News summary

External Validation and Cross-Center Transportability of Phenotypic Age Acceleration and Laboratory Frailty for Postoperative Mortality Prediction: A Dual-Center Cohort Study

Source: Frontiers - Health • Published: 08 Oct 2026, 00:00

Summarized by Masters of Longevity from Frontiers - Health.

Evaluates how two lab-derived aging metrics predict postoperative mortality across hospitals and whether they add predictive value to clinical models.

External Validation and Cross-Center Transportability of Phenotypic Age Acceleration and Laboratory Frailty for Postoperative Mortality Prediction: A Dual-Center Cohort Study
Key Takeaways
  • Each 1-SD increase in phenotypic age acceleration was associated with higher 540-day mortality (HR 1.34; 95% CI 1.03–1.75).
  • The laboratory frailty index showed a borderline 540-day mortality association (HR 1.28; 95% CI 1.00–1.65) and predicted a 12-month death-or-incident-disease composite (RR 1.36; 95% CI 1.08–1.71).
  • Adding phenotypic age acceleration and FI-Lab to a clinical model changed AUC modestly from 0.60 to 0.63 in external validation without consistent decision-curve net-benefit gains.
Read the full article at Frontiers - Health ↗

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