Fried Frailty Phenotype Questionnaire scores and postoperative patient-reported outcomes of patients undergoing major abdominal cancer surgery : A secondary analysis

© 2024 Japan Geriatrics Society..

AIM: This study aimed to evaluate the effects of Fried Frailty Phenotype Questionnaire (FFPQ) scores on patient-reported postoperative outcomes.

METHODS: This secondary analysis of a prospective observational study included 230 inpatients aged ≥65 years undergoing elective abdominal cancer surgery. The primary outcome was the Quality of Recovery-15 score on postoperative days 2, 4 and 7. The secondary outcomes included disability-free survival, defined as a 12-item World Health Organization Disability Assessment Schedule 2.0 score of <16% at 3 months. The associations of the FFPQ scores, ranging from 0 (robust) to 5 (frailty), with the primary and secondary outcomes were assessed using multiple analysis.

RESULTS: After confirming the linearity of the FFPQ score for the outcomes, multiple regression analysis adjusted for prominent factors showed that the FFPQ score was a significant factor influencing the decrease in the Quality of Recovery-15 score on postoperative day 2 (β = -2.67, 95% confidence interval -5.20, -0.15), 4 (β = -3.54, 95% confidence interval -5.77, -1.30) and 7 (β = -3.70, 95% confidence interval -5.75, -1.65). The adjusted odds ratio of the FFPQ score for disability-free survival postoperatively was 0.66 (95% confidence interval 0.49-0.90).

CONCLUSIONS: Patients with higher FFPQ scores before elective major abdominal cancer surgery were likely to have lower postoperative Quality of Recovery-15 scores and poor disability-free survival. Geriatr Gerontol Int 2024; 24: 464-469.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:24

Enthalten in:

Geriatrics & gerontology international - 24(2024), 5 vom: 21. Apr., Seite 464-469

Sprache:

Englisch

Beteiligte Personen:

Kinugasa, Yuki [VerfasserIn]
Ida, Mitsuru [VerfasserIn]
Kawaguchi, Masahiko [VerfasserIn]

Links:

Volltext

Themen:

Abdominal surgery
Frailty
Journal Article
Observational Study
Patient‐centered outcome
Postoperative outcome
Quality of recovery

Anmerkungen:

Date Completed 28.04.2024

Date Revised 28.04.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1111/ggi.14872

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM370864522