Evidence map›Paper›PMID 40321782›Full record

ArticleResearch square2025

Does frailty modulate the predictive value of performance status in older adults living with cancer?

Daniela Patino-Hernández, Mario Ulises Pérez-Zepeda, Natalia Sánchez-Garrido, Alejandro Eliú Cedillo, Eduardo Cárdenas-Cárdenas

Abstract readPreprint
In one paragraph

Article in Research square, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Daniela Patino-HernándezHospital Universitario San Ignacio.
Mario Ulises Pérez-ZepedaInstituto Nacional de Geriatría.
Natalia Sánchez-GarridoInstituto Nacional de Geriatría.
Alejandro Eliú CedilloInstituto Nacional de Geriatría.
Eduardo Cárdenas-CárdenasCentro Médico Nacional 20 de Noviembre.

Funding

The Mexican Health and Aging Study - IIR01AG018016 · NIA · UNIVERSITY OF TEXAS MED BR GALVESTON · PI Rebeca Wong · 1999 to 2026
$22.6M
NIA NIH HHS R01 AG018016
6 · The paper itself

Abstract

Background: Cancer treatments are not a one-size-fits-all approach, treatment options are rarely studied in aging individuals, leading to worse outcomes related to increased vulnerability in this group of patients. Aims: Since frailty has shown the ability to modify outcomes, our study aims to assess if frailty modifies the association between performance status and days in bed with mortality risk in older adults with cancer. Methods: Our study is a secondary analysis of the Mexican Health and Aging Study, a cohort with a representative sample of individuals aged 50 years or older, with a baseline assessment in 2001 and follow-up data available for the years 2003, 2012, 2015, 2018 and 2021. We extracted the baseline variables from the main questionnaires, and the next-of-kin questionnaires were employed for information regarding mortality. We used Cox regression and Kaplan-Meier curves for survival analysis. Results: Our sample was composed of 318 individuals, with a mean age of 68.02 years (± SD 10.78), and 62.57% were women. Cox regression revealed that age was a significant risk factor for mortality in frail patients but not in those with low frailty levels. Discussion: in settings where access to a geriatric assessment is limited or would significantly delay cancer-specific therapies, assessing frailty might improve the accuracy of those available cancer prognostic tools that might underperform in frail older adults. Conclusions: Frailty evaluation improves the assessment of older adults living with cancer.

Indexed as

cancerDays in bedfrailtyolder adultsperformance status

Identifiers

PMID40321782
PMCPMC12048001

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.