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All Journal Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Universa Medicina JKKI : Jurnal Kedokteran dan Kesehatan Indonesia Indonesian Journal of Cancer Indonesian Journal of Biomedicine and Clinical Sciences
Anwar, Sumadi Lukman
Department Of Surgery, Faculty Of Medicine Universitas Gadjah Mada
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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HALP and PNI Score as Predictors of Nutritional Status in the Incidence of Incisional Hernia after Laparotomy in Colorectal Cancer Patients: A Case-Control Study Nurasti, Wawan Suci; Handaya, Adeodatus Yuda; Barmawi, Agus; Anwar, Sumadi Lukman
Indonesian Journal of Cancer Vol 18, No 3 (2024): September
Publisher : http://dharmais.co.id/

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33371/ijoc.v18i3.1215

Abstract

Background: Colorectal cancer ranks as the third most common cancer in the world. If patients can still be resected, surgical therapy is carried out. An incisional hernia is one of the complications after laparotomy surgery. Nutritional status can influence the incidence of incisional hernias after laparotomy. Colorectal cancer patients must have their nutritional status assessed using a simple scoring. This research aims to evaluate Hemoglobin, Albumin, Lymphocyte, Platelet (HALP) and Prognostic Nutritional Index (PNI) scores as a predictor of incisional hernia after laparotomy surgery in colorectal cancer patients at Dr. Sardjito General Hospital, Yogyakarta. Methods: This study uses a case-control study design which consisted of two groups, a case group of colorectal cancer patients with incisional hernias after laparotomy surgery and a control group of colorectal cancer patients without incisional hernias. The independent variable was nutritional status which was assessed by HALP and PNI score, and the dependent variable was incisional hernia. This research by taking data from laboratory patients at Dr. Sardjito General Hospital, Yogyakarta. For multivariate analysis, a logistic regression test was used with a significance value of p 0.05. Results: There is a relationship between the stage of cancer and the comorbid diabetes mellitus with the incidence of incisional hernias after laparotomy, this can be seen in the results of the chi-square test. Advanced stage has an OR of 13 (P=.001; OR=13; 95% CI 3.551-47.597), while comorbid diabetes mellitus has an OR of 6.571 (P=.002; OR=6.571; 95% CI 2.109-20.479). However, there is no correlation between the HALP and PNI score with the incidence of incisional hernia after laparotomy. The multivariate analysis results in HALP score have a significant correlation between the nutritional status and the incidence of incisional hernia with OR=17.981 (p= 0.037 OR=17; 95% CI 1.198-269.803). Conclusions: The HALP score can be used as a screening predictor in the incidence of incisional hernia after laparotomy for colorectal cancer patients.
Co-Authors . Irianianiwati Adeodatus Yuda Handaya Agus Barmawi Ajeng Viska Icanervilia Alberta Vania Handoko Angel Carlos-Roman Aprilia Indra Kartika Arsyad Hakim, Fikar Cita Herawati Darwito Dewi Sahfitri Tanjung Didik Setyo Heriyanto Dwi Nur Indah Sari Dwi Tirtasari, Faizah Ery Kus Dwianingsih Firda Ridhayani Hanggoro Tri Rinonce Hifdza Faza Felisha Ika Puspita Sari Indwiani Astuti Johnathan Watkins Juwaryani, Juwaryani Lina Choridah Mahardinata, Nur Azid Meutia Srikandi Fitria Nugrohowati, Noviana Nurasti, Wawan Suci Rengganis, Anggraeni Ayu Rheza Gandi Bawono Risky Oktriani Sakti, Yudha Mathan Sofia Mubarika Haryana Sumoro, William Teguh Aryandono Tirta wardana Ulrich Lehmann Wahyu Wulaningsih Wijayana, Singgih