How can we approach preoperative frailty and related factors in patients with cancer? A scoping review.

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS ACS Applied Bio Materials Pub Date : 2024-06-01 DOI:10.1002/nop2.2216

Misun Jeon, Sang Hwa Lee, Ji Yoon Jang, Sanghee Kim

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Abstract

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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我们该如何应对癌症患者术前虚弱及相关因素？范围综述。

目的：确定与癌症患者术前虚弱有关的因素，并绘制虚弱测量工具图：方法本范围界定综述基于 Arksey 和 O'Malley 的框架。文章来自 CINAHL、PubMed、EMBASE 和 PsycINFO 数据库，发表时间为 2011 年 1 月至 2021 年 4 月。搜索关键词为与 "癌症"、"虚弱 "和 "测量 "相关的概念：结果：虽然最初确定了 728 条记录，但最终选择了 24 项研究。有关虚弱的研究在 2020 年至 2021 年期间积极开展。与术前虚弱相关的因素有年龄（22.9%）、性别（11.4%）、体重指数（11.4%）和身体状况指标（54.3%）。术前虚弱最常见的结果是术后并发症（35.0%）。使用了 24 种工具来测量虚弱程度：对患者护理的意义：选择合适的术前虚弱筛查工具有助于改善患者的术后治疗效果：影响：评估术前虚弱程度的工具有很多，每种工具都评估一个多维度特征。我们确定了目前使用的虚弱筛查工具，整理了影响虚弱的因素，并探讨了虚弱的影响。识别和整理虚弱测量工具将有助于进行适当的评估：PRISMA-ScR.患者贡献：无患者或公众贡献。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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