ArticleBMJ open2022
Effects of frailty on patients undergoing head and neck cancer surgery with flap reconstruction: a retrospective analysis.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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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.
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Who cites it
3 citing papers in PubMed, 10 citations in OpenAlex.
- Is There an Ideal Method of Predicting Postoperative Complications Following Major Head and Neck Procedures?: A Comparative Analysis of Three Frailty Indices.Head & neck · 2026Article
- Article
- Free Flaps for Skin and Soft Tissue Reconstruction in the Elderly Patient: Indication or Contraindication.Medical sciences (Basel, Switzerland) · 2023Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo establish the implications of frailty as a predictor of outcome in patients with head and neck cancer requiring flap repair.
designRetrospective cohort. DATA SOURCE: We captured data from patients above 60 years old undergoing head and neck tumour resection and free flap reconstruction surgery between June 2019 and June 2020 at the Department of Oral and Maxillofacial Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University. The data contain all treatment information. OUTCOME VARIABLES: Surgery repeated in 30 days, postoperative complications, hospital length of stay, postoperative main biochemical standards. EXPOSURE VARIABLES: Age, sex, smoking history, alcoholism history, American Society of Anesthesiologists score, National Nosocomial Infection Surveillance score and Clinical T staging were exposure variables. The frailty index is the main variable.
resultA total of 254 patients were included in this study. Among them, 124 patients were classified as frail, while 130 patients were classified as non-frail. We found that frail patients stayed in the hospital longer than non-frail patients after surgery (p=0.018). According to the data of 26 frail patients who directly entered the intensive care unit (ICU), we found that these patients had a lower leucocyte count (p=0.005).
conclusionsFrailty is a useful predictor of outcomes in patients undergoing head and neck cancer surgery with flap reconstruction. Frailty can be a clinical tool used to identify high-risk patients and guide perioperative care to optimise patient outcomes. Frail patients have better outcomes if they directly enter the ICU.
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