Evidence map›Paper›PMID 39967266›Full record

ArticlePhysiological reports2025

A comprehensive operative risk assessment driving the application of major and emergency surgery in octogenarians.

Francesco Puccetti, Alessandro Francesco Armienti, Stefano Turi, Lorenzo Cinelli, Riccardo Rosati, Ugo Elmore, OSR CCeR Collaborative Group

Abstract readCase Reports
In one paragraph

Article in Physiological reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

7 authors.

Francesco PuccettiDepartment of Gastrointestinal Surgery, IRCCS San Raffaele Scientific Institute, Milan, Italy.ORCID https://orcid.org/0000-0001-6638-6880
Alessandro Francesco ArmientiDepartment of Gastrointestinal Surgery, IRCCS San Raffaele Scientific Institute, Milan, Italy.ORCID https://orcid.org/0009-0002-3050-8932
Stefano TuriDepartment of Anesthesiology and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Lorenzo CinelliDepartment of Gastrointestinal Surgery, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Riccardo RosatiDepartment of Gastrointestinal Surgery, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Ugo ElmoreDepartment of Gastrointestinal Surgery, IRCCS San Raffaele Scientific Institute, Milan, Italy.
OSR CCeR Collaborative Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Medical decisions driving the clinical management of octogenarians who require either major or urgent surgery still depend on the patient's age rather than individual functions. This report created the privileged opportunity to illustrate the clinical effectiveness of a comprehensive function-based assessment. This was the case of an 83-year-old gentleman presenting with severe malnutrition and debility due to esophageal cancer. Multidimensional assessments were systematically performed to design the best-tailored therapeutic strategy, including prehabilitation, elective esophagectomy, and emergency laparotomy with ileocolic resection for postoperative hemorrhagic shock due to an occult colonic tumor. This clinical case highlights the need for a systematic and comprehensive assessment of fragile octogenarians, allowing accurate patient evaluation, identification of areas of functional optimization, and establishment of the most appropriate therapeutic decisions.

Indexed as

Esophageal NeoplasmsEsophagectomyGeriatric AssessmentAged, 80 and overHumansMaleRisk Assessmentcancer surgeryemergencyfrailtyfunctional reserveoperative risk

Identifiers

PMID39967266
PMCPMC11835961

What OpenQuestion holds

Textmetadata
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.