Evidence map›Paper›PMID 31003486›Full record

ArticleJournal of clinical medicine2019

Impact of Sarcopenia and Frailty in a Multicenter Cohort of Polypathological Patients.

Máximo Bernabeu-Wittel, Álvaro González-Molina, Rocío Fernández-Ojeda, Jesús Díez-Manglano, Fernando Salgado, María Soto-Martín, Marta Muniesa, Manuel Ollero-Baturone, Juan Gómez-Salgado

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  6. Correspondence: Methodological considerations in evaluating sarcopenia and frailty in elderly gastrointestinal cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Máximo Bernabeu-WittelInternal Medicine Departments, Hospital Universitario Virgen del Rocío, 41013 Sevilla, Spain. wittel@cica.es.
Álvaro González-MolinaInternal Medicine Departments, Hospital Universitario Virgen del Rocío, 41013 Sevilla, Spain. aglezmolina@gmail.com.
Rocío Fernández-OjedaHospital San Juan de Dios del Aljarafe, 41930 Sevilla, Spain. MariaRocio.Fernandez@sjd.es.
Jesús Díez-ManglanoHospital Royo Villanova, 50015 Zaragoza, Spain. jdiez@aragon.es.
Fernando SalgadoHospital Regional, 29010 Málaga, Spain. fersalord@gmail.com.
María Soto-MartínHospital Juan Ramón Jiménez, 21005 Huelva, Spain. msoto@hotmail.com.
Marta MuniesaHospital San Juan de Dios de Pamplona, 31006 Pamplona, Spain. mmuniesa@ohsjd.es.
Manuel Ollero-BaturoneInternal Medicine Departments, Hospital Universitario Virgen del Rocío, 41013 Sevilla, Spain. m.ollero@telefonica.net.
Juan Gómez-SalgadoDepartment of Sociology, Social Work and Public Health, Universidad de Huelva, 21071 Huelva, Spain. jgsalgad@gmail.com.ORCID 0000-0001-9053-7730

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The prevalence, relationships and outcomes of sarcopenia and frailty in polypathological patients remain unknown. We performed a multicenter prospective observational study in six hospitals in order to assess prevalence, clinical features, outcome and associated risk factors of sarcopenia and frailty in a hospital-based population of polypathological patients. The cohort was recruited by performing prevalence surveys every 14 days during the inclusion period (March 2012-June 2016). Sarcopenia was assessed by means of EWGSOP criteria and frailty by means of Fried's criteria. Skeletal muscle mass was measured by tetrapolar bioimpedanciometry. All patients were followed for 12 months. Factors associated with sarcopenia, frailty and mortality were analyzed by multivariate logistic regression, and Kaplan-Meier curves. A total of 444 patients (77.3 ± 8.4 years, 55% males) were included. Sarcopenia was present in 97 patients (21.8%), this being moderate in 54 (12.2%), and severe in 43 (9.6%); frailty was present in 278 patients (62.6%), and 140 (31.6%) were pre-frail; combined sarcopenia and frailty were present in the same patient in 80 (18%) patients. Factors independently associated to the presence of both, sarcopenia and frailty were female gender, older age, different chronic conditions, poor functional status, low body mass index, asthenia and depressive disorders, and low leucocytes and lymphocytes count. Mortality in the 12-months follow-up period was 40%. Patients with sarcopenia, frailty or both survived significantly less than those without these conditions. Sarcopenia and frailty are frequent and interrelated conditions in polypathological patients, shadowing their survival. Their early recognition and management could improve health-related outcomes in this population.

Indexed as

frailtymultimorbiditypolypathological patientssarcopenia

Identifiers

PMID31003486
PMCPMC6517963

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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.