Evidence map›Paper›PMID 21226675›Full record

ArticleJournal of the American Geriatrics Society2011

Factors affecting recovery of functional status in older adults after cancer surgery.

Janet H Van Cleave, Brian L Egleston, Ruth McCorkle

Abstract readMulticenter Study
In one paragraph

Article in Journal of the American Geriatrics Society, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.5field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 33 citations in OpenAlex.

  1. Trial
  2. Article
  3. Integrating Mental Health Into Surgical Care: A Qualitative Study of a Perioperative Mental Health Intervention.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2026
    Article
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  5. Observational
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  13. Inpatient oncology rehabilitation in Toronto: a descriptive 18-month retrospective record review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2012
    Article
  14. Article
  15. Psychosocial care in cancer.Current psychiatry reports · 2012
    Review
  16. Article
  17. Article
  18. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 1 country.

Janet H Van CleaveNewCourtland Center for Transitions and Health, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA. janet.vancleave@nyu.edu
Brian L Egleston
Ruth McCorkle
Fox Chase Cancer Center · USUniversity of Pennsylvania · USYale University · US

Funding

WORD PROCESSING CENTER--COREP30CA006927 · NCI · RESEARCH INST OF FOX CHASE CAN CTR · PI CHARNITA M. ZEIGLER-JOHNSON · 1985 to 2026
$138.8M
Individualized Care for At Risk Older AdultsT32NR009356 · NINR · UNIVERSITY OF PENNSYLVANIA · PI Lauren M Massimo, MARY D NAYLOR · 2007 to 2026
$7.8M
Research Training: Self and Family ManagementT32NR008346 · NINR · YALE UNIVERSITY · PI GREY, MARGARET · 2003 to 2018
$4.7M
NCI NIH HHS P30 CA006927NINR NIH HHS T32 NR008346NINR NIH HHS T32NR008346NINR NIH HHS T32 NR009356
6 · The paper itself

Abstract

objectivesTo explore factors influencing functional status over time after cancer surgery in adults aged 65 and older.

designSecondary data analysis of combined data subsets.

settingFive prospective, longitudinal oncology nurse-directed clinical studies conducted at three academic centers in the northwest and northeast United States.

participantsThree hundred sixteen community-residing patients diagnosed with digestive system, thoracic, genitourinary, and gynecological cancers treated primarily with surgery. MEASUREMENTS: Functional status, defined as performance of current life roles, was measured using the Enforced Social Dependency Scale and the Medical Outcomes Study 36-item Short-Form Survey (using physical component summary measures) after surgery (baseline) and again at 3 and 6 months. Number of symptoms, measured using the Symptom Distress Scale, quantified the effect of each additional common cancer symptom on functional status.

resultsAfter controlling for cancer site and stage, comorbidities, symptoms, psychological status, treatment, and demographic variables, functional status was found to be significantly better at 3 and 6 months after surgery than at baseline. Factors associated with better functional status included higher income and better mental health. Factors associated with poorer average functional status were a greater number of symptoms and comorbidities. Persons reporting three or more symptoms experienced statistically significant and clinically meaningful poorer functional status than those without symptoms. Persons reporting three or more comorbidities were also found to have poorer functional status than those without comorbidities. No significant relationship existed between age and functional status in patients aged 65 and older.

conclusionFactors other than age affect recovery of functional status in older adults after cancer surgery.

Indexed as

Recovery of FunctionActivities of Daily LivingAgedAged, 80 and overFemaleHumansMaleNeoplasmsProspective StudiesSurgical Procedures, OperativeUnited States

Identifiers

PMID21226675
PMCPMC3176326
OpenAlexW1571164211

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.