Evidence map›Paper›PMID 35016582›Full record

ArticleGlobal spine journal2023

Hospital Frailty Risk Score and Healthcare Resource Utilization After Surgery for Primary Spinal Intradural/Cord Tumors.

Aladine A Elsamadicy, Andrew B Koo, Benjamin C Reeves, Zach Pennington, Margot Sarkozy, Andrew Hersh, John Havlik, Josiah J Z Sherman, C Rory Goodwin, Luis Kolb and 4 more

Open access · goldAbstract read
In one paragraph

Article in Global spine journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.5field-weighted citation impact, top 12% 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

9 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Observational
  6. Article
  7. 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

14 authors at 6 institutions in 1 country.

Aladine A ElsamadicyDepartment of Neurosurgery, Yale University School of Medicine, New Haven, CT, USA.ORCID 0000-0002-7658-6461
Andrew B KooDepartment of Neurosurgery, Yale University School of Medicine, New Haven, CT, USA.
Benjamin C ReevesDepartment of Neurosurgery, Yale University School of Medicine, New Haven, CT, USA.
Zach PenningtonDepartment of Neurosurgery, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0001-8012-860X
Margot SarkozyDepartment of Neurosurgery, Yale University School of Medicine, New Haven, CT, USA.
Andrew HershDepartment of Neurosurgery, John Hopkins School of Medicine, Baltimore, MD, USA.ORCID 0000-0003-1755-3974
John HavlikDepartment of Neurosurgery, Yale University School of Medicine, New Haven, CT, USA.
Josiah J Z ShermanDepartment of Neurosurgery, Yale University School of Medicine, New Haven, CT, USA.
C Rory GoodwinDepartment of Neurosurgery, Duke University School of Medicine, Durham, NC, USA.ORCID 0000-0002-6540-2751
Luis KolbDepartment of Neurosurgery, Yale University School of Medicine, New Haven, CT, USA.
Maxwell LauransDepartment of Neurosurgery, Yale University School of Medicine, New Haven, CT, USA.
Sheng-Fu Larry LoDepartment of Neurosurgery, Zucker School of Medicine at Hofstra, Long Island Jewish Medical Center and North Shore University Hospital, Northwell Health, Manhasset, NY, USA.
John H ShinDepartment of Neurosurgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Daniel M SciubbaDepartment of Neurosurgery, Zucker School of Medicine at Hofstra, Long Island Jewish Medical Center and North Shore University Hospital, Northwell Health, Manhasset, NY, USA.ORCID 0000-0001-7604-434X
Yale University · USNorthwell Health · USDuke University · USHarvard University · USJohns Hopkins University · USMayo Clinic in Arizona · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

objectiveThe Hospital Frailty Risk Score (HFRS) is a metric that measures frailty among patients in large national datasets using ICD-10 codes. While other metrics have been utilized to demonstrate the association between frailty and poor outcomes in spine oncology, none have examined the HFRS. The aim of this study was to investigate the impact of frailty using the HFRS on complications, length of stay, cost of admission, and discharge disposition in patients undergoing surgery for primary tumors of the spinal cord and meninges.

methodsA retrospective cohort study was performed using the Nationwide Inpatient Sample database from 2016 to 2018. Adult patients undergoing surgery for primary tumors of the spinal cord and meninges were identified using ICD-10-CM codes. Patients were categorized into 2 cohorts based on HFRS score: Non-Frail (HFRS<5) and Frail (HFRS≥5). Patient characteristics, treatment, perioperative complications, LOS, discharge disposition, and cost of admission were assessed.

resultsOf the 5955 patients identified, 1260 (21.2%) were Frail. On average, the Frail cohort was nearly 8 years older (

conclusionOur study is the first to use the HFRS to assess the impact of frailty on patients with primary spinal tumors. We found that frailty was associated with prolonged LOS, non-routine discharge, and increased hospital costs.

Indexed as

complicationsfrailtyintradural/cord tumorlength of stayoutcomessurgery

Identifiers

PMID35016582
PMCPMC10556884
OpenAlexW4206399347

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.