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The Fine Line Between Simplicity and Oversimplification: Comparing the Risk Analysis Index and 5-Factor Modified Frailty Index as Frailty Assessment Tools

Owodunni OP, Uzoukwu C, Courville EN, Schmidt MH, Bowers CA

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Baseline Frailty Measured by the Risk Analysis Index and 30-Day Mortality After Surgery for Spinal Malignancy: Analysis of a Prospective Registry (2011–2020)

Thommen R, Bowers CA, Segura AC, Roy JM, Schmidt MH

Objective: To evaluate the prognostic utility of baseline frailty, measured by the Risk Analysis Index (RAI), for prediction of postoperative mortality among patients with spinal malignancy (SM) undergoing resection. Methods: SM...
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A Predictive Model of Failure to Rescue After Thoracolumbar Fusion

Roy JM, Segura AC, Rumalla K, Skandalakis GP, Covell MM, Bowers CA

Objective: Although failure to rescue (FTR) has been utilized as a quality-improvement metric in several surgical specialties, its current utilization in spine surgery is limited. Our study aims to identify...
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Endoscopic and Nonendoscopic Approaches to Single-Level Lumbar Spine Decompression: Propensity Score-Matched Comparative Analysis and Frailty-Driven Predictive Model

Kassicieh AJ, Rumalla K, Segura AC, Kazim SF, Vellek J, Schmidt MH, Shin PC, Bowers CA

Objective: The endoscopic spine surgery (ESS) approach is associated with high levels of patient satisfaction, shorter recovery time, and reduced complications. The present study reports multicenter, international data, comparing ESS...
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Risk Analysis Index and Its Recalibrated Version Predict Postoperative Outcomes Better Than 5-Factor Modified Frailty Index in Traumatic Spinal Injury

Conlon M, Thommen R, Kazim SF, Dicpinigaitis AJ, Schmidt MH, McKee RG, Bowers CA

Objective: To assess the discriminative ability of the Risk Analysis Index-administrative (RAI-A) and its recalibrated version (RAI-Rev), compared to the 5-factor modified frailty index (mFI-5), in predicting postoperative outcomes in...
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Frailty Status Is a More Robust Predictor Than Age of Spinal Tumor Surgery Outcomes: A NSQIP Analysis of 4,662 Patients

Kazim SF, Dicpinigaitis AJ, Bowers CA, Shah S, Couldwell WT, Thommen R, Alvarez-Crespo DJ, Conlon M, Tarawneh OH, Vellek J, Cole KL, Dominguez JF, Mckee RN, Ricks CB, Shin PC, Cole CD, Schmidt MH

Objective: The present study aimed to evaluate the effect of baseline frailty status (as measured by modified frailty index-5 [mFI-5]) versus age on postoperative outcomes of patients undergoing surgery for...
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