2020
DOI: 10.1007/s00268-020-05691-z
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Modified Frailty Index is Useful in Predicting Non‐home Discharge in Elderly Patients with Gastric Cancer Who Undergo Gastrectomy

Abstract: Background Development of laparoscopic gastrectomy and the Enhanced Recovery After Surgery (ERAS) protocol enable early discharge to home of patients with gastric cancer (GC). However, a significant proportion of patients are still discharged to inpatient facilities after surgery. We aimed to identify predictive factors of non-home discharge in patients with GC who undergo gastrectomy. Methods We enrolled 517 patients with histopathologically confirmed diagnosis of GC who underwent gastrectomy. ResultsThe numb… Show more

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Cited by 16 publications
(8 citation statements)
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“…Apart from the abovementioned outcomes, frailty, as defined by the Modified Frailty Index, was an independent predictor of non-home discharge ( 26 ) and postoperative pulmonary infection ( 27 ) in elderly patients with gastric cancer who underwent gastrectomy. In patients with gastric cancer above the age of 80 years, frailty independently predicted the recurrence-free survival ( 13 ).…”
Section: Discussionmentioning
confidence: 99%
“…Apart from the abovementioned outcomes, frailty, as defined by the Modified Frailty Index, was an independent predictor of non-home discharge ( 26 ) and postoperative pulmonary infection ( 27 ) in elderly patients with gastric cancer who underwent gastrectomy. In patients with gastric cancer above the age of 80 years, frailty independently predicted the recurrence-free survival ( 13 ).…”
Section: Discussionmentioning
confidence: 99%
“…We evaluated preoperative frailty using the mFI and set the cutoff to 0.27 based on previous literature. 15,16 The patients were divided into two groups: the high mFI (≥ 0.27) and low mFI (< 0.27) groups. Then, we retrospectively examined their short-term postoperative outcomes.…”
Section: Patientsmentioning
confidence: 99%
“…Moreover, when compared to conventional postoperative management, enhanced recovery interventions in elderly and frail patients are associated with significantly shorter lengths of stay, with no significant increase in complication or readmission rates [ 120 ]. The routine use of frailty scores has been proposed [ 121 ] to allow clinicians to better tailor perioperative care, including: better patient selection for surgery [ 122 ]; identifying those who benefit most from Geriatrician/MDT input [ 123 ]; and more accurate discharge planning [ 124 ].…”
Section: Scope Of Erps and Special Casesmentioning
confidence: 99%