Evidence map›Paper›PMID 41488845›Full record

ArticleAnnals of gastroenterological surgery2026

Frailty Recovery Following Minimally Invasive Surgery: An Emerging Perspective on Surgical Benefits in Elderly Colorectal Cancer Patients.

Hajime Ushigome, Yushi Yamakawa, Shunsuke Hayakawa, Akira Kato, Takuya Suzuki, Takafumi Sato, Hiroyuki Sagawa, Ryo Ogawa, Hiroki Takahashi, Shuji Takiguchi

Abstract read
In one paragraph

Article in Annals of gastroenterological surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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

10 authors.

Hajime UshigomeDepartment of Gastroenterological Surgery Nagoya City University Graduate School of Medical Sciences Nagoya Japan.ORCID https://orcid.org/0009-0008-8190-0030
Yushi YamakawaDepartment of Gastroenterological Surgery Nagoya City University Graduate School of Medical Sciences Nagoya Japan.ORCID https://orcid.org/0009-0009-1672-5704
Shunsuke HayakawaDepartment of Gastroenterological Surgery Nagoya City University Graduate School of Medical Sciences Nagoya Japan.
Akira KatoDepartment of Gastroenterological Surgery Nagoya City University Graduate School of Medical Sciences Nagoya Japan.
Takuya SuzukiDepartment of Gastroenterological Surgery Nagoya City University Graduate School of Medical Sciences Nagoya Japan.
Takafumi SatoDepartment of Gastroenterological Surgery Nagoya City University Graduate School of Medical Sciences Nagoya Japan.
Hiroyuki SagawaDepartment of Gastroenterological Surgery Nagoya City University Graduate School of Medical Sciences Nagoya Japan.
Ryo OgawaDepartment of Gastroenterological Surgery Nagoya City University Graduate School of Medical Sciences Nagoya Japan.
Hiroki TakahashiDepartment of Gastroenterological Surgery Nagoya City University Graduate School of Medical Sciences Nagoya Japan.
Shuji TakiguchiDepartment of Gastroenterological Surgery Nagoya City University Graduate School of Medical Sciences Nagoya Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Frailty is common among elderly colorectal cancer (CRC) patients and affects both perioperative and long-term outcomes. However, many aspects of how minimally invasive surgery (MIS) influences frailty remain unclear. Moreover, very few reports have specifically evaluated postoperative changes in frailty status. Methods: In this prospective observational study, 239 CRC patients aged ≥ 70 years undergoing MIS with R0 resection were assessed for frailty using the FRAIL Scale and Kihon Checklist preoperatively and 1 year postoperatively. Short- and long-term oncological outcomes and frailty status changes were analyzed. Results: A total of 88 patients (37%) were diagnosed as frail on the basis of either of the frailty assessment tools, and MIS was performed in all cases. Short-term outcomes were comparable between frail and non-frail patients; however, overall survival (OS) was significantly worse in frail patients (log-rank, Conclusions: Curative MIS was safely performed in elderly frail colorectal cancer patients without increasing perioperative complications; however, their long-term outcomes remained poor. Nevertheless, in patients who remained recurrence-free, frailty status significantly improved 1 year after surgery, suggesting an emerging potential benefit of surgical resection in the elderly population.

Indexed as

colorectal cancerfrailtyfrailty recoveryminimally invasive surgeryrobot‐assisted surgery

Identifiers

PMID41488845
PMCPMC12757148

What Socratic holds

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LicenceCC BY
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Registered trials

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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.