Evidence map›Paper›PMID 40437237›Full record

Observational studySupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025

Cumulative frailty impact on unplanned hospitalization in older patients with cancer and excellent Eastern Cooperative Oncology Group performance.

Shu-Hui Lee, Shun-Wen Hsueh, Chia-Yen Hung, Keng-Hao Liu, Yu-Shin Hung, Wen-Chi Chou

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Shu-Hui LeeDepartment of Nursing, Chang Gung Memorial Hospital at Linkou and Chang Gung University of Science and Technology, Taoyuan, Taiwan.
Shun-Wen HsuehDivision of Hema-Oncology, Department of Internal Medicine, Chang Gung Memorial Hospital at Keelung, Keelung, Taiwan.
Chia-Yen HungDepartment of Hematology and Oncology,Department of Surgery, Chang Gung Memorial Hospital at Linkou and College of Medicine, Chang Gung University, Taoyuan, Taiwan.
Keng-Hao LiuDepartment of Surgery, Chang Gung Memorial Hospital at Linkou and College of Medicine, Chang Gung University, Taoyuan, Taiwan.
Yu-Shin HungDepartment of Hematology and Oncology,Department of Surgery, Chang Gung Memorial Hospital at Linkou and College of Medicine, Chang Gung University, Taoyuan, Taiwan.
Wen-Chi ChouDepartment of Hematology and Oncology,Department of Surgery, Chang Gung Memorial Hospital at Linkou and College of Medicine, Chang Gung University, Taoyuan, Taiwan. wenchi3992@yahoo.com.tw.

Funding

Chang Gung Memorial Hospital, Linkou CMRPG3L1611Ministry of Health and Welfare MOHW112-TDU-B-222-124011National Science and Technology Council NSTC 111-2314-B-182A-162 and NSTC 112-2314-B-182A-152
6 · The paper itself

Abstract

purposeOlder adults with cancer have a higher risk of unplanned hospitalizations, necessitating tailored interventions to improve treatment outcomes. The Eastern Cooperative Oncology Group (ECOG) performance status (PS) may overlook complex frailty deficits. Therefore, we aimed to explore whether frailty assessment enhances the prediction of unplanned hospitalizations in older adults with cancer with an excellent ECOG PS undergoing antitumor therapy.

methodsThis prospective observational study included 432 patients with cancer aged ≥ 65 years with an ECOG PS score of 0. Frailty was assessed using a geriatric assessment tool comprising eight indicators. The primary objective was to determine the proportion of patients who experienced unplanned hospitalizations within 3 months of antitumor treatment initiation. The secondary objective was to determine the length of hospital stay (LOS) among individuals who experienced unplanned hospitalizations.

resultsOf 432 patients, 62 (14.4%) experienced unplanned hospitalizations (median LOS: 15 days, range: 2-72 days). A linear association was observed between the number of frailty deficits and the risk of unplanned hospitalizations (without frailty deficits: 7.0%; with six frailty deficits: 66.7%; R

conclusionIncorporating frailty assessment into clinical decision making provides valuable insights beyond ECOG PS and helps predict unplanned hospitalization risk in older adults with cancer.

Indexed as

FrailtyHospitalizationNeoplasmsAgedAged, 80 and overFemaleFrail ElderlyGeriatric AssessmentHumansLength of StayMaleProspective StudiesECOG performanceFrailtyGeriatric assessmentGeriatric oncologyOutcome

Identifiers

PMID40437237

What Socratic holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.