Evidence map›Paper›PMID 35008281›Full record

ArticleCancers2021

The Pre-Operative GRADE Score Is Associated with 5-Year Survival among Older Patients with Cancer Undergoing Surgery.

Philippe Wind, Zoe Ap Thomas, Marie Laurent, Thomas Aparicio, Matthieu Siebert, Etienne Audureau, Elena Paillaud, Guilhem Bousquet, Frédéric Pamoukdjian

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 37% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

9 authors at 2 institutions in 1 country.

Philippe WindService de Chirurgie Digestive et Cancérologique, Hôpital Avicenne, APHP, 93000 Bobigny, France.
Zoe Ap ThomasService d'oncologie Médicale, Hôpital Avicenne, APHP, 93000 Bobigny, France.ORCID 0000-0002-7164-3383
Marie LaurentClinical Epidemiology and Ageing, Université Paris-Est Créteil, IMRB-UPEC/Inserm U955, 94000 Creteil, France.
Thomas AparicioService de Gastroentérologie, Hôpital Avicenne, APHP, 93000 Bobigny, France.ORCID 0000-0001-8834-6927
Matthieu SiebertService de Chirurgie Digestive et Cancérologique, Hôpital Avicenne, APHP, 93000 Bobigny, France.
Etienne AudureauClinical Epidemiology and Ageing, Université Paris-Est Créteil, IMRB-UPEC/Inserm U955, 94000 Creteil, France.
Elena PaillaudClinical Epidemiology and Ageing, Université Paris-Est Créteil, IMRB-UPEC/Inserm U955, 94000 Creteil, France.ORCID 0000-0002-5579-9927
Guilhem BousquetService d'oncologie Médicale, Hôpital Avicenne, APHP, 93000 Bobigny, France.ORCID 0000-0001-5594-6694
Frédéric PamoukdjianCardiovascular Markers in Stressed Conditions, Université Sorbonne Paris Nord, Inserm UMR_S942, MASCOT, 93000 Bobigny, France.
Inserm · FRHôpital Avicenne · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We aimed to assess the prognostic value of the pre-operative GRADE score for long-term survival among older adults undergoing major surgery for digestive or non-breast gynaecological cancers. Between 2013 and 2019, 136 consecutive older adults with cancer were prospectively recruited from the PF-EC cohort study before major cancer surgery and underwent a geriatric assessment. The GRADE score includes weight loss, gait speed at the threshold of 0.8 m/s, cancer site and cancer extension. The primary outcome was post-operative 5-year mortality. Patients were classified as low risk (GRADE ≤ 8) or high risk (GRADE > 8) on the basis of the median score. A Cox multivariate proportional hazards regression model was performed to assess the association between pre-operative factors and 5-year mortality expressed by adjusted hazard ratio (aHR) and 95% CI. The median age was 80 years, 52% were men, 73% had colorectal cancer. The 30-day post-operative severe complication rate (Clavien-Dindo ≥ 3) was 37%. The 5-year post-operative mortality rate was 34.5%. A GRADE score ≥ 8 (aHR = 2.64 [1.34-5.21],

Indexed as

cancerolder adultspost-operative complicationspostoperative mortalityprognostic scoresurgery

Identifiers

PMID35008281
PMCPMC8750490
OpenAlexW4200586461

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.