Evidence map›Paper›PMID 41907334›Full record

ArticleIndian journal of anaesthesia2026

Impact of pre-operative frailty on hospital length of stay in major abdominal oncological surgeries: A prospective, observational study.

Juhi Sharma, Saurabh Vig, Rajeev Malhotra, Sanjay Thulkar, Seema Mishra, Sushma Bhatnagar

Abstract read
In one paragraph

Article in Indian journal of anaesthesia, 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

6 authors.

Juhi SharmaDepartment of Onco-Anaesthesia and Palliative Medicine, All India Institute of Medical Sciences, New Delhi, India.ORCID https://orcid.org/0009-0002-1186-3357
Saurabh VigDepartment of Onco-Anaesthesia and Palliative Medicine, All India Institute of Medical Sciences, New Delhi, India.ORCID https://orcid.org/0000-0001-9165-3944
Rajeev MalhotraEx Scientist (Statistics), Delhi Cancer Registry, All India Institute of Medical Sciences (AIIMS), New Delhi, India.ORCID https://orcid.org/0000-0002-2249-7754
Sanjay ThulkarDiagnostic and Interventional Onco-Radiology, All India Institute of Medical Sciences, New Delhi, India.ORCID https://orcid.org/0000-0002-2785-5530
Seema MishraDepartment of Onco-Anaesthesia and Palliative Medicine, All India Institute of Medical Sciences, New Delhi, India.ORCID https://orcid.org/0000-0001-9233-809X
Sushma BhatnagarOnco-Anaesthesia, Critical Care, Pain Management, and Palliative Care, Max Saket, New Delhi, India.ORCID https://orcid.org/0000-0002-2097-7180

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: Frailty increases vulnerability to stressors, negatively impacting cancer outcomes. We evaluated the association between pre-operative frailty and post-operative outcomes in Indian patients undergoing major abdominal cancer surgery and explored ultrasound-based sarcopenia markers for frailty screening. Methods: Frailty was assessed using the Fried Frailty Phenotype. The primary outcome was hospital length of stay (LOS); secondary outcomes included severe complications (Clavien-Dindo III/IV), intensive care unit stay, and 30- and 90-day mortality. Pre-operative ultrasound-guided quadriceps thickness and rectus femoris cross-sectional area (CSA) were measured, and their cut-off values were derived via receiver operating characteristic (ROC) curves as screening parameters for pre-operative frailty. Results: Among 142 patients, 68 (47.8%) were frail. Frail patients had longer hospital stays {median 9 vs. 6 days; relative risk (RR) 1.20 [95% confidence interval (CI) 1.02 to 1.41]}; Conclusion: Frailty prolongs hospital stay but not complications or mortality. Ultrasound alone poorly predicts frailty. Combining pre-operative anaemia improves the predictive value of rectus femoris ultrasound assessment.

Indexed as

Frailtyrectus femorissarcopeniaultrasonography

Identifiers

PMID41907334
PMCPMC13020949

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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.