Development and Evaluation of a New Frailty Index for Older Surgical Patients With Cancer

Shahrokni, Armin; Tin, Amy; Krause, Alexander; Sarraf, Saman; Afonso, Anoushka M.; Filippova, Olga T.; Harris, Jennifer W.; Downey, Robert J.; Vickers, Andrew; Korc‐Grodzicki, Beatriz

doi:10.1001/jamanetworkopen.2019.3545

Cited by 85 publications

(61 citation statements)

References 29 publications

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“…The development of the MSK-FI has been described elsewhere. 17 In brief, the MSK-FI was developed at Memorial Sloan Kettering on the basis of International Classification of Diseases, Ninth Revision ( ICD-9 ) 29 or International Statistical Classification of Diseases, Tenth Revision (ICD-10) 30 codes and includes 10 comorbid conditions and 1 item related to impairment of the 5 activities of daily living. 18 Scores for the MSK-FI range from 0 to 11, with higher scores indicating more frailty.…”

Section: Methodsmentioning

confidence: 99%

“…We have previously shown that the MSK-FI is associated with the previously validated geriatric assessment and with postoperative outcomes of older patients with cancer. 17 Preoperative albumin level was measured in specimens drawn within 30 days before surgical treatment. We report adjusted 90-day mortality with corresponding 95% CIs around the difference in rates for the 2 groups.…”

Section: Methodsmentioning

confidence: 99%

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Association of Geriatric Comanagement and 90-Day Postoperative Mortality Among Patients Aged 75 Years and Older With Cancer

et al. 2020

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Key Points Question Is collaboration between geriatricians and surgeons in the perioperative care of older patients with cancer associated with postoperative outcomes? Findings In this cohort study including 1892 patients aged 75 years and older, the adjusted probability of death within 90 days after surgery was 4.3% for patients who received geriatric comanagement of care, compared with 8.9% for patients who received care management from the surgical service only. Meaning These findings suggest that when feasible, older patients undergoing surgical treatment for cancer should receive geriatric care comanagement as part of their perioperative care.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Association of Geriatric Comanagement and 90-Day Postoperative Mortality Among Patients Aged 75 Years and Older With Cancer

et al. 2020

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“…The last clinical factor that emerged from our study was the association with neoplastic conditions: our study suggested a longer LOS for these patients. The associated frailty and possible extra needs of these patients as suggested by Shahrokni et al, should be taken into account and assessed with specific tools [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

Predicting Length of Stay and Discharge Destination for Surgical Patients: A Cohort Study

Bert

Kakaa²,

Corradi³

et al. 2020

IJERPH

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Discharge planning is important to prevent surgical site infections, reduce costs, and improve the hospitalization experience. The identification of early variables that can predict a longer-than-expected length of stay or the need for a discharge with additional needs can improve this process. A cohort study was conducted in the largest hospital of Northern Italy, collecting discharge records from January 2017 to January 2020 and pre-admission visits in the last three months. Socio-demographic and clinical data were collected. Linear and logistic regression models were fitted. The main outcomes were the length of stay (LOS) and discharge destination. The main predictors of a longer LOS were the need for additional care at discharge (+10.76 days), hospitalization from the emergency department (ED) (+5.21 days), and age (+0.04 days per year), accounting for clinical variables (p < 0.001 for all variables). Each year of age and hospitalization from the ED were associated with a higher probability of needing additional care at discharge (OR 1.02 and 1.77, respectively, p < 0.001). No additional findings came from pre-admission forms. Discharge difficulties seem to be related mainly to age and hospitalization procedures: those factors are probably masking underlying social risk factors that do not show up in patients with planned admissions.

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“…The unreimbursed cost to the family and time spent needs to be recognized. Because of much of geriatric assessment a self-administered we need to be creative in using information technology to accumulate and analyze the data that is needed to make interventions and to allow us to assess outcomes appropriately [8][9][10]. And of course, health care providers need additional time to take care of these patients with her complex issues.…”

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confidence: 99%

Geriatricizing clinical trials: The legacy of Arti Hurria, MD

Lichtman

2020

Journal of Geriatric Oncology

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Development and Evaluation of a New Frailty Index for Older Surgical Patients With Cancer

Cited by 85 publications

References 29 publications

Association of Geriatric Comanagement and 90-Day Postoperative Mortality Among Patients Aged 75 Years and Older With Cancer

Association of Geriatric Comanagement and 90-Day Postoperative Mortality Among Patients Aged 75 Years and Older With Cancer

Predicting Length of Stay and Discharge Destination for Surgical Patients: A Cohort Study

Geriatricizing clinical trials: The legacy of Arti Hurria, MD

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