Key result
Preoperative frailty in cancer patients is linked to a ~35% postoperative complication rate.
Why the study?
To identify factors related to preoperative frailty in patients with cancer and map the tools used to measure frailty.
What are the factors related to preoperative frailty and the tools used to measure it in patients with cancer?
What are the factors related to preoperative frailty and the tools used to measure it in patients with cancer?
This scoping review identifies 24 instruments for assessing preoperative frailty in cancer patients and highlights age, sex, BMI, and physical status as key related factors.
May warrant preoperative frailty screening in cancer surgery to anticipate complications; extends evidence by cataloging 24 instruments and physical status as dominant correlate.
AIM: To identify factors related to preoperative frailty in patients with cancer and map the tools that measure frailty. DESIGN: A Scoping review. METHODS: This scoping review based on Arksey and O'Malley's framework. Articles from CINAHL, PubMed, EMBASE, and PsycINFO databases published between January 2011 and April 2021. The searched keywords were concepts related to 'cancer', 'frailty' and 'measurement'. RESULTS: While 728 records were initially identified, 24 studies were eventually selected. Research on frailty was actively conducted between 2020 and 2021. Factors related to preoperative frailty were age (22.9%), sex (11.4%), body mass index (11.4%) and physical status indicators (54.3%). The most common result of preoperative frailty was postoperative complications (35.0%). 24 instruments were used to measure frailty. IMPLICATIONS FOR PATIENT CARE: Selecting an appropriate preoperative frailty screening tool can help improve patient postoperative treatment outcomes. IMPACT: There are many instruments for assessing preoperative frailty, each evaluating a multi-dimensional feature. We identified the frailty screening tools used today, organized the factors that affect frailty, and explored the impact of frailty. Identifying and organizing frailty measurement tools will enable appropriate evaluation. REPORTING METHOD: PRISMA-ScR. PATIENT CONTRIBUTION: No patient or public contribution.
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Jeon et al. (2024) conducted a review in Cancer (n=24). Preoperative frailty was evaluated on Factors related to preoperative frailty and tools that measure frailty. Preoperative frailty in cancer patients was most commonly associated with postoperative complications (35.0%) and related to physical status indicators (54.3%) across 24 studies.
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