Evidence map›Paper›PMID 32616993›Full record

ReviewJournal of orthopaedics

Peri-operative management of frailty in the orthopedic patient.

Pragati H Mamtora, Michelle A Fortier, Sheila R Barnett, Lauren N Schmid, Zeev N Kain

Erratum issuedOpen access · bronzeAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Journal of orthopaedics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
0.7field-weighted citation impact, top 32% 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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Perioperative Considerations for Orthopedic Surgery in a Geriatric Population.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2026
    Review
  5. Article
  6. Frailty: An overlooked red flag in sports surgery.Journal of experimental orthopaedics · 2025
    Article
  7. Review
  8. Article
  9. Adverse outcomes following pelvic fracture: the critical role of frailty.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023
    Article
  10. The association of frailty with clinical and economic outcomes among hospitalized older adults with hip fracture surgery.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2022
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 1 country.

Pragati H MamtoraUCI Center on Stress and Health, School of Medicine, University of California-Irvine, Irvine, CA, USA.
Michelle A FortierUCI Center on Stress and Health, School of Medicine, University of California-Irvine, Irvine, CA, USA.
Sheila R BarnettDepartment of Anesthesiology, Pain Medicine, and Critical Care, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Lauren N SchmidUCI Center on Stress and Health, School of Medicine, University of California-Irvine, Irvine, CA, USA.
Zeev N KainUCI Center on Stress and Health, School of Medicine, University of California-Irvine, Irvine, CA, USA.
Children's Hospital of Orange County · USBeth Israel Deaconess Medical Center · USRosalind Franklin University of Medicine and Science · USUniversity of California, Irvine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The purpose of this investigation was to summarize current research on diagnosis, outcomes, and management of frail patients undergoing orthopedic surgery. Because frail patients are at increased risk of negative post-operative outcomes including increased 30-day mortality and post-operative complications including infections and delirium, such a review is timely. Strategies including supervised exercise training programs before surgery, early identification of frailty, prophylactic antibiotics, regular drug chart review, regular monitoring of electrolytes, and other strategies to prevent post-operative delirium are helpful in the management of frail orthopedic patients. It is important for surgeons and anesthesiologists to take action in attempt to alleviate adverse post-operative outcomes in frail patients. Ultimately, more research is needed to identify new strategies and to evaluate whether pre-operative optimization can effectively mitigate post-operative outcomes in large-scale randomized controlled trials.

Indexed as

AnesthesiologyFrailtyGeriatricsOrthopedic surgeryPerioperative management

Identifiers

PMID32616993
PMCPMC7322091
OpenAlexW3034978761

What OpenQuestion holds

Textmetadata
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.