Evidence map›Paper›PMID 34048333›Full record

ArticleJournal of nutrition in gerontology and geriatrics

Association between Dysphagia and Surgical Outcomes across the Continuum of Frailty.

Seth M Cohen, Kathryn N Porter Starr, Thomas Risoli, Hui-Jie Lee, Stephanie Misono, Harrison Jones, Sudha Raman

Open access · greenAbstract read
In one paragraph

Article in Journal of nutrition in gerontology and geriatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.6field-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

5 citing papers in PubMed, 15 citations in OpenAlex.

  1. ACDF and cervical disc replacement for single-level cervical spine degenerative disease: a frailty driven propensity score-matched comparative analysis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Article
  2. Review
  3. Speech language pathology evaluation is associated with decreased mortality in hip fracture patients with dysphagia.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
    Article
  4. Dysphagia in Older Adults is Associated With Food Insecurity and Being Homebound.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2023
    Article
  5. Preoperative dysphagia risk in community-dwelling adults aged ≥50 years: Prevalence and risk factors.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2023
    Article
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

7 authors at 3 institutions in 1 country.

Seth M CohenDepartment of Head and Neck Surgery and Communication Sciences, Duke Voice Care Center, Duke University Medical Center, Durham, North Carolina, USA.ORCID 0000-0002-7965-604X
Kathryn N Porter StarrDepartment of Medicine, Center for the Study of Aging, Duke University Medical Center, Durham, North Carolina, USA.
Thomas RisoliDuke CTSI Biostatistics, Epidemiology and Research Design Methods Core, Duke University Medical Center, Durham, North Carolina, USA.
Hui-Jie LeeDuke CTSI Biostatistics, Epidemiology and Research Design Methods Core, Duke University Medical Center, Durham, North Carolina, USA.
Stephanie MisonoDepartment of Otolaryngology/Head and Neck Surgery, Lions Voice Clinic, University of Minnesota, Minneapolis, Minnesota, USA.
Harrison JonesDepartment of Head and Neck Surgery and Communication Sciences, Duke University School of Medicine, Durham, North Carolina, USA.
Sudha RamanDepartment of Population Health Sciences, Duke University School of Medicine, Durham, North Carolina, USA.
Duke Medical Center · USDuke University · USUniversity of Minnesota · US

Funding

Support for QA/QC for Prior Approval ProcessUL1TR002553 · NCATS · DUKE UNIVERSITY · PI LI, JENNIFER S, MCNAMARA, JAMES O. · 2018 to 2023
$58.5M
Duke CTSA (Composite)UL1TR001117 · NCATS · DUKE UNIVERSITY · PI BOULWARE, LEIGH E, LI, JENNIFER S · 2013 to 2017
$41.3M
UNIVERSITY OF MINNESOTA CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTE (UMN CTSI)UL1RR033183 · NCRR · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R · 2011 to 2011
$8.9M
Psychological factors influencing voice outcomes: Technology-based assessment and interventionK23DC016335 · NIDCD · UNIVERSITY OF MINNESOTA · PI MISONO, STEPHANIE · 2017 to 2021
$1.0M
Nutritional (High Protein) Perihabilitation in Older Veterans Undergoing SurgeryIK2RX002348 · VA · DURHAM VA MEDICAL CENTER · PI STARR, KATHRYN N · 2017 to 2021
–
NCATS NIH HHS UL1 TR001117NCATS NIH HHS UL1 TR002553NCRR NIH HHS UL1 RR033183NIDCD NIH HHS K23 DC016335RRD VA IK2 RX002348
6 · The paper itself

Abstract

This study examined the relationship between dysphagia and adverse outcomes across frailty conditions among surgical patients ≥50 years of age. A retrospective cohort analysis of surgical hospitalizations in the Healthcare Cost and Utilization Project's National Inpatient Sample among patients ≥50 years of age undergoing intermediate/high risk surgery not involving the larynx, pharynx, or esophagus. Of 3,298,835 weighted surgical hospitalizations, dysphagia occurred in 1.2% of all hospitalizations and was higher in frail patients ranging from 5.4% to 11.7%. Dysphagia was associated with greater length of stay, higher total costs, increased non-routine discharges, and increased medical/surgical complications among both frail and non-frail patients. Dysphagia may be an independent risk factor for poor postoperative outcomes among surgical patients ≥50 years of age across frailty conditions and is an important consideration for providers seeking to reduce risk in vulnerable surgical populations.

Indexed as

Deglutition DisordersFrailtyPostoperative ComplicationsSurgical Procedures, OperativeAgedFemaleGeneral SurgeryHospitalizationHumansLength of StayMaleOutcome Assessment, Health CareRisk AdjustmentDysphagiafrailtyoutcomessurgery

Identifiers

PMID34048333
PMCPMC10439529
OpenAlexW3164214175

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.