Classifying frailty in the ventral hernia population
Introduction Frailty is increasingly recognized as a preoperative predictor of adverse outcomes following various surgical procedures. Our study aims to compare validated frailty measures in the ventral hernia population, as this is a common elective procedure with a paucity of data regarding frailt...
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| description | Introduction
Frailty is increasingly recognized as a preoperative predictor of adverse outcomes following various surgical procedures. Our study aims to compare validated frailty measures in the ventral hernia population, as this is a common elective procedure with a paucity of data regarding frailty prevalence.
Methods
Patients aged 18 years or older with planned ventral hernia repairs were prospectively enrolled in our single-institution study from January 2023 through June 2023. After obtaining informed consent, patients completed the Fried Frailty Index (FFI), the FRAIL Scale, and the Strength, Assistance walking, Rising from a chair, Climbing stairs, and Falls (SARC-F) questionnaires, as well as the standard completion of the Patient-Reported Outcomes Measurement Information System (PROMIS) measures at their preoperative clinic appointment. Chart review was performed for baseline demographics and comorbidities. The Modified Frailty Index (mFI-11) and the Charleston Comorbidity Index (CCI) were calculated.
Results
A total of 63 patients were enrolled in our study. On average, the population was 60 years old, with a BMI of 32.4 kg/m
2
, a CCI of 3, and on 10.5 medications preoperatively. Overall, 12 patients (19%) screened positive for frailty by the mFI-11, 17 patients (27%) by the FFI, 15 patients (23.8%) by the FRAIL Scale, and 15 patients (23.8%) screened positive for sarcopenia by SARC-F. The FFI and the FRAIL Scale were strongly correlated with the other measures by Spearman’s rank-order correlation (
p
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| doi_str_mv | 10.1007/s00464-024-11250-7 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3106734870</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3138976636</sourcerecordid><originalsourceid>FETCH-LOGICAL-c256t-919fc43a65fbd1d02088c56cc36d9b3601cad67556ff9a9a810308e608e4c253</originalsourceid><addsrcrecordid>eNp9kD1PwzAQhi0EoqXwBxhQJBaWwPkjdjyiii-pEkt3y3Xs1lWaBDtB6r_HkAISA8PphnvuvdOD0CWGWwwg7iIA4ywHwnKMSQG5OEJTzCjJCcHlMZqCpJATIdkEncW4hcRLXJyiCZVEMorZFLF5rWP0bu-bdeaC9nW_z3yT9RubvdumD7rONjY0Xmdd2w217n3bnKMTp-toLw59hpaPD8v5c754fXqZ3y9yQwre5xJLZxjVvHCrCldAoCxNwY2hvJIrygEbXXFRFNw5qaUuMVAoLU_FUgKdoZsxtgvt22Bjr3Y-GlvXurHtEBXFwAVlpYCEXv9Bt-0QmvRcomgpBeeUJ4qMlAltjME61QW_02GvMKhPpWpUqpJS9aVUibR0dYgeVjtb_ax8O0wAHYGYRs3aht_b_8R-ADcYf3o</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3138976636</pqid></control><display><type>article</type><title>Classifying frailty in the ventral hernia population</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Huggins, Ashley ; Casson, Cameron ; Holden, Tim ; Majumder, Arnab ; Blatnik, Jeffrey ; Holden, Sara E.</creator><creatorcontrib>Huggins, Ashley ; Casson, Cameron ; Holden, Tim ; Majumder, Arnab ; Blatnik, Jeffrey ; Holden, Sara E.</creatorcontrib><description>Introduction
Frailty is increasingly recognized as a preoperative predictor of adverse outcomes following various surgical procedures. Our study aims to compare validated frailty measures in the ventral hernia population, as this is a common elective procedure with a paucity of data regarding frailty prevalence.
Methods
Patients aged 18 years or older with planned ventral hernia repairs were prospectively enrolled in our single-institution study from January 2023 through June 2023. After obtaining informed consent, patients completed the Fried Frailty Index (FFI), the FRAIL Scale, and the Strength, Assistance walking, Rising from a chair, Climbing stairs, and Falls (SARC-F) questionnaires, as well as the standard completion of the Patient-Reported Outcomes Measurement Information System (PROMIS) measures at their preoperative clinic appointment. Chart review was performed for baseline demographics and comorbidities. The Modified Frailty Index (mFI-11) and the Charleston Comorbidity Index (CCI) were calculated.
Results
A total of 63 patients were enrolled in our study. On average, the population was 60 years old, with a BMI of 32.4 kg/m
2
, a CCI of 3, and on 10.5 medications preoperatively. Overall, 12 patients (19%) screened positive for frailty by the mFI-11, 17 patients (27%) by the FFI, 15 patients (23.8%) by the FRAIL Scale, and 15 patients (23.8%) screened positive for sarcopenia by SARC-F. The FFI and the FRAIL Scale were strongly correlated with the other measures by Spearman’s rank-order correlation (
p
< 0.05). On multivariate regression analysis, a longer Timed Up and Go test was associated with screening positive for frailty or sarcopenia (OR 1.896,
p
= 0.016).
Conclusion
In this study, we find that frailty is more prevalent than previously reported in the literature by any measure used. Both the FRAIL Scale and FFI strongly correlate with the other tools investigated. Surgeons should consider using these assessments preoperatively to estimate frailty and guide operative planning as well as shared decision-making.
Graphical abstract</description><identifier>ISSN: 0930-2794</identifier><identifier>ISSN: 1432-2218</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-024-11250-7</identifier><identifier>PMID: 39294314</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>2024 SAGES Oral ; Abdominal Surgery ; Adult ; Aged ; Aged, 80 and over ; Female ; Frailty ; Frailty - complications ; Frailty - diagnosis ; Gastroenterology ; Geriatric Assessment - methods ; Gynecology ; Hepatology ; Hernia, Ventral - surgery ; Hernias ; Herniorrhaphy - methods ; Humans ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Proctology ; Prospective Studies ; Sarcopenia ; Surgery ; Surveys and Questionnaires</subject><ispartof>Surgical endoscopy, 2024-12, Vol.38 (12), p.7569-7576</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2024 Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.</rights><rights>Copyright Springer Nature B.V. Dec 2024</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c256t-919fc43a65fbd1d02088c56cc36d9b3601cad67556ff9a9a810308e608e4c253</cites><orcidid>0000-0003-3520-425X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00464-024-11250-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00464-024-11250-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51298</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39294314$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Huggins, Ashley</creatorcontrib><creatorcontrib>Casson, Cameron</creatorcontrib><creatorcontrib>Holden, Tim</creatorcontrib><creatorcontrib>Majumder, Arnab</creatorcontrib><creatorcontrib>Blatnik, Jeffrey</creatorcontrib><creatorcontrib>Holden, Sara E.</creatorcontrib><title>Classifying frailty in the ventral hernia population</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><addtitle>Surg Endosc</addtitle><description>Introduction
Frailty is increasingly recognized as a preoperative predictor of adverse outcomes following various surgical procedures. Our study aims to compare validated frailty measures in the ventral hernia population, as this is a common elective procedure with a paucity of data regarding frailty prevalence.
Methods
Patients aged 18 years or older with planned ventral hernia repairs were prospectively enrolled in our single-institution study from January 2023 through June 2023. After obtaining informed consent, patients completed the Fried Frailty Index (FFI), the FRAIL Scale, and the Strength, Assistance walking, Rising from a chair, Climbing stairs, and Falls (SARC-F) questionnaires, as well as the standard completion of the Patient-Reported Outcomes Measurement Information System (PROMIS) measures at their preoperative clinic appointment. Chart review was performed for baseline demographics and comorbidities. The Modified Frailty Index (mFI-11) and the Charleston Comorbidity Index (CCI) were calculated.
Results
A total of 63 patients were enrolled in our study. On average, the population was 60 years old, with a BMI of 32.4 kg/m
2
, a CCI of 3, and on 10.5 medications preoperatively. Overall, 12 patients (19%) screened positive for frailty by the mFI-11, 17 patients (27%) by the FFI, 15 patients (23.8%) by the FRAIL Scale, and 15 patients (23.8%) screened positive for sarcopenia by SARC-F. The FFI and the FRAIL Scale were strongly correlated with the other measures by Spearman’s rank-order correlation (
p
< 0.05). On multivariate regression analysis, a longer Timed Up and Go test was associated with screening positive for frailty or sarcopenia (OR 1.896,
p
= 0.016).
Conclusion
In this study, we find that frailty is more prevalent than previously reported in the literature by any measure used. Both the FRAIL Scale and FFI strongly correlate with the other tools investigated. Surgeons should consider using these assessments preoperatively to estimate frailty and guide operative planning as well as shared decision-making.
Graphical abstract</description><subject>2024 SAGES Oral</subject><subject>Abdominal Surgery</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Female</subject><subject>Frailty</subject><subject>Frailty - complications</subject><subject>Frailty - diagnosis</subject><subject>Gastroenterology</subject><subject>Geriatric Assessment - methods</subject><subject>Gynecology</subject><subject>Hepatology</subject><subject>Hernia, Ventral - surgery</subject><subject>Hernias</subject><subject>Herniorrhaphy - methods</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Proctology</subject><subject>Prospective Studies</subject><subject>Sarcopenia</subject><subject>Surgery</subject><subject>Surveys and Questionnaires</subject><issn>0930-2794</issn><issn>1432-2218</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kD1PwzAQhi0EoqXwBxhQJBaWwPkjdjyiii-pEkt3y3Xs1lWaBDtB6r_HkAISA8PphnvuvdOD0CWGWwwg7iIA4ywHwnKMSQG5OEJTzCjJCcHlMZqCpJATIdkEncW4hcRLXJyiCZVEMorZFLF5rWP0bu-bdeaC9nW_z3yT9RubvdumD7rONjY0Xmdd2w217n3bnKMTp-toLw59hpaPD8v5c754fXqZ3y9yQwre5xJLZxjVvHCrCldAoCxNwY2hvJIrygEbXXFRFNw5qaUuMVAoLU_FUgKdoZsxtgvt22Bjr3Y-GlvXurHtEBXFwAVlpYCEXv9Bt-0QmvRcomgpBeeUJ4qMlAltjME61QW_02GvMKhPpWpUqpJS9aVUibR0dYgeVjtb_ax8O0wAHYGYRs3aht_b_8R-ADcYf3o</recordid><startdate>20241201</startdate><enddate>20241201</enddate><creator>Huggins, Ashley</creator><creator>Casson, Cameron</creator><creator>Holden, Tim</creator><creator>Majumder, Arnab</creator><creator>Blatnik, Jeffrey</creator><creator>Holden, Sara E.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-3520-425X</orcidid></search><sort><creationdate>20241201</creationdate><title>Classifying frailty in the ventral hernia population</title><author>Huggins, Ashley ; Casson, Cameron ; Holden, Tim ; Majumder, Arnab ; Blatnik, Jeffrey ; Holden, Sara E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c256t-919fc43a65fbd1d02088c56cc36d9b3601cad67556ff9a9a810308e608e4c253</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>2024 SAGES Oral</topic><topic>Abdominal Surgery</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Female</topic><topic>Frailty</topic><topic>Frailty - complications</topic><topic>Frailty - diagnosis</topic><topic>Gastroenterology</topic><topic>Geriatric Assessment - methods</topic><topic>Gynecology</topic><topic>Hepatology</topic><topic>Hernia, Ventral - surgery</topic><topic>Hernias</topic><topic>Herniorrhaphy - methods</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Proctology</topic><topic>Prospective Studies</topic><topic>Sarcopenia</topic><topic>Surgery</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Huggins, Ashley</creatorcontrib><creatorcontrib>Casson, Cameron</creatorcontrib><creatorcontrib>Holden, Tim</creatorcontrib><creatorcontrib>Majumder, Arnab</creatorcontrib><creatorcontrib>Blatnik, Jeffrey</creatorcontrib><creatorcontrib>Holden, Sara E.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Surgical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Huggins, Ashley</au><au>Casson, Cameron</au><au>Holden, Tim</au><au>Majumder, Arnab</au><au>Blatnik, Jeffrey</au><au>Holden, Sara E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Classifying frailty in the ventral hernia population</atitle><jtitle>Surgical endoscopy</jtitle><stitle>Surg Endosc</stitle><addtitle>Surg Endosc</addtitle><date>2024-12-01</date><risdate>2024</risdate><volume>38</volume><issue>12</issue><spage>7569</spage><epage>7576</epage><pages>7569-7576</pages><issn>0930-2794</issn><issn>1432-2218</issn><eissn>1432-2218</eissn><abstract>Introduction
Frailty is increasingly recognized as a preoperative predictor of adverse outcomes following various surgical procedures. Our study aims to compare validated frailty measures in the ventral hernia population, as this is a common elective procedure with a paucity of data regarding frailty prevalence.
Methods
Patients aged 18 years or older with planned ventral hernia repairs were prospectively enrolled in our single-institution study from January 2023 through June 2023. After obtaining informed consent, patients completed the Fried Frailty Index (FFI), the FRAIL Scale, and the Strength, Assistance walking, Rising from a chair, Climbing stairs, and Falls (SARC-F) questionnaires, as well as the standard completion of the Patient-Reported Outcomes Measurement Information System (PROMIS) measures at their preoperative clinic appointment. Chart review was performed for baseline demographics and comorbidities. The Modified Frailty Index (mFI-11) and the Charleston Comorbidity Index (CCI) were calculated.
Results
A total of 63 patients were enrolled in our study. On average, the population was 60 years old, with a BMI of 32.4 kg/m
2
, a CCI of 3, and on 10.5 medications preoperatively. Overall, 12 patients (19%) screened positive for frailty by the mFI-11, 17 patients (27%) by the FFI, 15 patients (23.8%) by the FRAIL Scale, and 15 patients (23.8%) screened positive for sarcopenia by SARC-F. The FFI and the FRAIL Scale were strongly correlated with the other measures by Spearman’s rank-order correlation (
p
< 0.05). On multivariate regression analysis, a longer Timed Up and Go test was associated with screening positive for frailty or sarcopenia (OR 1.896,
p
= 0.016).
Conclusion
In this study, we find that frailty is more prevalent than previously reported in the literature by any measure used. Both the FRAIL Scale and FFI strongly correlate with the other tools investigated. Surgeons should consider using these assessments preoperatively to estimate frailty and guide operative planning as well as shared decision-making.
Graphical abstract</abstract><cop>New York</cop><pub>Springer US</pub><pmid>39294314</pmid><doi>10.1007/s00464-024-11250-7</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-3520-425X</orcidid></addata></record> |
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| ispartof | Surgical endoscopy, 2024-12, Vol.38 (12), p.7569-7576 |
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| subjects | 2024 SAGES Oral Abdominal Surgery Adult Aged Aged, 80 and over Female Frailty Frailty - complications Frailty - diagnosis Gastroenterology Geriatric Assessment - methods Gynecology Hepatology Hernia, Ventral - surgery Hernias Herniorrhaphy - methods Humans Male Medicine Medicine & Public Health Middle Aged Proctology Prospective Studies Sarcopenia Surgery Surveys and Questionnaires |
| title | Classifying frailty in the ventral hernia population |
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