Perioperative medicine & outcomes
The Use of Frailty Scores for Screening the Surgical Risk Benefits: A Multidisciplinary Approach
Authors' conclusion
Medical optimization improved overall survival and reduced death within 30 days and 1 year to be comparable to G1.
Study context
- Population
- Patients evaluated by Multidisciplinary Surgical Pause Committees (MDSPCs) at one medical center over 12 years since 2011; mean age 71 ± 11 years; 87.3% ASA class III and IV12 women and 382 men
- Exposure
- G1 vs G2 vs G3 vs G4
- Outcome
- Mortality
- Follow-up
- 30-day
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
30-day mortality · 30 days
- Medical optimization (G2) reduced death within 30 days to be comparable to G1
Observational data: associations, not effects.
Further findings
Survival duration
| Outcome | G1 | G2 | G3 | G4 |
|---|---|---|---|---|
| Frailty Risk Analysis Index (RAI) score | 36.4 ± 9.6 | 37.4 ± 10.8 | 41.4 ± 9.3 | 44.2 ± 9.7 |
- Frailty Risk Analysis Index (RAI) score — G1 similar to G2 but lower than G3 and G4
- P < 0.001
- Survival duration — G1 and G2 significantly longer than G3 and G4
- P < 0.001
1-year mortality and overall survival
- Medical optimization (G2) improved overall survival and reduced death within 1 year to be comparable to G1
- Reducing surgical invasiveness (G3) improved survival advantage only for 6 months, after which it was comparable to G4 with the worst outcome
Original publication
The Use of Frailty Scores for Screening the Surgical Risk Benefits: A Multidisciplinary Approach. Ann Surg. Published 23 July 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →