Evidence map›Paper›PMID 41042491›Full record

ArticleIrish journal of medical science2025

Assessing the use of modified 5-item frailty index as a prognostic marker of long-term survival and perioperative outcomes after radical cystectomy for bladder cancer.

Ubeyd Sungur, Nahide Kerim Özfiliz, Mithat Ekşi, Taner Kargı, Serdar Karadağ, Alper Bitkin

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Article in Irish journal of medical science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Ubeyd SungurUniversity of Health Sciences, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Department of Urology, Zuhuratbaba Mah, Dr. Tevfik Sağlam Cd No:11, 34147, Bakırköy, Istanbul, Turkey. ubeydsungur@gmail.com.ORCID http://orcid.org/0000-0002-8910-9859
Nahide Kerim ÖzfilizUniversity of Health Sciences, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Department of Urology, Zuhuratbaba Mah, Dr. Tevfik Sağlam Cd No:11, 34147, Bakırköy, Istanbul, Turkey.ORCID http://orcid.org/0009-0007-6877-1118
Mithat EkşiUniversity of Health Sciences, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Department of Urology, Zuhuratbaba Mah, Dr. Tevfik Sağlam Cd No:11, 34147, Bakırköy, Istanbul, Turkey.ORCID http://orcid.org/0000-0003-1490-3756
Taner KargıUniversity of Health Sciences, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Department of Urology, Zuhuratbaba Mah, Dr. Tevfik Sağlam Cd No:11, 34147, Bakırköy, Istanbul, Turkey.ORCID http://orcid.org/0000-0001-5874-3489
Serdar KaradağUniversity of Health Sciences, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Department of Urology, Zuhuratbaba Mah, Dr. Tevfik Sağlam Cd No:11, 34147, Bakırköy, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-1420-4536
Alper BitkinUniversity of Health Sciences, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Department of Urology, Zuhuratbaba Mah, Dr. Tevfik Sağlam Cd No:11, 34147, Bakırköy, Istanbul, Turkey.ORCID http://orcid.org/0000-0003-4724-3053

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimThis study investigated the relationship between preoperative Modified 5-item Frailty Score (mFI-5) and long-term survival as well as 30-day postoperative complications in patients who underwent radical cystectomy for bladder cancer.

methodsPatients who underwent radical cystectomy between 2012-2023 were analyzed and divided into two groups based on their mFI-5 scores: low-risk (≤ 1) and high-risk (≥ 2). Overall survival (OS), cancer-specific survival (CSS), and 30-day postoperative complications were compared between these groups. Additionally, Cox proportional hazards regression analysis was used to examine the impact of the mFI-5 score on OS and CSS.

resultsOur study included 288 patients with an average age of 63.8 ± 9.1 years at the time of surgery. Patients with a low mFI-5 score comprised 77.4% (n = 223) of the cohort, while 22.6% (n = 65) had a high mFI-5 score. The majority of patients had advanced-stage disease (pT3-pT4 for 53.8% (n = 155)). Patients with a high mFI-5 score demonstrated significantly worse OS and CSS compared to those with a low mFI-5 score (p = 0.002 and p = 0.007, respectively). Although 30-day mortality rates were significantly higher in the high mFI-5 score group (p = 0.002), the difference in overall complication rates was not statistically significant (p = 0.120). In multivariate Cox proportional hazards analysis, the mFI-5 score was identified as an independent predictor for both OS and CSS (p = 0.001 and p = 0.003, respectively).

conclusionmFI-5 score can provide valuable prognostic information regarding survival after radical cystectomy in bladder cancer patients, based on preoperative findings. It is an independent predictor of long-term survival.

Indexed as

CystectomyFrailtyUrinary Bladder NeoplasmsAgedFemaleHumansMaleMiddle AgedPostoperative ComplicationsPrognosisProportional Hazards ModelsRetrospective StudiesBladder cancerFrailtyPrognosisRadical cystectomy

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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.