Modified Frailty Index Predicts Postoperative Outcomes in Patients Undergoing Radical Pelvic Surgery

Patients undergoing radical pelvic surgery such as proctectomy or radical cystectomy are at risk of experiencing a variety of complications. Frailty renders patients vulnerable to adverse events. We hypothesize that frailty measured preoperatively using a validated scoring system correlates with inc...

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Bibliographic Details
Published in:The American surgeon 2020-02, Vol.86 (2), p.95-103
Main Authors: Mcchesney, Shannon L., Canter, Daniel J., Monlezun, Dominique J., Green, Heather, Margolin, David A.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Case-Control Studies
Coma
Complications
Correlation analysis
Cystectomy - adverse effects
Cystectomy - mortality
Cystectomy - statistics & numerical data
Databases, Factual
Female
Frailty
Frailty - complications
Frailty - diagnosis
Frailty - mortality
Humans
Male
Medical personnel
Middle Aged
Morbidity
Mortality
Patients
Pelvis - surgery
Postoperative Complications - diagnosis
Postoperative Complications - etiology
Postoperative Complications - mortality
Postoperative Period
Prediction models
Predictive Value of Tests
Proctectomy - adverse effects
Proctectomy - mortality
Proctectomy - statistics & numerical data
Retrospective Studies
ROC Curve
Surgery
Treatment Outcome
Variables
Young Adult
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Description
Summary:Patients undergoing radical pelvic surgery such as proctectomy or radical cystectomy are at risk of experiencing a variety of complications. Frailty renders patients vulnerable to adverse events. We hypothesize that frailty measured preoperatively using a validated scoring system correlates with increased likelihood of experiencing Clavien-Dindo grade IV complications and 30-day mortality and may be used as a predictive model for patients preoperatively. The NSQIP database was queried for patients who underwent proctectomy or radical cystectomy from 2008 to 2012. Pre-operative frailty was calculated using the 11-point modified frailty index (MFI). Patients were scored based on the presence of indicators and categorized into two groups (
ISSN:0003-1348
1555-9823
DOI:10.1177/000313482008600222