Evidence map›Paper›PMID 34545542›Full record

ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2022

The Impact of Frailty on Patients Undergoing Liver Resection for Colorectal Liver Metastasis.

Jacqueline Dauch, Mohammad Hamidi, Amanda K Arrington, Catherine L O'Grady, Chiu-Hsieh Hsu, Bellal Joseph, Taylor S Riall, Mohammad Khreiss

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Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Frailty Predicts Loss of Independence After Liver Surgery.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2022
    Article
  8. Article
  9. 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

8 authors.

Jacqueline DauchUniversity of Arizona College of Medicine, Tucson, AZ, USA.
Mohammad HamidiUniversity of Arizona College of Medicine, Tucson, AZ, USA.
Amanda K ArringtonUniversity of Arizona College of Medicine, Tucson, AZ, USA.
Catherine L O'GradyUniversity of Arizona College of Medicine, Tucson, AZ, USA.
Chiu-Hsieh HsuUniversity of Arizona College of Medicine, Tucson, AZ, USA.
Bellal JosephUniversity of Arizona College of Medicine, Tucson, AZ, USA.
Taylor S RiallUniversity of Arizona College of Medicine, Tucson, AZ, USA.
Mohammad KhreissUniversity of Arizona College of Medicine, Tucson, AZ, USA. mkhreiss@email.arizona.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study is to assess the impact of frailty on short-term outcomes after hepatectomy for colorectal liver metastasis (CRLM).

methodsPatients were identified using the National Surgical Quality Improvement Program (NSQIP). Patients were divided into 3 categories using the 5-item Modified Frailty Index (mFI).

resultsThere were 5230 patients included. 52%, 35%, and 13% had mFI scores of 0, 1, and ≥ 2 respectively. Patients with a ≥ 2 mFI score were more likely to experience minor complication (OR 1.34, 95% CI 1.06-1.69), major complication (OR 1.56, 95% CI 1.15-2.12), readmission (OR 1.55, 95% CI 1.12-2.14), unfavorable discharge (OR 2.48, 95% CI 1.62-3.80), 30-day mortality (OR 3.02, 95% CI 1.02-8.95), prolonged length of stay (OR 1.47, 95% CI 1.18-1.83), and bile leak (OR 1.51, 95% CI 1.02-2.24).

conclusionFrailty is associated with increased post-operative complications. The 5-item mFI can guide risk stratification, optimization, and counseling.

Indexed as

Colorectal NeoplasmsFrailtyLiver NeoplasmsHepatectomyHumansPostoperative ComplicationsRetrospective StudiesRisk AssessmentRisk FactorsColorectal cancerFrailtyLiver resection

Identifiers

What OpenQuestion holds

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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.