ArticleWorld journal of gastroenterology2016
Impact of frailty on approach to colonic resection: Laparoscopy
Article in World journal of gastroenterology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.
- Impact of frailty on outcomes in surgical patients: A systematic review and meta-analysis.American journal of surgery · 2019Pooled it
- Development and Validation of Nomogram to Predict Frailty for Older Patients Undergoing Abdominal Surgery.Clinical interventions in aging · 2025Article
- Minimally Invasive Surgery in Acute Bowel Obstruction: Should It Become the Standard of Care? A Prospective, Single Center, Observational Study.Journal of clinical medicine · 2024Article
- Impact of clinical frailty on surgical and non-surgical complications after major emergency abdominal surgery.BJS open · 2024Article
- Article
- Comparison of short-term outcomes and survival between minimally invasive colectomy and open colectomy in patients 80 years of age and older.Journal of robotic surgery · 2023Article
- Combined laparoscopic and open colon surgery rankings fail to accurately rank hospitals by surgical-site infection rate.Infection control and hospital epidemiology · 2023Article
- Association of frailty with outcomes of resection for colonic volvulus: A national analysis.PloS one · 2022Article
- Impact of frailty on 5-year survival in patients older than 70 years undergoing colorectal surgery for cancer.World journal of surgical oncology · 2021Article
- Laparoscopic versus open colectomy: the impact of frailty on outcomes.Updates in surgery · 2019Article
- The Surgical Apgar Score and frailty as outcome predictors in short- and long-term evaluation of fit and frail older patients undergoing elective laparoscopic cholecystectomy - a prospective cohort study.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2018Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo understand the influence of frailty on postoperative outcomes for laparoscopic and open colectomy.
methodsData were obtained from the National Surgical Quality Improvement Program (2005-2012) for patients undergoing colon resection [open colectomy (OC) and laparoscopic colectomy (LC)]. Patients were classified as non-frail (0 points), low frailty (1 point), moderate frailty (2 points), and severe frailty (≥ 3) using the Modified Frailty Index. 30-d mortality and complications were used as the primary end point and analyzed for the overall population. Complications were grouped into major and minor. Subset analysis was performed for patients undergoing colectomy (total colectomy, partial colectomy and sigmoid colectomy) and separately for patients undergoing rectal surgery (abdominoperineal resection, low anterior resection, and proctocolectomy). We analyzed the data using SAS Platform JMP Pro version 10.0.0 (SAS Institute Inc., Cary, NC, United States).
resultsA total of 94811 patients were identified; the majority underwent OC (58.7%), were white (76.9%), and non-frail (44.8%). The median age was 61.3 years. Prolonged length of stay (LOS) occurred in 4.7%, and 30-d mortality was 2.28%. Patients undergoing OC were older (61.89 ± 15.31
conclusionLC is associated with improved outcomes. Although the odds of mortality are higher in non-frail, there is a progressive increase in mortality with increasing frailty.
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