ArticleHernia : the journal of hernias and abdominal wall surgery2019
Ventral hernia repair outcomes predicted by a 5-item modified frailty index using NSQIP variables.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Age-Related Risk Factors in Ventral Hernia Repairs: A Review and Call to Action.The Journal of surgical research · 2021Pooled it
- How frail is too frail? Impact of frailty on complex abdominal wall reconstruction.Surgical endoscopy · 2026Article
- The application value of frailty assessment tools in the perioperative period: A narrative review.Journal of anesthesia and translational medicine · 2026Review
- The impact of BMI on frailty screening and the frailty phenotype in ventral hernia patients.Surgical endoscopy · 2025Article
- Classifying frailty in the ventral hernia population.Surgical endoscopy · 2024Article
- The modified frailty index predicts postoperative morbidity in elective hernia repair patients: analysis of the national inpatient sample 2015-2019.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Posterior Instrumented Spinal Surgery Outcomes in the Elderly: A Comparison of the 5-Item and 11-Item Modified Frailty Indices.Global spine journal · 2024Article
- Assessing the mFI-5 frailty score and functional status in geriatric patients undergoing inguinal hernia repairs.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Frail but Resilient: Frailty in Autologous Breast Reconstruction is Associated with Worse Surgical Outcomes but Equivalent Long-Term Patient-Reported Outcomes.Annals of surgical oncology · 2024Article
- The impact of frailty on ventral hernia repair outcomes in a statewide database.Surgical endoscopy · 2023Article
- A retrospective study on the relationship between 5 modified frailty index (5-mFI) and postoperative complications of gynecological elderly patients undergoing abdominal surgery.BMC anesthesiology · 2023Article
- State-of-the-art abdominal wall reconstruction and closure.Langenbeck's archives of surgery · 2023Article
- Review
- Modified Frailty Index Predicts Postoperative Complications following Panniculectomy in the Elderly.Plastic and reconstructive surgery. Global open · 2020Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeFrailty is a decrease in physiologic reserve that is separate from the normal aging process. Previously, an 11-item modified frailty index (mFI) using NSQIP variables predicted outcomes for surgical patients. We aim to validate a condensed 5-item mFI in ventral hernia patients and determine outcomes and the relative impact of each frailty variable.
methodsThe NSQIP database was queried from 2011 to 2016 for patients undergoing VHR. Spearman's rho correlation was used to determine the degree of correlation between 11-item and 5-item mFI raw frailty scores. Chi squared testing was used to determine odds ratios (95% CI) for accumulating frailty variables in both indices with regard to complications vs a baseline of zero variables present on the 11-item scale. Complications were defined by the Clavien-Dindo (CD) classification. Univariate and multivariate analyses were performed on each frailty variable to determine their relative weighted impacts on outcomes.
results97,905 patients (99.45%) had all five frailty variables recorded. Only 11,549 patients (11.73%) had all variables from the 11-item mFI. No difference existed between groups for the five mutually shared frailty variables, BMI, emergent vs non-emergent procedures, operative time, or operative approach. For accumulating variables in both indices, the 5-item mFI predicts incidence of any complications, major complications, and discharge not to home similarly to the 11-item mFI. The most significantly weighted variable for complications and discharge not to home is functional status.
conclusionA 5-item mFI accurately predicts outcomes similar to the validated 11-item mFI and captures more patients for analysis.
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