Evidence map›Paper›PMID 42812755›Full record

ArticleLaryngoscope investigative otolaryngology2026

Radiologic Sarcopenia and Charlson Comorbidity Index in the Head and Neck Free Flap Population.

Alexandra Vacaru, Roy W Qu, Jacob Hauser, Elaine Sun, Kyler Barnett, Justin Kim, 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. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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
Elaine SunLoma Linda University School of Medicine Loma Linda California USA.ORCID https://orcid.org/0009-0007-2392-3309
Kyler BarnettLoma Linda University School of Medicine Loma Linda California USA.
Justin KimLoma Linda University School of Medicine 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

Objective: Determining operative risk in patients undergoing head and neck free flap surgery has traditionally been difficult. Psoas muscle mass, a proven frailty marker in abdominal surgery, has not been evaluated in this population. This study demonstrates that radiologic sarcopenia and comorbidity burden may identify patients at higher risk for non-home discharge. Methods: A retrospective review was performed on 308 patients who underwent head and neck free flap surgery and had preoperative abdominal CT scans between 2014 and 2024. Inverse Psoas Muscle Index (PMI) and Charlson Comorbidity Index (CCI) were analyzed to assess the impact of radiologic sarcopenia and comorbidity on discharge disposition. Results: Higher inverse PMI had increased odds of discharge non-home (OR 1.37, 95% CI 1.05-1.77, Conclusion: Lower psoas muscle mass, reflected by higher inverse PMI, independently predicts non-home discharge, supporting its role as a frailty marker in head and neck free flap patients. Patients with higher comorbidity burden, as measured by CCI, have higher odds of non-home discharge. Combining radiologic muscle assessment (inverse PMI) with comorbidity indices demonstrates strong predictive potential for non-home discharge.

Indexed as

Charlson comorbidity indexfree flappsoas musclesarcopenia

Identifiers

PMID42812755
PMCPMC13620296

What OpenQuestion holds

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Registered trials

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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.