Evidence map›Paper›PMID 40165873›Full record

ArticlePlastic and reconstructive surgery. Global open2025

The Impact of Frailty and Age on Older Patients Undergoing Plastic Surgery at a Quaternary Center in Brazil.

Murilo Sgarbi Secanho, Rohan Rajaram, Paulo José Fortes Villas Boas, Aristides Augusto Palhares Neto, Pedro Tadao Hamamoto Filho

Abstract read
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Article in Plastic and reconstructive surgery. Global open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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

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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. Article
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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

5 authors.

Murilo Sgarbi SecanhoFrom the Division of Plastic and Reconstructive Surgery, Botucatu Medical School, São Paulo State University, Botucatu, São Paulo, Brazil.
Rohan RajaramDepartment of Plastic and Reconstructive Surgery, Austin Health, Heidelberg, Victoria, Australia.
Paulo José Fortes Villas BoasDepartment of Internal Medicine, Botucatu Medical School, São Paulo State University, Botucatu, São Paulo, Brazil.
Aristides Augusto Palhares NetoFrom the Division of Plastic and Reconstructive Surgery, Botucatu Medical School, São Paulo State University, Botucatu, São Paulo, Brazil.
Pedro Tadao Hamamoto FilhoDivision of Neurosurgery, Botucatu Medical School, São Paulo State University, Botucatu, São Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: An aging population brings with it an older cohort of patients undergoing plastic surgery. Identifying and understanding risk factors related to surgical outcomes is critical. The literature diverges regarding the impact of age. Associated with age is the modifiable condition of frailty. This is a retrospective case control study examining the effect of age and frailty on perioperative outcomes in the plastic surgery setting. Methods: A cohort of elderly patients undergoing plastic surgery at the Hospital das Clínicas da Faculdade de Medicina de Botucatu between 2013 and 2020 was collected to medical chart review. The independent variables analyzed were age, sex, comorbidities, surgery performed, and modified 5-item frailty index. The outcomes evaluated were perioperative and postoperative complications, rehospitalization within 1 month, and mortality within 1 month after surgery. Results: We identified 229 patients, with a mean age of 70.1 ± 8.8 years. The majority were women (54.6%). The most prevalent comorbidities were systemic arterial hypertension (62.4%) and smoking (27.5%). Frailty score (modified 5-item frailty index) of 2 or more impacted readmission at 30 days ( Conclusions: Frail elderly patients had higher readmission rate at 30 days of follow-up. In our cohort, frailty score was more effectively than age in predicting poorer postoperative outcomes.

Identifiers

PMID40165873
PMCPMC11957637

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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.