Evidence map›Paper›PMID 41716189›Full record

ArticleLaryngoscope investigative otolaryngology2026

Comorbidity and Frailty Indices Predict Disposition in Head and Neck Free Flap Patients.

Alexandra Vacaru, Roy W Qu, Jacob Hauser, Traeden Wilson, Everett Young, Matthew Harmon, Jared C Inman

Abstract read
In one paragraph

Article in Laryngoscope investigative otolaryngology, 2026. 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.

Alexandra VacaruLoma Linda University School of Medicine Loma Linda California USA.ORCID https://orcid.org/0009-0005-1678-035X
Roy W QuDepartment of Otolaryngology-Head and Neck Surgery Loma Linda University Health Loma Linda California USA.ORCID https://orcid.org/0000-0002-4689-819X
Jacob HauserLoma Linda University School of Medicine Loma Linda California USA.ORCID https://orcid.org/0000-0002-4363-3487
Traeden WilsonDepartment of Otolaryngology-Head and Neck Surgery Loma Linda University Health Loma Linda California USA.
Everett YoungLoma Linda University School of Medicine Loma Linda California USA.ORCID https://orcid.org/0009-0009-9996-2122
Matthew HarmonDepartment of Otolaryngology-Head and Neck Surgery Loma Linda University Health Loma Linda California USA.
Jared C InmanDepartment of Otolaryngology-Head and Neck Surgery Loma Linda University Health Loma Linda California USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Comorbidity and frailty indices have been used to predict postoperative outcomes, but their reliability in predicting postoperative disposition to nonhome settings after head and neck free flap surgery remains unclear. To evaluate whether indices predict disposition to nonhome settings in patients undergoing head and neck free flap surgery. Methods: Retrospective cohort study of 671 patients who underwent head and neck free flap surgery between September 1, 2014, and September 1, 2024; recurrent cases were excluded. The relationships of frailty indices with postoperative disposition (home vs. nonhome settings), hospital length of stay (LOS), and intensive care unit (ICU) LOS were analyzed. Indices assessed were Charlson Comorbidity Index (CCI), American Society of Anesthesiologists (ASA) status, modified frailty index (mFI), and Washington University Head and Neck Comorbidity Index (WUHNCI). Primary outcome was postoperative disposition (discharge to home or nonhome settings). Secondary outcomes included hospital and ICU LOS. Results: Mean age was 64 ± 16 years, with 63% discharged home. Higher index scores were associated with nonhome disposition ( Conclusion: Indices, particularly the CCI, predict discharge disposition and LOS after head and neck free flap surgery. These indices may aid clinicians in counseling patients and families during preoperative planning. Level of Evidence: 3.

Indexed as

Charlson Comorbidity Indexfrailtyfrailty indexfree flaphead and neck cancer

Identifiers

PMID41716189
PMCPMC12913215

What OpenQuestion holds

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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.