FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2888935383> ?p ?o ?g. }

• W2888935383 endingPage "1090" @default.
• W2888935383 startingPage "1090" @default.
• W2888935383 abstract "<h3>Importance</h3> Breast cancer surgery, the most common cancer operation performed in nursing home residents, is viewed as a low-risk surgical intervention. However, outcomes in patients with high functional dependence and limited life expectancy are poorly understood. <h3>Objective</h3> To assess the overall survival and functional status changes after breast cancer surgery in female nursing home residents stratified by surgery type. <h3>Design, Setting, and Participants</h3> This study used Medicare claims from 2003 to 2013 to identify 5969 US nursing home residents who underwent inpatient breast cancer surgery. Using the Minimum Data Set Activities of Daily Living (MDS-ADL) summary score, this study examined preoperative and postoperative function and identified patient characteristics associated with 30-day and 1-year mortality and 1-year functional decline after surgery. Cox proportional hazards regression was used to estimate unadjusted and adjusted hazard ratios (HRs) of mortality. Fine-Gray competing risks regression was used to estimate unadjusted and adjusted subhazard ratios (sHRs) of functional decline. Statistical analysis was performed from January 2016 to January 2018. <h3>Main Outcomes and Measures</h3> Functional status and death. <h3>Results</h3> From 2003 to 2013, a total of 5969 female nursing home residents (mean [SD] age, 82 [7] years; 4960 [83.1%] white) underwent breast cancer surgery: 666 (11.2%) underwent lumpectomy, 1642 (27.5%) underwent mastectomy, and 3661 (61.3%) underwent lumpectomy or mastectomy with axillary lymph node dissection (ALND). The 30-day mortality rates were 8% after lumpectomy, 4% after mastectomy, and 2% after ALND. The 1-year mortality rates were 41% after lumpectomy, 30% after mastectomy, and 29% after ALND. Among 1-year survivors, the functional decline rate was 56% to 60%. The mean MDS-ADL score increased (signifying greater dependency) by 3 points for lumpectomy, 4 points for mastectomy, and 5 points for ALND. In multivariate analysis, poor baseline MDS-ADL score (range, 20-28) was associated with a higher 1-year mortality risk (lumpectomy: HR, 1.92 [95% CI, 1.23-3.00],<i>P</i> = .004; mastectomy: HR, 1.80 [95% CI, 1.35-2.39],<i>P</i> < .001; and ALND: HR, 1.77 [95% CI, 1.46-2.15],<i>P</i> < .001). After multivariate adjustment, preoperative decline in MDS-ADL score (lumpectomy: sHR, 1.59 [95% CI, 1.25-2.03],<i>P</i> < .001; mastectomy: sHR, 1.79; [95% CI, 1.52-2.09],<i>P</i> < .001; and ALND: sHR, 1.72 [95% CI, 1.56-1.91],<i>P</i> < .001) and cognitive impairment (lumpectomy: sHR, 1.27 [95% CI, 1.03-1.56],<i>P</i> = .02; mastectomy: sHR, 1.26 [95% CI, 1.09-1.45],<i>P</i> = .002; and ALND: sHR, 1.14 [95% CI, 1.04-1.24],<i>P</i> = .003) were significantly associated with 1-year functional decline across all breast cancer surgery groups. <h3>Conclusions and Relevance</h3> For female nursing home residents who underwent breast cancer surgery, 30-day mortality and survival as well as 1-year mortality and functional decline were high. The 1-year survivors had significant functional decline. This study’s findings suggest that this information should be incorporated into collaborative surgical decision-making processes." @default.
• W2888935383 created "2018-09-07" @default.
• W2888935383 creator A5005596766 @default.
• W2888935383 creator A5014740199 @default.
• W2888935383 creator A5015274459 @default.
• W2888935383 creator A5016891578 @default.
• W2888935383 creator A5025363657 @default.
• W2888935383 creator A5031087177 @default.
• W2888935383 creator A5039388595 @default.
• W2888935383 creator A5045222539 @default.
• W2888935383 creator A5072789687 @default.
• W2888935383 date "2018-12-01" @default.
• W2888935383 modified "2023-10-18" @default.
• W2888935383 title "Functional Status and Survival After Breast Cancer Surgery in Nursing Home Residents" @default.
• W2888935383 cites W1531175405 @default.
• W2888935383 cites W1543112878 @default.
• W2888935383 cites W1976217008 @default.
• W2888935383 cites W1986993149 @default.
• W2888935383 cites W1988843555 @default.
• W2888935383 cites W1994519389 @default.
• W2888935383 cites W2000339379 @default.
• W2888935383 cites W2012076972 @default.
• W2888935383 cites W2012445967 @default.
• W2888935383 cites W2035030556 @default.
• W2888935383 cites W2038981426 @default.
• W2888935383 cites W2094599068 @default.
• W2888935383 cites W2106684973 @default.
• W2888935383 cites W2107981536 @default.
• W2888935383 cites W2117613235 @default.
• W2888935383 cites W2129800270 @default.
• W2888935383 cites W2162853345 @default.
• W2888935383 cites W2169328204 @default.
• W2888935383 cites W2170391959 @default.
• W2888935383 cites W2331849216 @default.
• W2888935383 cites W2510073367 @default.
• W2888935383 cites W4255751974 @default.
• W2888935383 cites W2056844810 @default.
• W2888935383 doi "https://doi.org/10.1001/jamasurg.2018.2736" @default.
• W2888935383 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/6433538" @default.
• W2888935383 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/30167636" @default.
• W2888935383 hasPublicationYear "2018" @default.
• W2888935383 type Work @default.
• W2888935383 sameAs 2888935383 @default.
• W2888935383 citedByCount "48" @default.
• W2888935383 countsByYear W28889353832018 @default.
• W2888935383 countsByYear W28889353832019 @default.
• W2888935383 countsByYear W28889353832020 @default.
• W2888935383 countsByYear W28889353832021 @default.
• W2888935383 countsByYear W28889353832022 @default.
• W2888935383 countsByYear W28889353832023 @default.
• W2888935383 crossrefType "journal-article" @default.
• W2888935383 hasAuthorship W2888935383A5005596766 @default.
• W2888935383 hasAuthorship W2888935383A5014740199 @default.
• W2888935383 hasAuthorship W2888935383A5015274459 @default.
• W2888935383 hasAuthorship W2888935383A5016891578 @default.
• W2888935383 hasAuthorship W2888935383A5025363657 @default.
• W2888935383 hasAuthorship W2888935383A5031087177 @default.
• W2888935383 hasAuthorship W2888935383A5039388595 @default.
• W2888935383 hasAuthorship W2888935383A5045222539 @default.
• W2888935383 hasAuthorship W2888935383A5072789687 @default.
• W2888935383 hasBestOaLocation W28889353831 @default.
• W2888935383 hasConcept C121608353 @default.
• W2888935383 hasConcept C126322002 @default.
• W2888935383 hasConcept C141071460 @default.
• W2888935383 hasConcept C159110408 @default.
• W2888935383 hasConcept C207103383 @default.
• W2888935383 hasConcept C2777704003 @default.
• W2888935383 hasConcept C2777757722 @default.
• W2888935383 hasConcept C2779028819 @default.
• W2888935383 hasConcept C2779572924 @default.
• W2888935383 hasConcept C2780212769 @default.
• W2888935383 hasConcept C2781392513 @default.
• W2888935383 hasConcept C2908949552 @default.
• W2888935383 hasConcept C3019398978 @default.
• W2888935383 hasConcept C44249647 @default.
• W2888935383 hasConcept C50382708 @default.
• W2888935383 hasConcept C530470458 @default.
• W2888935383 hasConcept C71924100 @default.
• W2888935383 hasConceptScore W2888935383C121608353 @default.
• W2888935383 hasConceptScore W2888935383C126322002 @default.
• W2888935383 hasConceptScore W2888935383C141071460 @default.
• W2888935383 hasConceptScore W2888935383C159110408 @default.
• W2888935383 hasConceptScore W2888935383C207103383 @default.
• W2888935383 hasConceptScore W2888935383C2777704003 @default.
• W2888935383 hasConceptScore W2888935383C2777757722 @default.
• W2888935383 hasConceptScore W2888935383C2779028819 @default.
• W2888935383 hasConceptScore W2888935383C2779572924 @default.
• W2888935383 hasConceptScore W2888935383C2780212769 @default.
• W2888935383 hasConceptScore W2888935383C2781392513 @default.
• W2888935383 hasConceptScore W2888935383C2908949552 @default.
• W2888935383 hasConceptScore W2888935383C3019398978 @default.
• W2888935383 hasConceptScore W2888935383C44249647 @default.
• W2888935383 hasConceptScore W2888935383C50382708 @default.
• W2888935383 hasConceptScore W2888935383C530470458 @default.
• W2888935383 hasConceptScore W2888935383C71924100 @default.
• W2888935383 hasIssue "12" @default.
• W2888935383 hasLocation W28889353831 @default.
• W2888935383 hasLocation W28889353832 @default.

• next