < .001) and stage (p = .001), American Society of Anesthesiologists Physical Status Classification class (p = .036), and longer anesthesia (p = .023) and surgery time (p = .026). Among health outcomes, patients with higher frailty scores had longer hospital stays (F = 4.26, p = .015) and higher transfusion rates (χ2 = 11.78, p = .005). Conclusion: Preoperative frailty assessed by FI-LAB may serve as a useful predictor of postoperative outcomes in patients undergoing gynecologic cancer surgery. Early identification of frailty could enable targeted perioperative interventions to improve recovery and support the integra-tion of frailty screening into routine preoperative evaluation.