Evidence map›Paper›PMID 40369395›Full record

ArticleAnnals of surgical oncology2025

Same Day Discharges Among Elderly Mastectomy Patients: A Single Institution Prospective Study.

Jessica C Gooch, Qi Ying McClelland, Kathryn Paschalis, Jenna Dobbins, Allison Magnuson, Chelsea Marin, Maya Anand, Kristin Skinner, Ann Olzinski-Kunze, Anna Weiss

Abstract read
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Article in Annals of surgical oncology, 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

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

2 citing papers in PubMed.

  1. Trial
  2. Article
4 · The record

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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

10 authors.

Jessica C GoochDivision of Surgical Oncology, Department of Surgery, University of Rochester Medical Center, Rochester, NY, USA.
Qi Ying McClellandDepartment of Surgery, University of Rochester Medical Center, Rochester, NY, USA.
Kathryn PaschalisDepartment of Surgery, University of Rochester Medical Center, Rochester, NY, USA.
Jenna DobbinsDivision of Surgical Oncology, Department of Surgery, University of Rochester Medical Center, Rochester, NY, USA.
Allison MagnusonDepartment of Surgery, University of Rochester Medical Center, Rochester, NY, USA.
Chelsea MarinDepartment of Surgery, University of Rochester Medical Center, Rochester, NY, USA.
Maya AnandUniversity of Rochester School of Medicine and Dentistry, Rochester, NY, USA.
Kristin SkinnerDivision of Surgical Oncology, Department of Surgery, University of Rochester Medical Center, Rochester, NY, USA.
Ann Olzinski-KunzeDivision of Surgical Oncology, Department of Surgery, University of Rochester Medical Center, Rochester, NY, USA.
Anna WeissDivision of Surgical Oncology, Department of Surgery, University of Rochester Medical Center, Rochester, NY, USA. Anna_weiss@urmc.rochester.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSame-day mastectomy is safe and high value. However, patients ≥ 65 years are less likely to be discharged compared with younger patients. Our aim was to implement a protocol to increase the rate of elderly same-day discharge. PATIENTS AND

methodsPatients were screened by 5-factor modified frailty index and notification of frailty status was sent to surgeons. Patients with moderate-to-high frailty were encouraged to have prehabilitation. Chart review collected demographic/clinicopathologic variables, length of stay, and complications. The primary endpoint was same-day discharge, and sample size determination was 50 patients. Our discharge rate was compared with our historic rate (18.8% March 2022 to February 2023) by Fisher's exact test.

resultsFrom March 2023 to January 2024, 306 patients aged ≥ 65 years were screened. Overall, 55 patients underwent a total of 57 mastectomies (18.6%). Median age was 72 years (range: 65-99). Frailty scores ranged from 0 to 4. In total, 11 patients (19.3%) had a score of zero, 41 (71.9%) scored 1 or 2, and 5 patients (8.8%) scored 3 or 4. Seven patients were referred to geriatric oncology for prehabilitation: one non-frail, four with low frailty, and two with moderate frailty. The median length of stay (LOS) was 0 days (range: 0-21). Thirty-two mastectomies had same-day discharge (56.1%), significantly higher than historic data (P < 0.00001).

conclusionsWe increased same-day discharges for patients ≥ 65 years from 18.8% to 56.1%. This protocol included a simple frailty screening and a weekly email. Future directions include increasing the proportion of patients who receive geriatric oncology prehabilitation referrals and evaluating patient-reported outcomes.

Indexed as

Breast NeoplasmsFrailtyLength of StayMastectomyPatient DischargeAgedAged, 80 and overFemaleFollow-Up StudiesGeriatric AssessmentHumansPostoperative ComplicationsPrognosisProspective StudiesBreast cancerElderlyElderly breast cancerEnhanced recovery after surgerySame-day dischargeSame-day mastectomy

Identifiers

PMID40369395

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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.