Evidence map›Paper›PMID 41003777›Full record

ArticleSurgical endoscopy2025

The impact of BMI on frailty screening and the frailty phenotype in ventral hernia patients.

Braxton Goodnight, Danielle Wilder, Ashley Huggins, Cameron Casson, Tim Holden, Arnab Majumder, Jeffrey Blatnik, Sara E Holden

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Article in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

1 citing paper in PubMed.

  1. The prehabilitation paradox in ventral hernia: from universal to personalized care.Hernia : the journal of hernias and abdominal wall surgery · 2026
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Braxton GoodnightWashington University in St. Louis School of Medicine, 660 S. Euclid Avenue, Campus, Box 8109, St. Louis, MO, 63110, USA. b.goodnight@wustl.edu.ORCID http://orcid.org/0000-0002-3943-5357
Danielle WilderWashington University in St. Louis School of Medicine, 660 S. Euclid Avenue, Campus, Box 8109, St. Louis, MO, 63110, USA.
Ashley HugginsWashington University in St. Louis School of Medicine, 660 S. Euclid Avenue, Campus, Box 8109, St. Louis, MO, 63110, USA.
Cameron CassonDivision of Minimally Invasive Surgery, Department of Surgery, Washington University in St. Louis, St. Louis, USA.
Tim HoldenDivision of General Medicine and Geriatrics, Department of Medicine, Washington University in St. Louis, St. Louis, USA.
Arnab MajumderDivision of Minimally Invasive Surgery, Department of Surgery, Washington University in St. Louis, St. Louis, USA.
Jeffrey BlatnikDivision of Minimally Invasive Surgery, Department of Surgery, Washington University in St. Louis, St. Louis, USA.
Sara E HoldenDivision of Minimally Invasive Surgery, Department of Surgery, Washington University in St. Louis, St. Louis, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVentral hernia repair (VHR) is a common procedure, but assessing surgical candidacy remains complex, particularly in the setting of obesity. Frailty is a well-established predictor of poor surgical outcomes and is traditionally associated with underweight phenotypes. However, obesity is increasingly recognized as a risk factor for frailty as well. Given the lack of consensus on the optimal frailty screening tool and the high prevalence of obesity in the VHR population, understanding how frailty presents in VHR patients with high BMI is essential. This study examines how obesity influences the frailty phenotype in VHR patients and evaluates how different screening tools classify frailty in this population.

methodsPatients evaluated for VHR at an academic medical center between January and June 2023 were prospectively enrolled. Frailty was assessed using the Modified Frailty Index (mFI-11), Fried Frailty Index (FFI), FRAIL Scale, and SARC-F. The association between BMI and each frailty screening tool was assessed.

resultsSixty-two patients were enrolled (mean age: 60 years, mean BMI: 32.5 kg/m

conclusionFrailty is highly prevalent in obese VHR patients, and high BMI increases the risk of presenting with functional mobility impairments. Frailty screening tools vary in their ability to capture these functional limitations. Future research is needed to compare the ability of different frailty screening tools to predict postoperative outcomes in larger VHR cohorts.

Indexed as

Body Mass IndexFrailtyHernia, VentralHerniorrhaphyObesityAgedFemaleHumansMaleMiddle AgedPhenotypeProspective StudiesRisk FactorsBMIFrailtyMinimally invasive surgeryObesityVentral hernia

Identifiers

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.