Evidence map›Paper›PMID 32802676›Full record

ArticlePlastic and reconstructive surgery. Global open2020

Modified Frailty Index Predicts Postoperative Complications following Panniculectomy in the Elderly.

Jasmine Lee, Allyson R Alfonso, Rami S Kantar, Gustave K Diep, Zoe P Berman, Elie P Ramly, David A Daar, Jamie P Levine, Daniel J Ceradini

Open access · goldAbstract read
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.0field-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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Predictive Ability of Comorbidity Indices for Surgical Morbidity and Mortality: a Systematic Review and Meta-analysis.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023
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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.

Jasmine LeeHansjörg Wyss Department of Plastic Surgery, NYU Langone Health, New York, N.Y.
Allyson R AlfonsoHansjörg Wyss Department of Plastic Surgery, NYU Langone Health, New York, N.Y.
Rami S KantarThe University of Maryland Medical System/Shock Trauma Center, Baltimore, Md.
Gustave K DiepHansjörg Wyss Department of Plastic Surgery, NYU Langone Health, New York, N.Y.
Zoe P BermanHansjörg Wyss Department of Plastic Surgery, NYU Langone Health, New York, N.Y.
Elie P RamlyHansjörg Wyss Department of Plastic Surgery, NYU Langone Health, New York, N.Y.
David A DaarHansjörg Wyss Department of Plastic Surgery, NYU Langone Health, New York, N.Y.
Jamie P LevineHansjörg Wyss Department of Plastic Surgery, NYU Langone Health, New York, N.Y.
Daniel J CeradiniHansjörg Wyss Department of Plastic Surgery, NYU Langone Health, New York, N.Y.
NYU Langone Health · USUniversity of Maryland, Baltimore · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Due to the high complication rate of panniculectomies, preoperative risk stratification is imperative. This study aimed to assess the predictive value of the 5-item modified frailty index (mFI-5) for postoperative complications in the elderly following panniculectomy.

methodsA retrospective cohort study of the American College of Surgeons National Surgical Quality Improvement Program database for patients over the age of 65 years who underwent a panniculectomy between 2010 and 2015 was conducted. The mFI-5 score was calculated for each patient based on the presence of diabetes, hypertension, congestive heart failure, chronic obstructive pulmonary disease, and dependent functional status, and an mFI-5 score of 2 was used as a cutoff. Multivariate logistic and linear regression analysis was used to determine the validity of the mFI-5 as a predictor of postoperative complications.

resultsA total of 575 patients were analyzed. Patients with an mFI-5 score of 2 or more (421; 73.2%) had significantly higher rates of wound complications (19.5% versus 12.8%;

conclusionsFrailty, as measured by the mFI-5, holds a predictive value regarding outcomes of wound complications and overall complications in elderly patients after panniculectomy. The mFI-5 score can be used to identify high-risk patients before surgery.

Identifiers

PMID32802676
PMCPMC7413797
OpenAlexW3080338688

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LicenceCC BY
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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.