Evidence map›Paper›PMID 40179515›Full record

ReviewGynecologic oncology2025

Understanding frailty and the role of patient-centered care for older adults with gynecologic cancer.

Stephanie Cham, Amanika Kumar, Louise C Walter, Stuart Lichtman, William P Tew

Abstract readReview
In one paragraph

Review in Gynecologic oncology, 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

5 authors.

Stephanie ChamDivision of Gynecologic Oncology, University of California San Francisco, San Francisco, CA, United States of America. Electronic address: stephanie.cham@ucsf.edu.
Amanika KumarDepartment of Obstetrics and Gynecology, Mayo Clinic, Rochester, MN, United States of America.
Louise C WalterDivision of Geriatrics, University of California San Francisco, San Francisco, CA, United States of America.
Stuart LichtmanWilmont Cancer Center, Geriatric Oncology, University of Rochester, Rochester, NY, United States of America.
William P TewMemorial Sloan Kettering Cancer Center, New York, NY, United States of America.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
Use of microfluidic tumor cultures to enable clinical trials of therapies for ovarian cancerP50CA136393 · NCI · MAYO CLINIC ROCHESTER · PI SCOTT H KAUFMANN · 2009 to 2026
$37.0M
VARC CoreP30AG044281 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Alexander Keliimoeanu Smith · 2013 to 2026
$19.9M
WOMEN'S REPRODUCTIVE HEALTH RESEARCH CENTERK12HD001262 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Andrea Vashti Jackson · 1998 to 2026
$9.3M
Promoting gynecologic cancer patients with frailty to achieve functional recovery cohort study (PROOF Cohort Study)R03AG088902 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CHAM, STEPHANIE · 2024 to 2024
$350k
NCI NIH HHS P30 CA008748NCI NIH HHS P50 CA136393NIA NIH HHS P30 AG044281NIA NIH HHS R03 AG088902NICHD NIH HHS K12 HD001262
6 · The paper itself

Abstract

The number of older adults with cancer will significantly grow in the coming decades. 45 % of older adults with gynecologic cancer are estimated to be affected by frailty. Frailty is a state of reduced physiologic reserve and decreased resiliency resulting in increased vulnerability to stressors. Importantly, frailty can exist in conjunction, but is not synonymous, with chronological age and older adults can be a heterogenous population. Routine assessment of frailty can help providers prevent both over- and under-treatment. The purpose of this review to describe the current state of literature on frailty as it relates to gynecologic cancer and draw from other literature including geriatrics, medical oncology, and surgery to suggest approaches to care. Frail patients have increased rates of surgical morbidity and mortality, higher toxicity to systemic therapy, and lower overall survival. Principles of the 5Ms (mobility, multi-complexity, mind, medications, and matters most) can be used in the clinic to guide care for older vulnerable (at risk) or frail adults. Surgical and medical oncology literature consistently indicates improved outcomes when multi-disciplinary approaches are used with routine frailty assessment. Future work is urgently needed to add validated geriatric measurements and outcomes into therapeutic trials and evaluate the impact of treatment choices on outcomes important to older adults such as functional recovery.

Indexed as

Frail ElderlyFrailtyGenital Neoplasms, FemalePatient-Centered CareAgedAged, 80 and overFemaleGeriatric AssessmentHumansFrailtyGeriatricsGynecologic cancerOlder adultQuality of lifeSurgerySystemic therapy

Identifiers

PMID40179515
PMCPMC12463175

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.