Evidence map›Paper›PMID 40705263›Full record

ArticleAnnals of surgical oncology2025

Homecare After Cancer Surgery for Older Adults: Derivation and Validation of a Predictive Tool.

Julie Hallet, Tiago Ribeiro, Alyson L Mahar, Wing C Chan, Daniel I McIsaac, Anna Gombay, Anna Ding, Jessica Armah, Natalie Coburn, Amy T Hsu and 1 more

Abstract readValidation Study
PubMed Publisher
In one paragraph

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. 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

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

11 authors.

Julie HalletDepartment of Surgery, University of Toronto, Toronto, ON, Canada. julie.hallet@sunnybrook.ca.
Tiago RibeiroDepartment of Surgery, University of Toronto, Toronto, ON, Canada.
Alyson L MaharClinical Evaluative Sciences, Sunnybrook Research Institute, Toronto, ON, Canada.
Wing C ChanICES, Toronto, ON, Canada.
Daniel I McIsaacDepartments of Anesthesiology and Pain Medicine, University of Ottawa and The Ottawa Hospital, Ottawa, ON, Canada.
Anna GombayClinical Evaluative Sciences, Sunnybrook Research Institute, Toronto, ON, Canada.
Anna DingClinical Evaluative Sciences, Sunnybrook Research Institute, Toronto, ON, Canada.
Jessica ArmahClinical Evaluative Sciences, Sunnybrook Research Institute, Toronto, ON, Canada.
Natalie CoburnDepartment of Surgery, University of Toronto, Toronto, ON, Canada.
Amy T HsuOttawa Hospital Research Institute, Ottawa, ON, Canada.
members of the REcovery after Surgical Therapy for Older adults Research-Cancer (RESTORE-Cancer) group

Funding

Canadian Institutes for Health Research 419955Canadian Institutes for Health Research Ontario Cancer Research Institute.
6 · The paper itself

Abstract

backgroundNeed for home support after surgery is a patient-centred outcome and marker of functional recovery for older adults. We developed a risk prediction model, HOMECARE, to estimate the risk of using homecare for older adults after cancer surgery.

methodsWe conducted a population-based retrospective cohort study of adults ≥ 70 years having surgery for solid malignancy (2007-2019). Candidate predictors were preoperative sociodemographic and clinical factors. Receipt of immediate (within 1 month) and chronic (at 7-12 months) homecare was predicted. Internal validation used bootstraps with 500 samples with replacement. Logistic regression models were used. The predictive model included age, sex, rural residence, previous cancer diagnosis, frailty, prior homecare use, cancer site, cancer stage, and type of surgery. We performed bootstrap validation by using 500 samples with replacement.

resultsOf 93,883 patients included, 39,169 (41.7%) required immediate homecare; of the 88,252 alive after month 6 postoperatively, 22,031 (25%) required chronic homecare. For immediate homecare, the area-under-the-curve was 0.77 and the deviation of predicted from observed probability was - 0.002% (95% CI 0.004 to - 0.009). For chronic homecare, the area-under-the-curve was 0.76, and the deviation of predicted from observed probabilities was - 0.004% (95% CI 0.002 to - 0.009). Deviation between predicted and observed probabilities ranged from - 0.04 to 0.03% across risk deciles for immediate homecare and - 0.05 to 0.04% for chronic homecare.

conclusionsThe HOMECARE tool presents good discrimination and is well calibrated. Implemented as an online calculator, individualized risk estimates from this tool could support risk communication with older adults selected for cancer surgery.

Indexed as

AftercareHome Care ServicesNeoplasmsAgedAged, 80 and overFemaleFollow-Up StudiesHumansMalePrognosisRetrospective StudiesRisk Assessment

Identifiers

PMID40705263

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.