Frailty for Surgeons: Review of a National Institute on Aging Conference on Frailty for Specialists
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Robinson, Thomas N. MD, MS, FACS; Walston, Jeremy D. MD; Brummel, Nathan E. MD, MSCI; Deiner, Stacie MD, MS; Brown, Charles H. IV MD, MHS; Kennedy, Maura MD, MPH; Hurria, Arti MD Author Information
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Measures of frailty are more sensitive predictors of surgical outcomes in older patients than measures of comorbidities or ASA status alone.
“Measures of frailty, a state characterized by increased vulnerability to maintaining homeostasis after a stressful event, are more sensitive predictors of surgical outcomes in older patients than measures of comorbidities or the American Society of Anesthesiologists (ASA) status alone.6”
From Outcomes by frailty and mobility in older patients undergoing major urogynecologic surgery: a planned supplementary study of the apical suspension repair for vault prolapse in a three-arm randomized (ASPIRe) trial (2026) · cites this paper as [6]
The ‘Defining Frailty’ section describes increased vulnerability to stressors, and ‘Preoperative risk assessment’ says frailty assessment forecasts complications, length of stay, discharge needs, and death. Neither section establishes that frailty measures are more sensitive predictors than comorbidity measures or ASA status alone. Page numbers were not supplied in our copy. (LLM, conf=0.86)
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- Authors
- Robinson, T. N., Walston, J. D., Brummel, N. E., Deiner, S., Brown, C. H., Kennedy, M., & Hurria, A.
- Affiliations
- University of Colorado Denver (US)
- Johns Hopkins University (US)
- Vanderbilt University (US)
- Icahn School of Medicine at Mount Sinai (US)
- Beth Israel Deaconess Medical Center (US)
- City Of Hope National Medical Center (US)
- Corresponding author
- Robinson, Thomas N.
- Venue
- Journal of the American College of Surgeons
- Published
- 2015-12
- Volume
- 221
- Issue
- 6
- Pages
- 1083-1092
- ISSN
- 1072-7515 (ISSN-L)
- PMC
- PMC4673051
- OpenAlex
- W2175060565
- Cited by
- 304
- References
- 67
- Citations by year
- 2026: 15 · 2025: 28 · 2024: 33 · 2023: 26 · 2022: 32 · 2021: 29 · 2020: 42 · 2019: 32 · 2018: 17 · 2017: 37 · 2016: 11 · 2015: 1 · 2014: 1
- FWCI
- 11.04
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of the American College of Surgeons (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (KL2TR000446)
- National Institute on Aging (R03AG045095, R03AG040549, P30AG02133, K23AG048332, U13AG048721, P30AG021334)
- National Heart, Lung, and Blood Institute (T32HL087738)
- National Center for Advancing Translational Sciences
- Topics
- Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Health Sciences › Medicine › Geriatrics and Gerontology › Pharmaceutical Practices and Patient Outcomes
- Keywords
- frailty, frailty assessment, surgical patients, geriatric surgery, older adults, frailty screening
- MeSH terms
- Aged, Aged, 80 and over, Health Status, Humans, Surgical Procedures, Operative, United States, Frail Elderly, Risk Assessment, Patient Selection
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