Evidence map›Paper›PMID 38340283›Full record

Observational studyEuropean geriatric medicine2024

Hospitalization-associated disability prediction using Hospital Frailty Risk Score in older patients undergoing pancreatectomy.

Tatsuro Inoue, Ryo Momosaki, Akio Shimizu, Keisuke Maeda

Open access · bronzeAbstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in European geriatric medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 18% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Article
  4. 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

4 authors at 3 institutions in 1 country.

Tatsuro InoueDepartment of Physical Therapy, Niigata University of Health and Welfare, 1398 Shimami-cho, Kita-ku, Niigata, 950-3198, Japan. tatsuro-inoue@nuhw.ac.jp.ORCID http://orcid.org/0000-0001-6959-6381
Ryo MomosakiDepartment of Rehabilitation Medicine, Mie University Graduate School of Medicine, Tsu, Mie, 514-8507, Japan.
Akio ShimizuDepartment of Food and Health Science, Faculty of Health and Human Development, The University of Nagano, Nagano, 380-8525, Japan.
Keisuke MaedaDepartment of Geriatric Medicine, Hospital, National Center for Geriatrics and Gerontology, Obu, Aichi, 474-0031, Japan.
Aichi Medical University · JPMie University · JPNiigata University of Health and Welfare · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeFrailty and hospitalization-associated disabilities (HAD) are geriatric conditions that should be managed in older patients undergoing pancreatectomy. The Hospital Frailty Risk Score (HFRS) can evaluate frailty based on medical records and could predict postoperative activities of daily living (ADL) decline. This study aimed to investigate whether HFRS affects the postoperative incidence of HAD in older patients who underwent pancreatectomy.

methodsThis retrospective, observational study used data from a nationwide hospital-based database. We included consecutive patients aged ≥ 65 years who were diagnosed with pancreatic cancer (International Statistical Classification of Diseases, 10th revision code C25) and underwent curative pancreatectomy between April 2014 and August 2020. We evaluated preoperative frailty using HFRS. The primary outcome was HAD following pancreatectomy. Logistic regression analysis was performed for analyzing the impact of frailty on HAD following pancreatectomy.

resultsWe included 671 patients for the analysis (mean age 74.3 ± 5.6, male 54.8%). The prevalence of intermediate and high risk of frailty with HFRS ≥ 5 was 2.7%. The incidence of HAD was significantly higher in the intermediate- and high-risk groups compared to that in the low-risk group (33.3% vs. 8.4%, p < 0.001). Logistic regression analysis demonstrated that intermediate and high risks of frailty increased the likelihood of HAD (odds ratio, 3.55; 95% confidence interval: 1.12-11.2).

conclusionsThe risk of frailty evaluated using the HFRS increased the likelihood of developing HAD in older patients undergoing pancreatectomy. Future research on effective perioperative interventions for preventing postoperative HAD and enhancing postoperative ADL recovery is warranted.

Indexed as

Activities of Daily LivingFrailtyGeriatric AssessmentHospitalizationPancreatectomyPancreatic NeoplasmsAgedAged, 80 and overFemaleFrail ElderlyHumansLogistic ModelsMalePostoperative ComplicationsRetrospective StudiesRisk AssessmentActivities of daily livingAgedCancerPancreatic neoplasms

Identifiers

PMID38340283
OpenAlexW4391719309

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.