Evidence map›Paper›PMID 42258005›Full record

Observational studySupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2026

Impact of CGA and Surgical Risk Calculator before elective cancer surgery on postoperative delirium in elderly patients.

Alexia Foo Cheung, Aude Ansel-Wallois, Mohamed Boucekine, Patrick Villani, Romain Boissier, Gilles Karsenty, Martin Pénicaud, Nicolas Fakhry, Pascal-Alexandre Thomas, Anne-Laure Couderc

Abstract readObservational Study
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In one paragraph

Observational study in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2026. 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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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Alexia Foo CheungDepartment of Internal Medicine, Geriatrics and Therapeutic, AP-HM, Marseille, France.
Aude Ansel-WalloisCEReSS, Research Centre on Health Services and Quality of Life, AP-HM, Aix Marseille Univ, Marseille, France.
Mohamed BoucekineCEReSS, Research Centre on Health Services and Quality of Life, AP-HM, Aix Marseille Univ, Marseille, France.
Patrick VillaniDepartment of Internal Medicine, Geriatrics and Therapeutic, AP-HM, Marseille, France.
Romain BoissierDepartment of Urology, AP-HM, Marseille, France.
Gilles KarsentyDepartment of Urology, AP-HM, Marseille, France.
Martin PénicaudDepartment of Oto-Rhino-Laryngology-Head and Neck Surgery, La Conception Univ Hospital, AP-HM, Marseille, France.
Nicolas FakhryDepartment of Oto-Rhino-Laryngology-Head and Neck Surgery, La Conception Univ Hospital, AP-HM, LPL, Aix Marseille Univ, Marseille, France.
Pascal-Alexandre ThomasDepartment of Thoracic Surgery, AP-HM, Marseille, France.
Anne-Laure CoudercDepartment of Internal Medicine, Geriatrics and Therapeutic, AP-HM, Marseille, France. anne-laure.couderc@ap-hm.fr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Comprehensive Geriatric Assessment (CGA) is part of preoperative evaluation for frail elderly patients; Surgical Risk Calculator (SRC) from the American College of Surgeons National Surgical Quality Improvement Project can enhance this assessment by estimating the risk of postoperative complications (POCs) within 30 days, particularly postoperative delirium (POD).

objectivesOur primary objective was to identify CGA and/or SRC characteristics associated with POD within 30 days of oncological surgery in elderly patients. Our secondary objective was to determine the rates of 30-day POD, mortality, and readmission.

methodA single-centre retrospective observational study was conducted at the Marseille University Hospital between July 2021 and December 2022, involving patients aged 70 years and older who received a favourable geriatric assessment prior to surgery.

resultsOf the 161 patients included in the study (mean age of 80.6 years), 10.0% experienced postoperative delirium (POD), 8.1% died, and 14.9% were readmitted within 30 days of surgery. Risk factors for POD identified in multivariate analysis were age between 85 and 89 years and estimated risk of POD by SRC. Estimated risk of POD by SRC had an area under the curve of 0.89 in our sample.

conclusionSRC is a promising tool to add to CGA for assessing the risk of postoperative delirium in older cancer patients. Taking nutritional status into account improves postoperative geriatric care in this population.

Indexed as

DeliriumElective Surgical ProceduresGeriatric AssessmentNeoplasmsPostoperative ComplicationsAgedAged, 80 and overFemaleHumansMalePatient ReadmissionRetrospective StudiesRisk AssessmentRisk FactorsCancerComprehensive Geriatric AssessmentElderly patientElective surgeryPostoperative deliriumSurgical Risk Calculator

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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.