Evidence map›Paper›PMID 41591528›Full record

ArticleSurgery today2026

Evaluation of the Japanese National clinical database risk calculator as a surrogate frailty assessment tool for older adults with colorectal cancer.

Masahiko Sugiyama, Tomohiro F Nishijima, Naomichi Koga, Takahiro Tomino, Takeshi Kurihara, Yuta Kasagi, Yasue Kimura, Keishi Sugimachi, Masaru Morita

Abstract read
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In one paragraph

Article in Surgery today, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

9 authors.

Masahiko SugiyamaDepartment of Gastroenterological Surgery, NHO Kyushu Cancer Center, 3- 1-1 Notame, Minami-ku Fukuoka city, Fukuoka, 811-1395, Japan. sugiyama.ms.jcom@jcom.home.ne.jp.
Tomohiro F NishijimaGeriatric Oncology Service, NHO Kyushu Cancer Center, Fukuoka, Japan.
Naomichi KogaDepartment of Gastroenterological Surgery, NHO Kyushu Cancer Center, 3- 1-1 Notame, Minami-ku Fukuoka city, Fukuoka, 811-1395, Japan.
Takahiro TominoDepartment of Hepato billary pancreatic Surgery, NHO Kyushu Cancer Center, Fukuoka, Japan.
Takeshi KuriharaDepartment of Hepato billary pancreatic Surgery, NHO Kyushu Cancer Center, Fukuoka, Japan.
Yuta KasagiDepartment of Gastroenterological Surgery, NHO Kyushu Cancer Center, 3- 1-1 Notame, Minami-ku Fukuoka city, Fukuoka, 811-1395, Japan.
Yasue KimuraDepartment of Gastroenterological Surgery, NHO Kyushu Cancer Center, 3- 1-1 Notame, Minami-ku Fukuoka city, Fukuoka, 811-1395, Japan.
Keishi SugimachiDepartment of Hepato billary pancreatic Surgery, NHO Kyushu Cancer Center, Fukuoka, Japan.
Masaru MoritaDepartment of Gastroenterological Surgery, NHO Kyushu Cancer Center, 3- 1-1 Notame, Minami-ku Fukuoka city, Fukuoka, 811-1395, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess whether frailty in older adults undergoing colorectal cancer surgery correlates with perioperative complication risks predicted by the Japanese National Clinical Database (NCD) Risk Calculator.

methodsThe subjects of this retrospective study were 143 patients aged ≥ 75 years, who underwent comprehensive geriatric assessment (CGA) before elective colorectal tumor resection at the NHO Kyushu Cancer Center (2018-2023). Frailty was evaluated using the 10-item CGA Frailty Index (FI-CGA-10) and the Robinson Frailty Score (RFS). Correlation and receiver operating characteristic (ROC) analyses were performed, with validation using descriptive statistics based on cutoff values derived from the ROC analysis.

resultsThe median age of the patients was 80 years and frailty (FI-CGA-10 > 0.35 or RFS > 4) was identified in 29%. Both FI-CGA-10 (r = 0.8086) and RFS (r = 0.7362) showed strong correlations with the predicted postoperative fall risk. ROC analysis identified 52.0% and 46.1% of the patients as having optimal fall risk thresholds for detecting frailty, using FI-CGA-10 and RFS, respectively. Validation showed that patients with a predicted fall risk ≥ 52% had significantly higher rates of receiving palliative treatment, suffering postoperative complications, and not being discharged home.

conclusionThe NCD Risk Calculator may serve as a practical surrogate for frailty assessment in older patients undergoing colorectal cancer surgery, particularly in resource-limited settings.

Indexed as

Colorectal NeoplasmsDatabases, FactualFrail ElderlyFrailtyGeriatric AssessmentAgedAged, 80 and overColorectal Surgical ProceduresEast Asian PeopleFemaleHumansJapanMalePostoperative ComplicationsRetrospective StudiesRisk AssessmentColorectal cancerGeriatric assessmentNCD risk calculator

Identifiers

PMID41591528

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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.