Evidence map›Paper›PMID 35120151›Full record

ArticlePloS one2022

Influence of preoperative frailty on quality of life after cardiac surgery: Protocol for a systematic review and meta-analysis.

Kathryn Bezzina, Christophe A Fehlmann, Ming Hao Guo, Sarah M Visintini, Fraser D Rubens, George A Wells, Rosetta Mazzola, Caroline McGuinty, Allen Huang, Lara Khoury and 1 more

Abstract read
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. 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

11 authors.

Kathryn BezzinaDivision of Geriatric Medicine, The Ottawa Hospital, Ottawa, Ontario, Canada.
Christophe A FehlmannSchool of Epidemiology and Public Health, University of Ottawa, Ottawa, Ontario, Canada.ORCID 0000-0002-4163-0338
Ming Hao GuoDepartment of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, Ontario.
Sarah M VisintiniBerkman Library, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.ORCID 0000-0001-6966-1753
Fraser D RubensDepartment of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, Ontario.
George A WellsSchool of Epidemiology and Public Health, University of Ottawa, Ottawa, Ontario, Canada.
Rosetta MazzolaSchool of Epidemiology and Public Health, University of Ottawa, Ottawa, Ontario, Canada.
Caroline McGuintyUniversity of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Allen HuangDivision of Geriatric Medicine, The Ottawa Hospital, Ottawa, Ontario, Canada.
Lara KhouryDivision of Geriatric Medicine, The Ottawa Hospital, Ottawa, Ontario, Canada.ORCID 0000-0002-0150-840X
Kevin Emery BoczarSchool of Epidemiology and Public Health, University of Ottawa, Ottawa, Ontario, Canada.ORCID 0000-0001-9449-9372

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFrailty has emerged as an important prognostic marker of adverse outcomes after cardiac surgery, but evidence regarding its ability to predict quality of life after cardiac surgery is currently lacking. Whether frail patients derive the same quality of life benefit after cardiac surgery as patients without frailty remains unclear.

methodsThis systematic review will include interventional studies (RCT and others) and observational studies evaluating the effect of preoperative frailty on quality-of-life outcomes after cardiac surgery amongst patients 65 years and older. Studies will be retrieved from major databases including the Cochrane Central Register of Controlled Trials, Embase, and Medline. The primary exposure will be frailty status, independent of the tool used. The primary outcome will be change in quality of life, independent of the tool used. Secondary outcomes will include readmission during the year following the index intervention, discharge to a long-term care facility and living in a long-term care facility at one year. Screening, inclusion, data extraction and quality assessment will be performed independently by two reviewers. Meta-analysis based on the random-effects model will be conducted to compare the outcomes between frail and non-frail patients. The evidential quality of the findings will be assessed with the GRADE profiler.

conclusionThe findings of this systematic review will be important to clinicians, patients and health policy-makers regarding the use of preoperative frailty as a screening and assessment tool before cardiac surgery. STUDY REGISTRATION: OSF registries (https://osf.io/vm2p8).

Indexed as

Cardiac Surgical ProceduresFrailtyQuality of LifeAgedFrail ElderlyHumansMeta-Analysis as TopicPreoperative PeriodSystematic Reviews as Topic

Identifiers

PMID35120151
PMCPMC8815968

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.