ArticleBJU international2016
Impact of frailty on complications in patients undergoing common urological procedures: a study from the American College of Surgeons National Surgical Quality Improvement database.
Article in BJU international, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers, 4 of them syntheses that pooled it.
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Who cites it
68 citing papers in PubMed, 4 syntheses or guidelines pooled it, 138 citations in OpenAlex.
- Safety and efficacy of percutaneous nephrolithotomy in elderly patients: a systematic review and meta-analysis by the EAU-YAU urolithiasis and EAU endourology sections.World journal of urology · 2026Pooled it
- Predictive performance of different measures of frailty (CFS, mFI-11, mFI-5) on postoperative adverse outcomes among colorectal cancer patients: a diagnostic meta-analysis.European geriatric medicine · 2024Pooled it
- Impact of frailty in benign gynecologic surgery: a systematic review.International urogynecology journal · 2021Pooled it
- Significance of frailty for predicting adverse clinical outcomes in different patient groups with specific medical conditions.Zeitschrift fur Gerontologie und Geriatrie · 2016Pooled it
- Multicenter prospective study validating the efficacy of a quantitative assessment tool for frailty in patients with urological cancers.Medical oncology (Northwood, London, England) · 2019Trial
- Can Comprehensive Imaging Analysis with Analytic Morphomics and Geriatric Assessment Predict Serious Complications in Patients Undergoing Pancreatic Surgery?Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2017Trial
- Frailty Is Associated With Postoperative Complications and Device Removal and Revision in Men Undergoing Surgery for Stress Urinary Incontinence.The Journal of urology · 2026Article
- A Narrative Review of da Vinci Single-Port Versus Multi-Port Robotic Surgery in Elderly or Frail Urological Cancer Patients.Cancers · 2026Review
- Impact of frailty on perioperative and oncologic outcomes after robotic radical prostatectomy: a multicenter study with competing risk analysis.Journal of robotic surgery · 2026Article
- The modified G8 screening tool to predict post-operative complications and survival after robot-assisted radical cystectomy - a pilot study.BMC urology · 2026Article
- Suprapubic catheter insertion: a multicentre review on mortality during short-, medium- and long-term follow-up.Annals of the Royal College of Surgeons of England · 2026Article
- Differential association of the 5-factor modified frailty index with postoperative pulmonary complications: specific prediction of infection risk after pulmonary lobectomy.Frontiers in medicine · 2026Article
- Frailty: from concept to clinical practice in urology.Frontiers in medicine · 2026Review
- Association of race and 30-day postoperative complications after urologic oncology surgery.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2025Article
- Resistance-Based Muscle Therapy, Frailty, and Muscle Biopsy Findings in Kidney Transplant Candidates: A Clinical Trial.Kidney medicine · 2025Article
- Preoperative ECOG performance status as a predictor of outcomes in upper tract urothelial cancer surgery.Scientific reports · 2025Article
- UroARC: A Novel Surgical Risk Calculator for Older Adults Undergoing Suprapubic Tube Placement.Urology · 2025Article
- Outcomes following intradetrusor onabotulinumtoxinA in a national cohort of nursing home residents.BJUI compass · 2025Article
- UroARC: A novel surgical risk calculator for older adults undergoing pelvic organ prolapse and stress urinary incontinence surgery.Neurourology and urodynamics · 2025Article
- Development of the UroARC Surgical Calculator: A Novel Risk Calculator for Older Adults Undergoing Surgery for Bladder Outlet Obstruction.The Journal of urology · 2024Article
8 more citing papers are in PubMed but not listed here.
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Authors and funding
7 authors at 2 institutions in 1 country.
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Abstract
objectivesTo evaluate the association of frailty, a measure of diminished physiological reserve, with both major and minor surgical complications among patients undergoing urological surgery. MATERIALS AND
methodsUsing data from the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) from 2007 to 2013, we identified all urological cases that appeared > 1000 times in the dataset among patients aged ≥40 years. Frailty was measured using the NSQIP frailty index (FI), a validated measure that includes 11 impairments, such as decreased functional status and impaired sensorium. We created multivariable logistic regression models using the NSQIP FI to assess major and minor complications after surgery.
resultsWe identified 95 108 urological cases representing 21 urological procedures. The average frequency of complications per individual was 11.7%, with the most common complications being hospital readmission (6.2%), blood transfusion (4.6%) and urinary tract infection (3.1%). Major and minor complications increased with increasing NSQIP FI. Frailty remained strongly associated with complications after adjustment for year, age, race, smoking status and method of anaesthesia (adjusted odds ratio 1.74 [95% confidence interval 1.64, 1.85] for an NSQIP FI ≥0.18). Increasing NSQIP FI was associated with increasing frequency of complications within age groups (by decade) up to age 81 years and across most procedures.
conclusionFrailty strongly correlates with risk of postoperative complications among patients undergoing urological surgery. This finding is true within most age groups and across most urological procedures.
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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.