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Analysis of institutional authors

Menéndez-Colino RAuthorAlarcón Alarcón TAuthorDíez Sebastián J.AuthorGonzález-Montalvo J.i.Author

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March 28, 2022
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Prehabilitation and perioperative geriatric care in patients aged over 80 years with colorectal cancer: Results of a cross-speciality geriatrics program

Publicated to: Journal of Geriatric Oncology. 13 (6): 813-820 - 2022-07-11 13(6), DOI: 10.1016/j.jgo.2022.03.002

Authors:

Ramirez-Martin, Raquel; Perez-Rodriguez, Patricia; Menendez-Colino, Rocio; Maestre, Isabel Martin; Martinez, Jose Antonio Gazo; Martin, Jose Luis Marijuan; Alarcon, Teresa Alarcon; Sebastian, Jesus Diez; Gonzalez-Montalvo, Juan Ignacio
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Affiliations

Hosp Univ la Paz, Dept Gen & Digest Surg, Paseo Castellana 261, Madrid 28046, Spain - Author
Hosp Univ La Paz, Dept Geriatr Med, Paseo Castellana 261, Madrid 28046, Spain - Author
Hosp Univ Puerta Hierro, Dept Geriatr Med, Calle Joaquin Rodrigo 1, Majadahonda 28222, Madrid, Spain - Author
Hospital Universitario La Paz - Author
Hospital Universitario La Paz , Universidad Autónoma de Madrid - Author
Hospital Universitario Puerta de Hierro Majadahonda - Author
Paz Univ Hosp Res IdiPAZ, Paseo Castellana 261, Madrid 28046, Spain - Author
Paz Univ Hosp, Clin Epidemiol Sect, Madrid, Spain - Author
Univ Auton Madrid, Dept Med, Arzobiso Morcillo 4, Madrid 28029, Spain - Author
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Abstract

Objectives: To describe a perioperative cross-speciality geriatrics program for patients aged >80 years with colorectal cancer (CRC), aimed to detect and manage frailty and to understand its influence on clinical outcomes. Materials and methods: Patients aged >80 years with CRC and proposed for surgery were included from October 2018 to March 2020. Comprehensive geriatric assessments (CGA) were performed. Patients were classified according to the estimated physiological reserve, from fit, frail patients and even the disabled: CGA-1, CGA-2, CGA-3, and CGA-4. Individualised treatment was adapted to each patient's situation. Patients who underwent surgery were followed up by a geriatrician. The presence of complications, length of stay, hospital readmissions at 30 days, and short- and long-term mortality were recorded. Results: Seventy-four patients were included. The mean age was 84.5 ± 4.5 years. 55.4% patients were classified as CGA-1, 24.3% as CGA-2, 16.2% as CGA-3, and 4.1% as CGA-4. No CGA-4 patient was operated on. Frail (CGA-2 and CGA-3) patients had higher medical complications (50% vs 21.2%, p < 0.05) and delirium (30% vs 9.1%, p < 0.05) than fit patients (CGA-1). They also had higher rates of surgical complications (20% vs 15.2%), longer hospital stay (10 ± 6.2 vs 8.4 ± 4.2 days), 30-day readmissions (15% vs 6.3%), and mortality at six (10% vs 3%) and twelve months (20% vs 6.1%), although it was not statistically significant. Conclusion: CGA and prehabilitation can classify patients according to their frailty status, support clinicians in decision-making to achieve tailored treatment, and detect clinical conditions for intervention in multiple domains of health in the perioperative period.
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Keywords

colorectal cancercomprehensive geriatric assessmentfrailtygeriatric careolder peopleoncogeriatricperioperativeAgedAged, 80 and overColorectal cancerColorectal neoplasmsComprehensive geriatric assessmentFrailtyGeriatric assessmentGeriatric careHumansOlder peopleOncogeriatricPerioperativePerioperative carePrehabilitationPreoperative exercise

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Journal of Geriatric Oncology due to its progression and the good impact it has achieved in recent years, according to the agency Scopus (SJR), it has become a reference in its field. In the year of publication of the work, 2022, it was in position , thus managing to position itself as a Q2 (Segundo Cuartil), in the category Geriatrics and Gerontology. Notably, the journal is positioned en el Cuartil Q3 for the agency WoS (JCR) in the category Geriatrics & Gerontology.

Independientemente del impacto esperado determinado por el canal de difusión, es importante destacar el impacto real observado de la propia aportación.

Según las diferentes agencias de indexación, el número de citas acumuladas por esta publicación hasta la fecha 2026-04-04:

  • WoS: 5
  • Scopus: 7
  • Europe PMC: 5
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Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2026-04-04:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 53.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 53 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 28.
  • The number of mentions on the social network X (formerly Twitter): 44 (Altmetric).
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Leadership analysis of institutional authors

There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: Last Author (GONZALEZ MONTALVO, JUAN IGNACIO).

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