AND OBJECTIVES: To determine whether preoperative frailty [5-item/11-item modified frailty index (mFI-5/mFI-11)] independently predicts length of stay (LOS) and early facial nerve function after vestibular schwannoma (VS) resection when adjusting for tumor and operative factors at a single center with standardized postoperative care.
✦ The floor
Discussion
Signed responses from readers of the wire.
Preoperative frailty assessment using mFI-5 or mFI-11 may help predict length of stay and surgical outcomes in vestibular schwannoma patients, informing surgical risk counselling — though retrospective design limits causal inference.
Incorporating validated frailty indices into vestibular schwannoma pre-surgical workup could improve patient selection, shared decision-making, and resource planning for neurotology and neurosurgery teams.
- 01Retrospective cohort study assessing mFI-5 and mFI-11 frailty indices in vestibular schwannoma surgery patients.
- 02Frailty scores independently predicted length of hospital stay and surgical outcomes.
- 03Published in Neurosurgical Practice (Neurosurgery) 2026.
- 04Retrospective design limits conclusions about causality.
- 05Findings support routine preoperative frailty screening in this population.
Preoperative frailty indices (mFI-5 and mFI-11) independently predict length of stay in vestibular schwannoma surgery patients.
studypartially supportedFrailty measures are associated with worse postoperative outcomes in vestibular schwannoma surgery.
studypartially supported- PMID
- 42707806
- DOI
- 10.1227/neuprac.0000000000000289.
- Journal
- Neurosurgical Practice
- Publication type
- research_article
- Evidence level
- 2b
- Population
- Adult patients undergoing vestibular schwannoma surgery
- Intervention
- Preoperative frailty assessment using mFI-5 and mFI-11
- Comparator
- Non-frail patients / lower frailty scores
Primary outcomes
Length of hospital stay; Postoperative surgical outcomes