This was a prospective study of frailty in urologic patients measured by the Timed Up and Go Test performed in a urologic office setting. The review showed that individuals with overactive bladders are significantly more frail compared with patients with other non-oncologic urologic diagnoses and that frailty, when adjusted for age, is associated with a diagnosis of overactive bladder, while age, when adjusted for frailty, is not.
Dr. Suskind also offered work on frailty related to surgery for pelvic organ prolapse, using the National Surgical Quality Improvement Program data from 2005 to 2013. She noted that women having obliterative procedures tended to be older (79 vs. 60 years of age) and more frail than those who had reconstructive procedures. The author found that age, more so than frailty, was associated with the odds of having an obliterative (rather than a reconstructive) procedure. However, frailty was more strongly associated with increased odds of postoperative complications than was age.
These findings will tend to shift our current understanding of how to view urologic patients from strictly relying on age to potentially adding a frailty-based assessment.
Presented by: Anne Suskind, MD The University of California, San Francisco
Written by: Lindsey Cox, MD, Medical University of South Carolina
at 2017 SUFU - Society of Urodynamics, Female Pelvic Medicine, February 28 – March 2, 2017 Scottsdale, Arizona, USA