ArticleUrology2021
5-Item Modified Frailty Index as a Preoperative Predictor of Morbidity Following Minimally Invasive Partial Nephrectomy.
Article in Urology, 2021. 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.
- 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 · 2023Pooled it
- Preoperative 5-Factor Frailty Index and Clavien-Dindo Grade ≥ II Complications Following Open Radical Nephrectomy: A Prospective Single-Center Cohort Study.Healthcare (Basel, Switzerland) · 2026Article
- Patients with frailty, benign prostatic hyperplasia and indwelling bladder catheter: What are the 1-year outcomes after Rezūm therapy?Current urology · 2025Article
- Frailty and nutritional status predict postoperative complications in radical cystectomy patients.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2025Article
- A novel lesion severity index to predict 90-day postoperative survival in brain metastasis patients.Journal of neuro-oncology · 2025Article
- Association between 5-item modified frailty index and clinical outcomes in elderly rectal cancer patients after radical surgery.Scientific reports · 2025Article
- Postoperative Adverse Outcomes in Patients With Frailty Undergoing Urologic Surgery Among American Patients: A Propensity-Score Matched Retrospective Cohort Study.Clinical epidemiology · 2025Article
- The modified 5-item frailty index as a predictor of perioperative risk in patients undergoing percutaneous nephrolithotomy.International urology and nephrology · 2025Article
- Article
- Modified 5-Item Frailty Index (mFI-5) may predict postoperative outcomes after pancreatoduodenectomy for pancreatic Cancer.Langenbeck's archives of surgery · 2024Article
- The five-item modified frailty index predicts long-term outcomes in elderly patients undergoing colorectal cancer surgery.World journal of surgical oncology · 2023Article
- A novel nephrectomy-specific respiratory failure index using the ACS-NSQIP dataset.International urology and nephrology · 2023Article
- Does the 5-item Frailty Index predict surgical complications of endoscopic surgical management for benign prostatic obstruction? An analysis of the ACS-NSQIP.World journal of urology · 2022Article
- The geriatric nutritional risk index predicts complications after nephrectomy for renal cancer.International braz j urol : official journal of the Brazilian Society of UrologyArticle
Corrections and comments
- Commented on byGeriatrics.2022
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo apply the modified frailty index-5 (mFI-5) to those patients undergoing minimally invasive partial nephrectomy (MIPN) to examine the relationship between frailty and postoperative outcomes.
methodsUsing the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database, data were retrospectively reviewed between 2012 and 2018 for cases coded for MIPN. The mFI-5 score was defined on a scale of 1 to 5, with each patient receiving one point per each of the following comorbidities: congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), diabetes mellitus, hypertension that requires medication and functional health status of partial or total dependence prior to surgery. Complications were examined within the first 30 days postoperatively. Using univariate and multivariate logistic regression, postoperative outcomes were obtained and stratified based on frailty score.
resultsOf the 18,904 cases identified between 2012 and 2018, mFI-5 score was 0 for 38.0% of patients, 1 for 42.8%, ≥2 for 19.2%. With increasing mFI-5 score, a significant increase in multiple postoperative morbidities were identified (P <0.05). 11.2% of patients with mFI-5 ≥2 had complications vs 5.3% with mFI-5 of 0 and 7.8% mFI-5 of 1, P <0.05. Multivariate analysis revealed nearly 50% increase in the odds of having an overall complication for patients with mFI-5 score ≥2 (OR = 1.48, 95% CI 1.22 - 1.80, P <0.001).
conclusionThe mFI-5 is a well defined and easily ascertainable predictor of postoperative outcomes in those undergoing MIPN and could be used preoperatively to identify and counsel those at increased risk for morbidity.
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