Evidence map›Paper›PMID 41310498›Full record

SynthesisBMC geriatrics2025

Frailty as a predictor of postoperative outcomes in older gastroesophageal cancer patients: a systematic review and meta-analysis.

Fei Zhang, Ying Yan, Baifeng Li, Chunlin Ge

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC geriatrics, 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. Review
  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

4 authors.

Fei ZhangDepartment of Hepatobiliary and Pancreatic Surgery, The First Hospital of China Medical University, Shenyang, 110001, China. zhangfei@cmu.edu.cn.
Ying YanDepartment of Urinary Surgery, Northeast International Hospital, Shenyang, 110623, China.
Baifeng LiDepartment of Hepatobiliary and Pancreatic Surgery, The First Hospital of China Medical University, Shenyang, 110001, China.
Chunlin GeDepartment of Hepatobiliary and Pancreatic Surgery, The First Hospital of China Medical University, Shenyang, 110001, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFrailty disproportionately impacts older patients with cancer, rendering them at increased risk for poor surgical outcomes. However, the impact of frailty on postoperative outcomes in the population with older gastroesophageal cancer remains unknown.

methodsSystematic review and meta-analysis of studies reporting frailty in older gastroesophageal cancer surgery patients searching Embase, PubMed, Scopus, and Web of Science. The pooled prevalence and odds ratio (OR) with 95% confidence intervals (CI) for mortality and complications estimates were analyzed. The quality of the studies was assessed using the Newcastle-Ottawa Scale (NOS). Data were pooled using random-effects models.

resultsA total of 16 studies involving 6143 older patients with gastroesophageal cancer were included. The prevalence of frailty in older gastroesophageal cancer patients was 28% (95% CI = 20-36; p < 0.0001). Frailty was associated with an increased odds ratio for mortality (OR = 2.66; 95% CI = 1.49-4.78; p = 0.0010) and major complication (OR = 2.65; 95% CI = 2.17-3.25; p < 0.0001) compared with non-frail older gastric cancer patients, adjusted for potential confounders.

conclusionFrailty is frequent in older gastroesophageal cancer patients and may predict adverse outcomes in older gastroesophageal cancer with surgery. The findings underline the significance of frailty evaluation among this population.

Indexed as

Esophageal NeoplasmsFrailtyPostoperative ComplicationsStomach NeoplasmsAgedHumansPredictive Value of TestsTreatment OutcomeElderlyFrailtyGastroesophageal cancerOutcomesSurgery

Identifiers

PMID41310498
PMCPMC12882483

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.