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. 2024 Jun;11(6):e2216.
doi: 10.1002/nop2.2216.

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

Misun Jeon  1 , Sang Hwa Lee  1 , Ji Yoon Jang  1 , Sanghee Kim  2   3
Affiliations

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

Misun Jeon et al. Nurs Open. 2024 Jun.

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.

Keywords: frailty; measurement; oncology nursing; patient with cancer; quality indicator; surgery.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflicts of interest.

Figures

FIGURE 1
FIGURE 1
PRISMA: Flow diagram of the study selection process.
See this image and copyright information in PMC

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