The association between Memorial Sloan Kettering Frailty Index with 30-day survival among patients aged ≥ 75 with cancer and COVID-19 Journal Article


Authors: Kim, S. J.; Fessele, K. L.; Tin, A. L.; Malling, C.; Litchfield, H.; Korc-Grodzicki, B.; Shahrokni, A.
Article Title: The association between Memorial Sloan Kettering Frailty Index with 30-day survival among patients aged ≥ 75 with cancer and COVID-19
Abstract: Background: Advanced age and multiple comorbidities have been established as a risk factor for more severe disease and increased mortality among patients with COVID-19, yet the impact of frailty in patients with cancer 75 years and older who are admitted, remains unclear. Methods: To better understand the clinical presentation and course of illness for this population, we conducted a chart review of patients with cancer age 75 and older who were admitted to a comprehensive cancer center within 72 h of a confirmed COVID-19 diagnosis over a three-month period (March 1, 2020-May 31, 2020). Frequency and proportion of characteristics were reported. We additionally assessed the association between frailty and 30-day mortality using univariable logistic regression. Results: Our cohort consisted of 70 patients. We found evidence that increased frailty based on MSK-FI was associated with increased risk of 30-day mortality (OR 1.37, 95% CI 1.00, 1.87; p-value = 0.051), though this did not meet conventional levels of significance. Conclusion: Our analysis showed evidence of some association between degree of frailty and 30-day survival among older patients with cancer aged ≥75 who were admitted with COVID-19 infection. This finding illustrates the importance of frailty screening in the care management of older patients with cancer and COVID-19. © 2022 Elsevier Ltd
Keywords: aging; frailty; cancer; covid-19
Journal Title: Journal of Geriatric Oncology
Volume: 13
Issue: 4
ISSN: 1879-4068
Publisher: Elsevier Inc.  
Date Published: 2022-05-01
Start Page: 416
End Page: 419
Language: English
DOI: 10.1016/j.jgo.2021.12.014
PUBMED: 34955444
PROVIDER: scopus
PMCID: PMC8687748
DOI/URL:
Notes: Article -- Export Date: 1 June 2022 -- Source: Scopus
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MSK Authors
  1. Armin Shahrokni
    132 Shahrokni
  2. Amy Lam Ling Tin
    114 Tin
  3. Soo Jung   Kim
    28 Kim
  4. Kristen L Fessele
    29 Fessele
  5. Charlotte Malling
    11 Malling