Evidence map›Paper›PMID 29572851›Full record

ArticleJournal of the American Geriatrics Society2018

Mortality and Functional Outcomes After Minor Urological Surgery in Nursing Home Residents: A National Study.

Anne M Suskind, Shoujun Zhao, Louise C Walter, W John Boscardin, Emily Finlayson

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of the American Geriatrics Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.5field-weighted citation impact, top 35% 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

7 citing papers in PubMed, 15 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Anne M SuskindDepartment of Urology, University of California, San Francisco, San Francisco, California.
Shoujun ZhaoDepartment of Urology, University of California, San Francisco, San Francisco, California.
Louise C WalterDivision of Geriatrics, Department of Medicine, University of California, San Francisco, San Francisco, California.
W John BoscardinDepartment of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, California.
Emily FinlaysonDepartment of Surgery, University of California, San Francisco, San Francisco, California.
University of California, San Francisco · USSan Francisco VA Medical Center · US

Funding

UCSF KURe Career Development ProgramK12DK083021 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BASKIN, LAURENCE, CARROLL, PETER R · 2008 to 2017
$5.9M
Midcareer Mentoring Award for Patient-Oriented Research in AgingK24AG041180 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI WALTER, LOUISE C. · 2011 to 2016
$909k
Immediate and Long-term Outcomes of Common Urologic Procedures in Nursing Home ResidentsR03AG050872 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SUSKIND, ANNE M. · 2015 to 2016
$238k
NIA NIH HHS K24 AG041180NIA NIH HHS R03 AG050872NIDDK NIH HHS K12 DK083021
6 · The paper itself

Abstract

objectivesTo determine outcomes of minor urological surgery in frail older adults.

designRetrospective cohort study.

settingU.S. nursing homes (NHs).

participantsNH residents aged 65 and older undergoing minor inpatient urological surgery (cystoscopy, bladder biopsy, transurethral resection of bladder tumor, prostate biopsy, transurethral resection of prostate, removal of ureteral obstruction, suprapubic tube placement) in the United States between 2004 and 2012 (N=34,605). MEASUREMENTS: One-year mortality and changes in functional status before and after surgery using the Minimum Data Set Activity of Daily Living (MDS-ADL) summary scale.

resultsOverall 1-year mortality was 50%, and on average, residents had a 1.9-point worsening in their MDS-ADL score at 1 year, whereas the most highly functional residents (baseline quartile of MDS-ADL scores (0-12)) had a 4.7-point worsening in their MDS-ADL scores at 1 year. Functional decline in residents 1 year after surgery was associated with decline in function in the 6 months before surgery (adjusted hazard ratio (aH)=2.39, 95% confidence interval (CI)=2.29-2.49), emergency procedures (aHR=1.37, 95% CI=1.31-1.43), older age (≥85 vs 65-74, aHR=1.17, 95% CI=1.11-1.23), and baseline cognitive impairment (aHR=1.15, 95% CI=1.11-1.20).

conclusionDespite the low complexity of minor urological procedures, NH residents experience high mortality and many demonstrate sustained functional decline up to 1-year postoperatively.

Indexed as

Activities of Daily LivingNursing HomesAged, 80 and overFemaleFrail ElderlyHumansInpatientsMaleMortalityRetrospective StudiesUnited StatesUrologic Surgical ProceduresfrailMedicareMinimum Data Set (MDS)older adults

Identifiers

PMID29572851
PMCPMC6009834
OpenAlexW2789247503

What OpenQuestion holds

Textmetadata
LicenceTDM
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.