Which frailty scales for patients with adult spinal deformity are feasible and adequate? A systematic review

被引:20
作者
Kitamura, Kazuya [1 ,2 ,3 ]
Van Hooff, Miranda [1 ,4 ]
Jacobs, Wilco
Watanabe, Kota [2 ]
De Kleuver, Marinus [1 ]
机构
[1] Radboud Univ Nijmegen Med Ctr, Dept Orthoped, POB 9101, NL-6500 HB Nijmegen, Netherlands
[2] Keio Univ Sch Med, Dept Orthopaed Surg, 35 Shinanomachi, Tokyo, Tokyo 1608582, Japan
[3] Natl Def Med Coll, Dept Orthopaed Surg, 3-2 Namniki, Tokorozawa, Saitama 3598513, Japan
[4] Sint Maartensklin, Dept Res, POB 9011, NL-6500 GM Nijmegen, Netherlands
关键词
Frailty; Frailty scale; Frailty instrument; Spinal disorder; Adult spinal deformity; Surgical outcome; COMPREHENSIVE GERIATRIC ASSESSMENT; VERTEBRAL COMPRESSION FRACTURE; IMPROVEMENT PROGRAM DATABASE; CHARLSON COMORBIDITY INDEX; POSTOPERATIVE OUTCOMES; OLDER PATIENTS; SURGICAL OUTCOMES; CLINICAL-OUTCOMES; SURGERY; MORTALITY;
D O I
10.1016/j.spinee.2022.01.017
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
BACKGROUND CONTEXT: Frailty as a concept is not yet fully understood, and is not the same as comorbidity. It is associated with an increased risk of adverse events and mortality after surgery, which makes its preoperative assessment significant. Despite its relevance, it still remains unclear which scales are appropriate for use in patients with spinal pathology. PURPOSE: To evaluate the feasibility and measurement properties of frailty scales for spine patients, specifically with adult spinal deformity (ASD), and to propose adequate scales for primary triage to prevent surgery in too frail patients and for preoperative assessment to modify patients' condition and surgical plans. STUDY DESIGN/SETTING: Systematic review. METHODS: Systematic search was performed between 2010 and 2021 including terms relating to spinal disorders, frailty scales, and methodological quality. Characteristics of the studies and frailty scales and data describing relation to treatment outcomes were extracted. The risk of bias was determined with the QAREL score. RESULTS: Of the 1993 references found, 88 original studies were included and 23 scales were identified. No prospective interventional study was found where the preoperative frailty assessment was implemented. Predictive value of scales for surgical outcomes varied, dependent on spinal disorders, type of surgeries, patients' age and frailty at baseline, and outcomes. Seventeen studies reported measurement properties of eight scales but these studies were not free of bias. In 30 ASD studies, ASD-Frailty Index (ASD-FI, n=14) and 11-item modified Frailty Index (mFI-11, n=11) were most frequently used. These scales were mainly studied in registry studies including young adult population, and carry a risk of sample bias and make their validity in elderly population unclear. ASD-FI covers multidisciplinary concepts of frailty with 40 items but its feasibility in clinical practice is questionable due to its length. The Risk Analysis Index, another multidisciplinary scale with 14 items, has been implemented for preoperative assessment in other surgical domains and was proven to be feasible and effective in interventional prospective studies. The FRAIL is a simple questionnaire with five items and its predictive value was confirmed in prospective cohort studies in which only elderly patients were included. CONCLUSIONS: No adequate scale was identified in terms of methodological quality and feasibility for daily practice. Careful attention should be paid when choosing an adequate scale, which depends on the setting of interest (eg triage or preoperative work-up). We recommend to further study a simple and predictive scale such as FRAIL for primary triage and a comprehensive and feasible scale such as Risk Analysis Index for preoperative assessment for patients undergoing spine surgery, as their adequacy has been shown in other medical domains. (c) 2022 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/)
引用
收藏
页码:1191 / 1204
页数:14
相关论文
共 50 条
  • [21] Association of frailty with healthcare resource utilization after open thoracic/thoracolumbar posterior spinal fusion for adult spinal deformity
    Elsamadicy, Aladine A. A.
    Koo, Andrew B. B.
    Sherman, Josiah J. Z.
    Sarkozy, Margot
    Reeves, Benjamin C. C.
    Craft, Samuel
    Sayeed, Sumaiya
    Sandhu, Mani Ratnesh S.
    Hersh, Andrew M. M.
    Lo, Sheng-Fu Larry
    Shin, John H. H.
    Mendel, Ehud
    Sciubba, Daniel M. M.
    EUROPEAN SPINE JOURNAL, 2023,
  • [22] The Re-Evaluation of Frailty in Predicting Complications after Long-Segment Spinal Fusion for Adult Spinal Deformity
    Luu, Cuong P.
    Ammanuel, Simon G.
    Mohis, Momin
    Schmidt, Bradley
    Stadler, James A.
    WORLD NEUROSURGERY, 2024, 183 : E415 - E420
  • [23] Frailty assessment in older urological patients prior to surgery: a systematic review and narrative synthesis
    Haren, Andrea
    Lal, Rajni
    Walker, David
    Nair, Rajesh
    Partridge, Judith
    Dhesi, Jugdeep
    THERAPEUTIC ADVANCES IN UROLOGY, 2020, 12
  • [24] Examination of the Economic Burden of Frailty in Patients With Adult Spinal Deformity Undergoing Surgical Intervention
    Passias, Peter G.
    Ahmad, Waleed
    Kummer, Nicholas
    Lafage, Renaud
    Lafage, Virginie
    Kebaish, Khaled
    Daniels, Alan
    Klineberg, Eric
    Soroceanu, Alex
    Gum, Jeffrey
    Line, Breton
    Hart, Robert
    Burton, Douglas
    Eastlack, Robert
    Jain, Amit
    Smith, Justin S.
    Ames, Christopher P.
    Shaffrey, Christopher
    Schwab, Frank
    Hostin, Richard
    Bess, Shay
    NEUROSURGERY, 2022, 90 (01) : 148 - 153
  • [25] Utility of Risk Analysis Index for Assessing Morbidity in Patients Undergoing Posterior Spinal Fusion for Adult Spinal Deformity
    Elsamadicy, Aladine A.
    Sadeghzadeh, Sina
    Serrato, Paul
    Sayeed, Sumaiya
    Hengartner, Astrid C.
    Belkasim, Selma
    Khalid, Syed I.
    Lo, Sheng-fu Larry
    Sciubba, Daniel M.
    WORLD NEUROSURGERY, 2024, 192 : E292 - E305
  • [26] Does Patient Frailty Status Influence Recovery Following Spinal Fusion for Adult Spinal Deformity? An Analysis of Patients With 3-Year Follow-up
    Pierce, Katherine E.
    Passias, Peter G.
    Alas, Haddy
    Brown, Avery E.
    Bortz, Cole A.
    Lafage, Renaud
    Lafage, Virginie
    Ames, Christopher
    Burton, Douglas C.
    Hart, Robert
    Hamilton, Kojo
    Kelly, Michael
    Hostin, Richard
    Bess, Shay
    Klineberg, Eric
    Line, Breton
    Shaffrey, Christopher
    Mummaneni, Praveen
    Smith, Justin S.
    Schwab, Frank A.
    SPINE, 2020, 45 (07) : E397 - E405
  • [27] The 5-item modified frailty index predicts spinal osteotomy outcomes better than age in adult spinal deformity patients: an ACS − NSQIP analysis
    Omar H. Tarawneh
    John Vellek
    Syed Faraz Kazim
    Rachel Thommen
    Katie Roster
    Matthew Conlon
    Daniel J. Alvarez-Crespo
    Kyril L. Cole
    Samantha Varela
    Jose F. Dominguez
    Rohini G. Mckee
    Meic H. Schmidt
    Christian A. Bowers
    Spine Deformity, 2023, 11 : 1189 - 1197
  • [28] Surgical versus Nonsurgical Treatment for Adult Spinal Deformity: A Systematic Review and Meta-Analysis
    Jia, Yukun
    Peng, Zhan
    Qin, Yuantian
    Wang, Guangye
    WORLD NEUROSURGERY, 2022, 159 : 1 - 11
  • [29] The 5-item modified frailty index predicts spinal osteotomy outcomes better than age in adult spinal deformity patients: an ACS - NSQIP analysis
    Tarawneh, Omar H.
    Vellek, John
    Kazim, Syed Faraz
    Thommen, Rachel
    Roster, Katie
    Conlon, Matthew
    Alvarez-Crespo, Daniel J.
    Cole, Kyril L.
    Varela, Samantha
    Dominguez, Jose F.
    Mckee, Rohini G.
    Schmidt, Meic H.
    Bowers, Christian A.
    SPINE DEFORMITY, 2023, 11 (05) : 1189 - 1197
  • [30] Adult Cervical Deformity Patients Have Higher Baseline Frailty, Disability, and Comorbidities Compared With Complex Adult Thoracolumbar Deformity Patients: A Comparative Cohort Study of 616 Patients
    Smith, Justin S.
    Kelly, Michael P.
    Buell, Thomas J.
    Ben-Israel, David
    Diebo, Bassel
    Scheer, Justin K.
    Line, Breton
    Lafage, Virginie
    Lafage, Renaud
    Klineberg, Eric
    Kim, Han Jo
    Passias, Peter
    Gum, Jeffrey L.
    Kebaish, Khal
    Mullin, Jeffrey P.
    Eastlack, Robert
    Daniels, Alan
    Soroceanu, Alex
    Mundis, Gregory
    Hostin, Richard
    Protopsaltis, Themistocles S.
    Hamilton, D. Kojo
    Gupta, Munish
    Lewis, Stephen J.
    Schwab, Frank J.
    Lenke, Lawrence G.
    Shaffrey, Christopher I.
    Burton, Douglas
    Ames, Christopher P.
    Bess, Shay
    GLOBAL SPINE JOURNAL, 2023,