Evidence map›Paper›PMID 40950570›Full record

ArticleLaryngoscope investigative otolaryngology2025

Modified 5-Item Frailty Index and Postoperative Outcomes Following Parotidectomy for Malignancy.

Ariana L Shaari, Keshav Kumar, Anthony M Saad, Aman M Patel, Paul Cowan, Andrey Filimonov, Ghayoour S Mir

Abstract read
In one paragraph

Article in Laryngoscope investigative otolaryngology, 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. Article
  2. 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

7 authors.

Ariana L ShaariDepartment of Otolaryngology Rutgers New Jersey Medical School Newark New Jersey USA.ORCID https://orcid.org/0000-0003-2611-6418
Keshav KumarDepartment of Otolaryngology Rutgers New Jersey Medical School Newark New Jersey USA.
Anthony M SaadDepartment of Otolaryngology Rutgers New Jersey Medical School Newark New Jersey USA.
Aman M PatelDepartment of Otolaryngology Rutgers New Jersey Medical School Newark New Jersey USA.ORCID https://orcid.org/0000-0003-0794-041X
Paul CowanDepartment of Otolaryngology Rutgers New Jersey Medical School Newark New Jersey USA.
Andrey FilimonovDepartment of Otolaryngology Rutgers New Jersey Medical School Newark New Jersey USA.ORCID https://orcid.org/0000-0002-4285-5862
Ghayoour S MirDepartment of Otolaryngology Rutgers New Jersey Medical School Newark New Jersey USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Frailty is a predictor of poor outcomes following surgery for malignancy. Our study investigates the association between the modified 5-item frailty index (mFI-5) and postoperative outcomes following parotidectomy for malignancy. Study Design: Cross-sectional database study. Setting: National Surgical Quality Improvement Program (NSQIP). Methods: The 2005-2018 NSQIP was retrospectively queried for patients undergoing parotidectomy for malignancy. Cases were stratified by the modified 5-item frailty index (mFI-5), which was calculated by the presence of 5 comorbidities: hypertension requiring medication, diabetes mellitus, congestive heart failure in the last 30 days, lung pathology, and functional health status. Univariate and multivariate analyses were performed to identify associations between mFI-5 and demographic, comorbid, and complication variables. Results: A total of 14,567 patients were identified and stratified by the mFI-5. Univariate analysis showed an increasing incidence of American Society of Anesthesiologists (ASA) class, all comorbidities, and all complications with increasing mFI-5 score ( Conclusion: The mFI-5 is associated with increased incidence of comorbidities and complications, as well as increased odds of surgical complications, unplanned readmission, and reoperation in patients undergoing parotidectomy for malignancy, independent of age and ASA class. The mFI-5 can be utilized in the risk stratification of these patients.

Identifiers

PMID40950570
PMCPMC12432421

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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.