Evidence map›Paper›PMID 30741734›Full record

ArticleAnnals of surgery2020

Factors Associated With Functional Recovery Among Older Survivors of Major Surgery.

Robert D Becher, Terrence E Murphy, Evelyne A Gahbauer, Linda Leo-Summers, Hans F Stabenau, Thomas M Gill

Open access · greenAbstract read
In one paragraph

Article in Annals of surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.7field-weighted citation impact, top 11% 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

19 citing papers in PubMed, 45 citations in OpenAlex.

  1. Review
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  12. Observational
  13. Geriatric vulnerability and the burden of disability after major surgery.Journal of the American Geriatrics Society · 2022
    Article
  14. Article
  15. Article
  16. Article
  17. Hospital Variation in Geriatric Surgical Safety for Emergency Operation.Journal of the American College of Surgeons · 2020
    Article
  18. Cohort Profile: The Precipitating Events Project (PEP Study).The journal of nutrition, health & aging · 2020
    Article
  19. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Robert D BecherSection of General Surgery, Trauma, and Surgical Critical Care, Department of Surgery, Yale School of Medicine, New Haven, CT.
Terrence E MurphySection of Geriatrics, Department of Internal Medicine, Yale School of Medicine, New Haven, CT.
Evelyne A GahbauerSection of Geriatrics, Department of Internal Medicine, Yale School of Medicine, New Haven, CT.
Linda Leo-SummersSection of Geriatrics, Department of Internal Medicine, Yale School of Medicine, New Haven, CT.
Hans F StabenauSection of Geriatrics, Department of Internal Medicine, Yale School of Medicine, New Haven, CT.
Thomas M GillSection of Geriatrics, Department of Internal Medicine, Yale School of Medicine, New Haven, CT.
Yale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Yale Study Support Suite (YES3): Dashboard and Web Portal Software Supporting Research Workflow through integrated, customizable REDCap External ModulesP30AG021342 · NIA · YALE UNIVERSITY · PI Albert C Shaw · 2002 to 2026
$37.9M
VULNERABILITY, INTERVENING EVENTS &DISABILITY IN AGINGR01AG017560 · NIA · YALE UNIVERSITY · PI GILL, THOMAS MICHAEL · 2000 to 2025
$7.0M
ACADEMIC LEADERSHIP AWARD IN DISABILITY AND DISABLING DISORDERSK07AG043587 · NIA · YALE UNIVERSITY · PI GILL, THOMAS MICHAEL · 2013 to 2017
$645k
NCATS NIH HHS UL1 TR001863NIA NIH HHS K07 AG043587NIA NIH HHS P30 AG021342NIA NIH HHS R01 AG017560
6 · The paper itself

Abstract

objectiveThe objectives of the current study were 2-fold: first, to evaluate the incidence and time to recovery of premorbid function within 6 months of major surgery and second, to identify factors associated with functional recovery among older persons who survive a major surgery with increased disability.

backgroundMost older persons would not choose a surgical treatment resulting in persistently increased postsurgical disability, even if survival was assured. Potential predictors of functional recovery after major surgery have, however, not been well-studied among geriatric patients.

methodsIt is a prospective longitudinal study of 754 community-living persons 70 years or older. The analytic sample included 266 person-admissions in which participants survived major surgery with increased disability and were monitored on a monthly basis for 6 months.

resultsOf the 266 person-admissions assessed, 174 (65.4%) recovered to their presurgical level of function, with median time to recovery of 2 months (interquartile range, 1-3), whereas 16 (6.0%) died. Two factors were significantly associated with an increased likelihood of functional recovery: being nonfrail (hazard ratio 1.60; 95% confidence interval 1.03-2.51; P = 0.038) and having elective surgery (hazard ratio 1.72; 95% confidence interval 1.14-2.59; P = 0.009). Three factors were associated with a reduced likelihood of functional recovery: hearing impairment, greater increase in postsurgical disability in the month after hospital discharge, and years of education.

conclusionsAmong older persons, nonfrailty and elective surgery were positively associated with functional recovery, whereas hearing impairment, greater increases in postsurgical disability, and years of education were associated with higher risk of protracted disability.

Indexed as

Geriatric AssessmentRecovery of FunctionSurgical Procedures, OperativeSurvivorsAgedDisability EvaluationFemaleHumansIndependent LivingLongitudinal StudiesMalePersons with DisabilitiesProspective StudiesRisk FactorsTime Factors

Identifiers

PMID30741734
PMCPMC6684864
OpenAlexW2920005319

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.