Observational studyWorld journal of surgery2021
Prognostic value of the Duke Activity Status Index (DASI) in patients undergoing colorectal surgery.
Observational study in World journal of surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 14 citations in OpenAlex.
- Article
- A multidisciplinary virtual (p)rehabilitation model of care for colorectal cancer surgery.World journal of surgical oncology · 2026Article
- Expert Consensus on Self-Reported Physical, Nutritional, and Psychological Screening Tools for Prehabilitation in Gastrointestinal Cancer Surgery: An International Delphi Study.Annals of surgical oncology · 2026Article
- Duke Activity Status Index Versus PROMIS Computer Adaptive Testing-Physical Function for Preoperative Assessment.Mayo Clinic proceedings. Innovations, quality & outcomes · 2026Article
- Preoperative Health During a Pandemic: An Observational Study Assessing Lifestyle Changes in Patients Associated With COVID-19 in Western Australia.Health science reports · 2026Article
- Physical Activity Status and Related Factors of Lung Transplant Patients Within One Year After Surgery: A Single-Center Observational Study.Canadian respiratory journal · 2026Observational
- An Online Preoperative Screening Tool to Optimize Care for Patients Undergoing Cancer Surgery: A Mixed-Method Study Protocol.Cancers · 2025Article
- Prognostic value of the duke activity Status Index Questionnaire in predicting mortality in patients with chronic heart failure: 36-month follow-up study.BMC cardiovascular disorders · 2024Article
- Translation, cross-cultural adaptation, and validation of the Duke Activity Status Index (DASI) to Sinhala language.Perioperative medicine (London, England) · 2024Article
- Effectiveness of 'Internet Plus' remote management in improving cardiac rehabilitation outcomes in acute myocardial infarction patients.American journal of translational research · 2024Article
- Integration of functional capacity to medically necessary, time-sensitive scoring system: A prospective observational study.Saudi medical journal · 2023Observational
- Predicting Length of Stay using machine learning for total joint replacements performed at a rural community hospital.PloS one · 2022Article
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Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundComplications are common after colorectal surgery and remain a target for quality improvement. Lower preoperative physical functioning is associated with poor postoperative outcomes, but assessment often relies on subjective judgment or resource-intensive tests. Recent literature suggests that self-reported functional capacity, measured using the Duke Activity Status Index (DASI), is a strong predictor of postoperative outcomes. This study aimed to estimate the extent to which DASI predicts 30-day complications after colorectal surgery.
methodsIn this observational study, 100 patients undergoing colorectal resection [median age 63, 57% men, 81% laparoscopic, 37% rectal surgery] responded to DASI two weeks preoperatively. Complications were classified according to Clavien-Dindo and quantified using the comprehensive complication index (CCI). Our primary analysis targeted the relationship between preoperative DASI and odds of complications. Secondary analyses focused on 30-day severe complications, CCI, readmissions, and length of stay (LOS). We also explored the predictive ability of DASI with scores dichotomized based on a previously validated threshold (≤ 34).
resultsMean preoperative DASI was 48 ± 12. Forty-six patients (46%) experienced 30-day complications (8% severe, CCI 9.6 ± 15). Lower DASI scores were associated with higher odds of complications (OR 1.08, 95%CI 1.03-1.14; p = 0.001). Preoperative DASI was also an independent predictor of severe complications, CCI, and readmissions. The predictive ability was supported when scores were dichotomized at ≤ 34.
conclusionDASI is a significant predictor of postoperative complications after colorectal surgery. This questionnaire can be easily implemented in clinical practice to identify patients with low preoperative functional capacity and target interventions to those at higher risk.
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