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The frailty index predicts postoperative complications after endoscopic surgery for benign prostatic hyperplasia
The Five-Item Frailty Index (5i-FI) is a tool used by physicians to predict surgical risk and postoperative complications after a procedure. Researchers at Brigham and Women's Hospital, a founding member of the Mass General Brigham Health System, investigated whether the 5i-FI could be used to predict surgical complications during endoscopic procedures for benign prostatic obstruction (BPO). Patients who received either transurethral resection of the prostate (TURP), photoselective vaporization of the prostate (PVP), or laser enucleation of the prostate (LEP) between 2009 and 2019 were screened for frailty using the 5i-FI. The frailty scores were then correlated with the complications encountered, major complications, length of hospital stay and...
The frailty index predicts postoperative complications after endoscopic surgery for benign prostatic hyperplasia
The Five-Item Frailty Index (5i-FI) is a tool used by physicians to predict surgical risk and postoperative complications after a procedure. Researchers at Brigham and Women's Hospital, a founding member of the Mass General Brigham Health System, investigated whether the 5i-FI could be used to predict surgical complications during endoscopic procedures for benign prostatic obstruction (BPO). Patients who received either transurethral resection of the prostate (TURP), photoselective vaporization of the prostate (PVP), or laser enucleation of the prostate (LEP) between 2009 and 2019 were screened for frailty using the 5i-FI. Frailty scores were then compared with incident complications, major complications, length of hospital stay, and 30-day postoperative readmission. The team found that a 5i-FI score of more than two predicted these cases.
“The 5-point frailty index is a simple tool that predicts postoperative complications after endoscopic surgery for benign prostatic hyperplasia,” said lead author Muhieddine Labban, MD, of the Department of Urology and the Center for Surgery and Public Health.
After weighting frailty scores and patient demographics, LEP and PVP were associated with a lower risk of complications and shorter hospital stays. Nevertheless, both LEP and PVP are less likely to be used in men with higher frailty scores. Preoperative assessment of frailty using the 5i-FI could improve risk stratification.”
Quoc‐Dien Trinh, MD, senior author, Brigham's Division of Urology and Center for Surgery and Public Health
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Reference:
Labban, M., et al. (2022) Does the 5-Point Frailty Index Predict Surgical Complications in Endoscopic Surgical Treatment for Benign Prostatic Obstruction? An analysis of the ACS-NSQIP. World Journal of Urology. doi.org/10.1007/s00345-022-04151-8.
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