Evidence map›Paper›PMID 30229382›Full record

ArticleWorld journal of surgery2019

Postoperative Recovery in Frail, Pre-frail, and Non-frail Elderly Patients Following Abdominal Surgery.

Tarifin Sikder, Nadia Sourial, Geva Maimon, Mehdi Tahiri, Debby Teasdale, Howard Bergman, Shannon A Fraser, Sebastian Demyttenaere, Simon Bergman

Abstract read
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In one paragraph

Article in World journal of surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
1.6field-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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
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  8. Observational
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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

9 authors at 2 institutions in 1 country.

Tarifin SikderLady Davis Institute for Medical Research, Montreal, Canada.
Nadia SourialLady Davis Institute for Medical Research, Montreal, Canada.
Geva MaimonLady Davis Institute for Medical Research, Montreal, Canada.
Mehdi TahiriSt-Mary's Hospital Center, McGill University, Montreal, Canada.
Debby TeasdaleLady Davis Institute for Medical Research, Montreal, Canada.
Howard BergmanLady Davis Institute for Medical Research, Montreal, Canada.
Shannon A FraserDivision of General Surgery, Department of Surgery, Jewish General Hospital, McGill University, 3755 Chemin de la Côte-Sainte-Catherine, Montreal, QC, H3T 1E2, Canada.
Sebastian DemyttenaereSt-Mary's Hospital Center, McGill University, Montreal, Canada.
Simon BergmanLady Davis Institute for Medical Research, Montreal, Canada. simon.bergman@mcgill.ca.
Jewish General Hospital · CASt Mary's Hospital · CA

Funding

Canadian Institutes of Health Research 133529St.Mary's Hospital Research Center CARE Award 13-29
6 · The paper itself

Abstract

backgroundThe objective of this study is to explore the association between frailty and surgical recovery over a 6-month period, in elderly patients undergoing elective abdominal surgery.

methodsA total of 144 patients were categorized as frail, pre-frail, and non-frail based on five criteria: weight loss, exhaustion, weakness, slowness, and low activity. Recovery to preoperative functional status (activities of daily living (ADL) and instrumental activities of daily living (IADL)), cognition, quality of life, and mental health was assessed at 1, 3, and 6 months postoperatively. A repeated measure logistic regression was used to analyze the effect of frailty on recovery over time. The effect of frailty on hospitalization outcomes was also evaluated.

resultsMean age was 78 ± 5 years with 17.4% of patients categorized as frail, 60.4% pre-frail, and 22.2% non-frail. At 6 months, the percent of patients who had recovered to preoperative values were: ADL 90%; IADL 76%; cognition 75.5%; mental health 66%; and quality of life 70%. While more frail patients experienced adverse hospitalization outcomes and fewer had recovered to preoperative functional status, these differences were not found to be statistically significant. Overall, frailty status was not significantly associated with the trajectory of recovery or hospitalization outcomes.

conclusionStrong, institutional commitment to quality surgical care, as well as appropriate strategies for older patients, may have mitigated the impact of frailty on recovery. Further research is needed to examine the role of frailty in the surgical recovery process.

Indexed as

AbdomenActivities of Daily LivingAgedAged, 80 and overAge FactorsConvalescenceDigestive System DiseasesElective Surgical ProceduresFemaleFrailtyGeriatric AssessmentHerniaHerniorrhaphyHumansMalePostoperative Period

Identifiers

PMID30229382
OpenAlexW2891765613

What OpenQuestion holds

Textmetadata
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Registered trials

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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.