Function-related indicators

Function-related indicators has been studied in 2 papers since 2016: 2 observational studies in people. The newest paper, Aug 12, 2016: “Patient function, long-term survival, and use of surgery in patients with kidney cancer”.

Exposure

2 papers study it5 findingsUpdated

See all 2 papers on function-related indicators

At a glance

The findings reach people, from one lab or study. 2 independent labs in 1 country.

“Each additional FRI reduced the likelihood of receiving all three medication classes by 5% (adjusted odds ratio = 0.95, 95% confidence interval (CI) = 0.94-0.96)”
Association Between Preadmission Functional Status and Use and Effectiveness of Secondary Prevention Medications in Elderly Survivors of Acute Myocardial InfarctionJournal of the American Geriatrics Society2016doi:10.1111/jgs.13953

None of its findings points the other way.

Humans: a single group. Cells, worms or flies and mice: nothing yet.
  • 2 independent labs in 1 country
  • Funders: American Cancer Society and 4 more
  • 2 of 5 findings with company ties
  • Humans2

What did studies of function-related indicators find?

3

Studies of function-related indicators measured 3 outcomes: cancer-directed surgery, kidney cancer mortality and use of all three secondary prevention medication classes.

Cancer-directed surgery

downin humans1OR 0.61

1 study
  1. Function-related indicators are linked with lower cancer-directed surgery in humans (2 or more function-related indicators versus none) (OR 0.61 (95% CI 0.56-0.66)).

    “Patients with ≥ 2 indicators received cancer-directed surgery less often than those without disability (odds ratio, 0.61; 95% CI, 0.56-0.66)”

    Humans2 or more function-related indicators versus none

    Patient function, long-term survival, and use of surgery in patients with kidney cancer

    Cancer

More on Cancer-directed surgery

Kidney cancer mortality

no changein humans1

1 study
  1. Function-related indicators were not clearly linked with kidney cancer mortality in humans (adjusted for patient and cancer characteristics).

    “kidney cancer mortality varied minimally with patient function”

    Humansadjusted for patient and cancer characteristics

    Patient function, long-term survival, and use of surgery in patients with kidney cancer

    Cancer

Use of all three secondary prevention medication classes

downin humans1

1 study
  1. Function-related indicators are linked with lower use of all three secondary prevention medication classes in humans (per additional function-related indicator) (aOR 0.95 (95% CI 0.94-0.96) per additional FRI).

    “Each additional FRI reduced the likelihood of receiving all three medication classes by 5% (adjusted odds ratio = 0.95, 95% confidence interval (CI) = 0.94-0.96)”

    Humansper additional function-related indicatorn = 184,156

    Association Between Preadmission Functional Status and Use and Effectiveness of Secondary Prevention Medications in Elderly Survivors of Acute Myocardial Infarction

    Journal of the American Geriatrics Society

What is function-related indicators linked with?

2

Studies link function-related indicators with 2 measures: other-cause mortality and 12-month mortality.

Other-cause mortality

upin humans1HR 1.1

1 study
  1. Function-related indicators are linked with a higher risk of other-cause mortality in humans (adjusted for patient and cancer characteristics; indicator count compared with 0) (HR 1.10 (95% CI 1.04-1.16) for 1 indicator; HR 1.46 (95% CI 1.39-1.53) for 2 or more indicators).

    “were found to have higher other-cause mortality”

    Humansadjusted for patient and cancer characteristics; indicator count compared with 0

    Patient function, long-term survival, and use of surgery in patients with kidney cancer

    Cancer

12-month mortality

upin humans1

1 study
  1. Function-related indicators are linked with a higher risk of 12-month mortality in humans (per additional function-related indicator) (aHR 1.20 (95% CI 1.19-1.21) per additional FRI).

    “and increased 12-month mortality by 20% (adjusted hazard ratio (aHR) = 1.20, 95% CI = 1.19-1.21)”

    Humansper additional function-related indicator12 monthsn = 184,156

    Association Between Preadmission Functional Status and Use and Effectiveness of Secondary Prevention Medications in Elderly Survivors of Acute Myocardial Infarction

    Journal of the American Geriatrics Society

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