Evidence map›Paper›PMID 23395245›Full record

ReviewLancet (London, England)2013

Frailty in elderly people.

Andrew Clegg, John Young, Steve Iliffe, Marcel Olde Rikkert, Kenneth Rockwood

Erratum issued 22 registry-linked trialsAbstract readReview
In one paragraph

Review in Lancet (London, England), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 22 registered trials, which are not on this map. Cited by 4,542 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4,542citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02753582 phase4unknown statusnot on this mapstarted 2016, after this paper: background citation

The Effect of Superoxide Dismutase (SOD) Enzyme on Frailty and Health Related Quality of Life Among Indonesian Pre-frail Elderly: A Double Blind Randomized Controlled Trial

TypeinterventionalSponsorIndonesia UniversityRan2016 to 2017Enrolled150ConditionsPre-frail ElderlyArmsSOD+Gliadin Capsule, Placebo
NCT02918682 naunknown statusnot on this mapstarted 2019, after this paper: background citation

The Effects of a Multi-component Intervention on the Functional Capacity, Upper and Lower-body Muscle Strength, Balance and Gait in Frail Community-dwelling Older People: a Randomized Clinical Trial

TypeinterventionalSponsorUniversity of Sao PauloRan2019 to 2022Enrolled30ConditionsFrail Elderly, Exercise Therapy, Physical Therapy TechniquesArmsExercise - FIRST PHASE, Exercise - SECOND PHASE, Exercise - FOURTH PHASE, Exercise - THIRD PHASE
NCT02923843 nacompletednot on this mapstarted 2016, after this paper: background citation

Are Care Given by a Geriatric Hospital-Based Out Patient-Care Team Better Than Usual Care? - a Randomised Controlled Trial (The GerOP-Ca-trial)

TypeinterventionalSponsorRegion SkaneRan2016 to 2020Enrolled450ConditionsElderly, FrailArmsComprehensive Geriatric Assessment
NCT03390478 nacompletednot on this mapstarted 2018, after this paper: background citation

MIND&GAIT - Promoting Independent Living in Frail Older Adults by Improving Cognition and Gait Ability and Using Assistive Products

TypeinterventionalSponsorEscola Superior de Enfermagem de CoimbraRan2018 to 2018Enrolled62ConditionsFrailty, Cognition, Mild Cognitive ImpairmentArmsCombined Intervention Group
NCT03394534 nacompletednot on this mapstarted 2019, after this paper: background citation

'Comprehensive Geriatric Assessment' for Older Adults With Frailty Within Primary Care Setting: A Randomised Feasibility Trial

TypeinterventionalSponsorUniversity of DerbyRan2019 to 2021Enrolled72ConditionsFrailtyArmsCGA group
NCT03514537 nasuspendednot on this mapstarted 2018, after this paper: background citation

Use of Autologous Stem/Stromal Cellular Stromal Vascular Fraction (cSVF) In Cases Of Frailty and Aging Processes Using Autologous Stem-Stromal Cell Infusion in Patients With Aging Frailty And Wellness

TypeinterventionalSponsorHealeon Medical IncRan2018 to 2028Enrolled200ConditionsFrail Elderly Syndrome, Aging, Degenerative DiseaseArmsMicrocannula harvest adipose stromal tissues, Centricyte 1000, Sterile Normal Saline IV Deployment of cSVF, Liberase, Saline Solution
NCT03789305 completednot on this mapstarted 2017, after this paper: background citation

Differences in Frail and Non-frail Critically-ill Patients in Functional Outcomes

TypeobservationalSponsorTechnical University of MunichRan2017 to 2018Enrolled731ConditionsCritical Care, Rehabilitation, Outcome Assessment, Critical Illness
NCT03794674 completednot on this mapstarted 2018, after this paper: background citation

Validation of a Record-based Frailty Assessment According to the Multidimensional Prognostic Index

Typeobservational_patient_registrySponsorUniversity of AarhusRan2018 to 2019Enrolled92ConditionsFrail Elderly SyndromeArmsNo intervention.
NCT03913299 active not recruitingnot on this mapstarted 2019, after this paper: background citation

Frailty Assessment by Edmonton Frail Scale to Predict Outcome in Patients Undergoing Cardiovascular Surgery "Frail Heart" Study.

Typeobservational_patient_registrySponsorCliniques universitaires Saint-Luc- Université Catholique de LouvainRan2019 to 2026Enrolled2,080ConditionsFrail Elderly Syndrome, Frailty, Surgery
NCT04056871 completednot on this mapstarted 2019, after this paper: background citation

Comparing the Association of Different Frailty Scores to the Incidence of Post-operative Delirium and Cognitive Dysfunction

TypeobservationalSponsorUniversity of MalayaRan2019 to 2020Enrolled400ConditionsFrail Elderly Syndrome, Postoperative Delirium, Postoperative Cognitive DysfunctionArmsFrailty Screening Tools
NCT04412265 completednot on this mapstarted 2020, after this paper: background citation

Relationship Between Frailty and Clinical Outcomes in Elderly Patients With COVID-19

TypeobservationalSponsorUniversity of Milano BicoccaRan2020 to 2021Enrolled1,344ConditionsCovid19ArmsRelation between frailty and clinical outcomes in elderly patients with COVID-19.
NCT04770350 early_phase1unknown statusnot on this mapstarted 2023, after this paper: background citation

Open Label Study for the Use of Transcranial Ultrasound for Treatment of Age-Related Frailty

TypeinterventionalSponsorNeurological Associates of West Los AngelesRan2023 to 2024Enrolled50ConditionsFrailty, AgingArmsFocused Ultrasound
NCT04783662 completednot on this mapstarted 2021, after this paper: background citation

Study of an Intraoperative Frontal Electroencephalographic Marker of Preoperative Frailty in Patients Over 65 Years of Age for Elective Non-cardiac Surgery.

TypeobservationalSponsorPontificia Universidad Catolica de ChileRan2021 to 2022Enrolled60ConditionsFrailtyArmsIntraoperative frontal electroencephalogram
NCT04789694 phase3recruitingnot on this mapstarted 2021, after this paper: background citation

Prehabilitation in Patients With Gynaecological Cancer Planned for Postponed Surgical Management: A Prospective Randomised Trial.

TypeinterventionalSponsorCharles University, Czech RepublicRan2021 to 2026Enrolled64ConditionsOvarian Cancer, Ovarian Cancer Stage III, Ovarian Cancer Stage IV, Endometrial CancerArmsPhysiological intervention, Psychological intervention, Nutritional intervention
NCT04856683 unknown statusnot on this mapstarted 2020, after this paper: background citation

PRecisiOn MEdicine to Target Frailty of Endocrine-metabolic Origin

TypeobservationalSponsorUniversity of Roma La SapienzaRan2020 to 2024Enrolled1,100ConditionsFrailty
NCT05252182 completednot on this mapstarted 2022, after this paper: background citation

Comprehensive Geriatric Assessment in the Emergency Department: a Prospective Cohort Study of Clinical and Process Outcomes

TypeobservationalSponsorUniversity of LimerickRan2022 to 2023Enrolled133ConditionsFrailty
NCT05502445 nacompletednot on this mapstarted 2021, after this paper: background citation

Does the Nutritionist's Educational Intervention Influence Protein Intake in Hospitalized Elderly People?

TypeinterventionalSponsorHospital Israelita Albert EinsteinRan2021 to 2022Enrolled58ConditionsOld Age, Cachexia, Dietary Habits, SarcopeniaArmseducational intervention
NCT05922202 recruitingnot on this mapstarted 2024, after this paper: background citation

Influence of Frailty on Cardiovascular Events and Mortality in Patients With Chronic Obstructive Pulmonary Disease (COPD): A Multicentre Observational Study.

TypeobservationalSponsorAzienda Ospedaliero-Universitaria di ModenaRan2024 to 2026Enrolled300ConditionsRole of Frailty in COPDArmsAssessment of cardiovascular events, cardiovascular mortality, all-cause mortality, and mortality due to COPD at 12 and 24 months
NCT07429630 nacompletednot on this mapstarted 2023, after this paper: background citation

An Exploratory Analysis of a Frailty Management Program: Identifying Characteristics Associated With Improved Physical Performance Following a Combined Nutrition and Exercise Intervention in Hospitalized Frail Older Adults

TypeinterventionalSponsorZhejiang HospitalRan2023 to 2023Enrolled120ConditionsFrail Elderly People HospitalizedArmsCombined ONS and Resistance Training Program
NCT07440095 completednot on this mapstarted 2026, after this paper: background citation

Mortality Predictors After Major Abdominal Surgery in Patients Aged 80 and Over: The Role of Frailty and Physiological Reserve

TypeobservationalSponsorDr Abdurrahman Yurtaslan Ankara Oncology Training and Research HospitalRan2026 to 2026Enrolled100ConditionsFrailty, Postoperative Complications, Aged, 80 and Over, Abdomen CancerArmsMajor Abdominal Surgery and Frailty Assessment
NCT07572851 enrolling by invitationnot on this mapstarted 2026, after this paper: background citation

Observational Study of Functional Changes and Fall Risk in Older Adults Participating in a Multicomponent Frailty and Falls Prevention Program in Primary Care

TypeobservationalSponsorUniversity of VigoRan2026 to 2026Enrolled56ConditionsFrail Elderly, Fall RiskArmsMulticomponent Exercise Program- 1 times per week., Multicomponent Exercise Program- 2 times per week.
NCT07643064 narecruitingnot on this mapstarted 2026, after this paper: background citation

Clinical Efficacy of a Multicomponent Exercise and Comprehensive Geriatric Assessment Program (FRAIL+AP) in Frail Older Adults Within Primary Care: A Randomized Controlled Trial

TypeinterventionalSponsorAlberto Bermejo FrancoRan2026 to 2026Enrolled200ConditionsFrail ElderlyArmsFRAIL+AP Program, Usual Care
3 · Its place in the literature

Who cites it

4,542 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
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  19. Recognise, respond, reflect: A value-based framework for rapid response teams.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2026
    Article
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4,482 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

  • Erratum issued
5 · Who and what money

Authors and funding

5 authors.

Andrew CleggAcademic Unit of Elderly Care and Rehabilitation, University of Leeds, Leeds, UK. a.p.clegg@leeds.ac.uk
John Young
Steve Iliffe
Marcel Olde Rikkert
Kenneth Rockwood

Funding

The Dunhill Medical Trust RCP/DMT 2ND ROUND (2)
6 · The paper itself

Abstract

Frailty is the most problematic expression of population ageing. It is a state of vulnerability to poor resolution of homoeostasis after a stressor event and is a consequence of cumulative decline in many physiological systems during a lifetime. This cumulative decline depletes homoeostatic reserves until minor stressor events trigger disproportionate changes in health status. In landmark studies, investigators have developed valid models of frailty and these models have allowed epidemiological investigations that show the association between frailty and adverse health outcomes. We need to develop more efficient methods to detect frailty and measure its severity in routine clinical practice, especially methods that are useful for primary care. Such progress would greatly inform the appropriate selection of elderly people for invasive procedures or drug treatments and would be the basis for a shift in the care of frail elderly people towards more appropriate goal-directed care.

Indexed as

Frail ElderlyHealth Services for the AgedAgedAged, 80 and overAgingBrainEndocrine SystemFemaleGeriatric AssessmentHumansImmune SystemMaleModels, Biological

Identifiers

PMID23395245
PMCPMC4098658

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.