Evidence map›Paper›PMID 36628280›Full record

ArticleAmerican journal of cancer research2022

The impact of frailty on breast cancer outcomes: evidence from analysis of the Nationwide Inpatient Sample, 2005-2018.

Hsueh-Han Tsai, Jyh-Cherng Yu, Huan-Ming Hsu, Chi-Hong Chu, Zhi-Jie Hong, An-Chieh Feng, Chun-Yu Fu, Ming-Shen Dai, Guo-Shiou Liao

Abstract read
In one paragraph

Article in American journal of cancer research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Robotic versus conventional single-level lumbar fusion in frail older adults: analysis of the National Readmission Database, 2016-2020.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2025
    Article
  7. Observational
  8. Observational
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Frailty in older women.Revista da Associacao Medica Brasileira (1992) · 2023
    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.

Hsueh-Han TsaiDivision of General Surgery, Department of Surgery, Tri-Services General Hospital, National Defense Medical Center Taipei, Taiwan.
Jyh-Cherng YuDivision of General Surgery, Department of Surgery, Tri-Services General Hospital, National Defense Medical Center Taipei, Taiwan.
Huan-Ming HsuDivision of General Surgery, Department of Surgery, Tri-Services General Hospital, National Defense Medical Center Taipei, Taiwan.
Chi-Hong ChuDivision of General Surgery, Department of Surgery, Tri-Services General Hospital, National Defense Medical Center Taipei, Taiwan.
Zhi-Jie HongDivision of General Surgery, Department of Surgery, Tri-Services General Hospital, National Defense Medical Center Taipei, Taiwan.
An-Chieh FengDivision of General Surgery, Department of Surgery, Tri-Services General Hospital, National Defense Medical Center Taipei, Taiwan.
Chun-Yu FuDivision of General Surgery, Department of Surgery, Tri-Services General Hospital, National Defense Medical Center Taipei, Taiwan.
Ming-Shen DaiDivision of Hematology/Oncology, Tri-Service General Hospital, National Defense Medical Center Taipei, Taiwan.
Guo-Shiou LiaoDivision of General Surgery, Department of Surgery, Tri-Services General Hospital, National Defense Medical Center Taipei, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aims of the present study were to examine whether and how frailty impacts the outcomes of breast cancer. Data of women with breast cancer hospitalized during 2005 and 2018 were extracted from the US Nationwide Inpatient Sample (NIS) database. Frailty was identified using a novel algorithm, Hospital Frailty Risk Score (HFRS). Propensity-score (PS) matching was utilized to balance the baseline characteristics between frail and non-frail groups. In-hospital mortality, unfavorable discharge, prolonged length of stay (LOS), and total hospital cost were compared using univariate and multivariable logistic regression analyses. A total of 19,522 patients with metastatic (frailty n = 9,906; no frailty n = 9,716) and 135,200 with non-metastatic breast cancer (frailty n = 30,235; no frailty n = 104,965) were included. After adjustment, frailty was significantly and independently associated with higher risk for in-hospital mortality, unfavorable discharge, prolonged LOS, and greater hospital cost in both metastatic and non-metastatic diseases, in which the impacts of frailty was greater in women with non-metastatic disease. In stratified analysis, frailty had the greatest impact on in-hospital mortality among women had had non-metastatic disease and aged <50 years (aOR = 3.88; 95% CI: 1.95-7.73). In conclusion, frailty is associated with worse outcomes in women with breast cancer, and the effects are greater in non-metastatic disease and younger patients.

Indexed as

breast cancerFrailtyhospital frailty risk score (HFRS)mortalityNationwide Inpatient Sample (NIS)

Identifiers

PMID36628280
PMCPMC9827099

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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.