AUA 2017: Modified 5-item frailty index is associated with increased healthcare resource utilization following elective minimally invasive radical nephrectomy

Boston, MA ( Dr. Taylor, from the University of Pennsylvania, utilized the NSQIP database from 2012-2015 to examine a 5-item frailty index to predict healthcare resource utilization after elective minimally invasive radical nephrectomy for renal cell carcinoma.

Increased healthcare resource utilization was defined as prolonged length of stay (>4 days), discharged to continued care, or unplanned readmission within 30 days of surgery. The 5-item frailty index was modified based upon previously document variables and included: diabetes, impaired functional status, chronic obstructive pulmonary disease, hypertension, and congestive heart failure. They employed a multivariate model to determine if the frailty index could be used predict increased healthcare resource outcomes.

After evaluating 2321 patients, increasing frailty score was a statistically significant predictor of increased healthcare resource outcomes. The 5-item frailty index was also a statistically significant predictor of prolonged length of stay and discharged to continued care on sub-analysis.

In the age of healthcare reform, quality-based metrics are increasingly emphasized to maximize healthcare results while minimizing financial burden. Future studies like these are imperative to improve quality healthcare outcomes that are designing fiscally efficient and stress patient outcomes.

Presented By: Benjamin Taylor, MD

Authors: Benjamin Taylor, Leilei Xia, Jose Pulido, Jeremy Bonzo, George Drach, Thomas Guzzo

Institution: University of Pennsylvania, Philadelphia, PA

Written By: David B. Cahn, DO, MBS, Fox Chase Cancer Center
Twitter: @dbcahn

at the 2017 AUA Annual Meeting - May 12 - 16, 2017 – Boston, Massachusetts, USA