Title: The effect of cardiovascular disease on the perioperative period of radical surgery in
elderly rectal cancer
Version: 2 Date: 16 Apr 2024
Reviewer:  Jiayun Nian
Reviewer's report:
his study analyzed the influence of cardiovascular disease or not on postoperative prognosis
in elderly patients with rectal cancer, which has certain clinical significance, but the clinical
guidance value is not strong. But as a clinician, I am more concerned about how to reduce the
proportion of elderly patients with cardiovascular complications entering the ICU after surgery.
This is a new topic, which can establish a case-control study to analyze the reasons why these
patients are not admitted to the ICU after surgery, so as to guide the clinic.
In the process of designing and writing this article, there are some questions that need to be
answered. Although there are a series of candidates for admission to the ICU after surgery, how
can we rule out that it is the subjective choice of the doctor rather than the objective needs of
the condition?
Cardiovascular disease is only one of the manifestations of older patients, and may also
be combined with diabetes, respiratory dysfunction and other diseases, but the baseline
characteristics did not list this key information in the two groups of patients.
The range of cardiovascular diseases is particularly large. Is it necessary to include all relevant
diseases in the analysis? For example, peripheral vascular disease is also a category of
cardiovascular disease, what impact does this have on perioperative recovery? I don't think all
diseases have the same impact on recovery after surgery.
Title: The effect of cardiovascular disease on the perioperative period of radical surgery in
elderly rectal cancer
Version: 2 Date: 16 Apr 2024
Reviewer:  Jiayun Nian
Reviewer's report:
his study analyzed the influence of cardiovascular disease or not on postoperative prognosis
in elderly patients with rectal cancer, which has certain clinical significance, but the clinical
guidance value is not strong. But as a clinician, I am more concerned about how to reduce the
proportion of elderly patients with cardiovascular complications entering the ICU after surgery.
This is a new topic, which can establish a case-control study to analyze the reasons why these
patients are not admitted to the ICU after surgery, so as to guide the clinic.
In the process of designing and writing this article, there are some questions that need to be
answered. Although there are a series of candidates for admission to the ICU after surgery, how
can we rule out that it is the subjective choice of the doctor rather than the objective needs of
the condition?
Cardiovascular disease is only one of the manifestations of older patients, and may also
be combined with diabetes, respiratory dysfunction and other diseases, but the baseline
characteristics did not list this key information in the two groups of patients.
The range of cardiovascular diseases is particularly large. Is it necessary to include all relevant
diseases in the analysis? For example, peripheral vascular disease is also a category of
cardiovascular disease, what impact does this have on perioperative recovery? I don't think all
diseases have the same impact on recovery after surgery.
Please review this paper.
user
Title: The effect of cardiovascular disease on the perioperative period of radical surgery in
elderly rectal cancer
Version: 2 Date: 16 Apr 2024
Reviewer:  Jiayun Nian
Reviewer's report:
his study analyzed the influence of cardiovascular disease or not on postoperative prognosis
in elderly patients with rectal cancer, which has certain clinical significance, but the clinical
guidance value is not strong. But as a clinician, I am more concerned about how to reduce the
proportion of elderly patients with cardiovascular complications entering the ICU after surgery.
This is a new topic, which can establish a case-control study to analyze the reasons why these
patients are not admitted to the ICU after surgery, so as to guide the clinic.
In the process of designing and writing this article, there are some questions that need to be
answered. Although there are a series of candidates for admission to the ICU after surgery, how
can we rule out that it is the subjective choice of the doctor rather than the objective needs of
the condition?
Cardiovascular disease is only one of the manifestations of older patients, and may also
be combined with diabetes, respiratory dysfunction and other diseases, but the baseline
characteristics did not list this key information in the two groups of patients.
The range of cardiovascular diseases is particularly large. Is it necessary to include all relevant
diseases in the analysis? For example, peripheral vascular disease is also a category of
cardiovascular disease, what impact does this have on perioperative recovery? I don't think all
diseases have the same impact on recovery after surgery.
assistant