Evidence map›Paper›PMID 31045254›Full record

ArticleJournal of the American Geriatrics Society2019

Moving Frailty Toward Clinical Practice: NIA Intramural Frailty Science Symposium Summary.

Jeremy Walston, Karen Bandeen-Roche, Brian Buta, Howard Bergman, Thomas M Gill, John E Morley, Linda P Fried, Thomas N Robinson, Jonathan Afilalo, Anne B Newman and 6 more

Open access · greenAbstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 110 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
110citing papers in PubMed, 8 pooled it
13.7field-weighted citation impact, top 1% of its field
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

110 citing papers in PubMed, 8 syntheses or guidelines pooled it, 178 citations in OpenAlex.

  1. Pooled it
  2. Frailty Screening Using the Risk Analysis Index: A User Guide.Joint Commission journal on quality and patient safety · 2025
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
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  8. Pooled it
  9. Trial
  10. Lack of Immune Resilience Negatively Affects Physical Resilience: Results From the InCHIANTI Follow-Up Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024
    Trial
  11. Association Between Long-Term Aspirin Use and Frailty in Men: The Physicians' Health Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2021
    Trial
  12. Trial
  13. Article
  14. Predictive value of the risk analysis index for 30-day mortality following surgical management of thoracolumbar vertebral body fractures.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Article
  15. Leveraging mitochondrial stress to improve healthy aging.Sports medicine and health science · 2026
    Review
  16. Article
  17. Article
  18. Observational
  19. Article
  20. Article

50 more citing papers are in PubMed but not listed here.

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

16 authors at 10 institutions in 3 countries.

Jeremy WalstonDivision of Geriatric Medicine and Gerontology, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Karen Bandeen-RocheDepartment of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
Brian ButaDivision of Geriatric Medicine and Gerontology, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Howard BergmanDepartment of Family Medicine, McGill University, Montreal, Quebec, Canada.
Thomas M GillDepartment of Geriatric Medicine, Yale University, New Haven, Connecticut.ORCID 0000-0002-6450-0368
John E MorleyDivision of Geriatrics, St. Louis University, St. Louis, Missouri.
Linda P FriedMailman School of Public Health Columbia University, New York, New York.
Thomas N RobinsonRocky Mountain VA Medical Center, Aurora, Colorado.
Jonathan AfilaloDepartment of Medicine, McGill University, Montreal, Quebec, Canada.
Anne B NewmanDepartment of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania.
Carlos López-OtínBiochemistry and Molecular Biology at the University of Oviedo, Oviedo, Spain.
Rafa De CaboNational Institute of Health, Baltimore, Maryland.
Olga TheouDepartment of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.ORCID 0000-0001-6460-782X
Stephanie StudenskiNational Institute of Health, Baltimore, Maryland.
Harvey J CohenCenter for the Study of Aging and Human Development, Duke University, Durham, North Carolina.
Luigi FerrucciNational Institute of Health, Baltimore, Maryland.
Johns Hopkins University · USNational Institute on Aging · USMcGill University · CAColumbia University · USDalhousie University · CADuke University · USSaint Louis University · USUniversidad de Oviedo · ESUniversity of Pittsburgh · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Yale Study Support Suite (YES3): Dashboard and Web Portal Software Supporting Research Workflow through integrated, customizable REDCap External ModulesP30AG021342 · NIA · YALE UNIVERSITY · PI Albert C Shaw · 2002 to 2026
$37.9M
Technological Assessment and Solutions Core - RC4P30AG021334 · NIA · JOHNS HOPKINS UNIVERSITY · PI Jeremy D Walston · 2003 to 2026
$33.2M
VARIABILITY, STABILITY & SMOOTHNESS OF WALKINGP30AG024827 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Caterina Rosano · 2004 to 2026
$28.6M
ACADEMIC LEADERSHIP AWARD IN DISABILITY AND DISABLING DISORDERSK07AG043587 · NIA · YALE UNIVERSITY · PI GILL, THOMAS MICHAEL · 2013 to 2017
$645k
Intramural NIH HHS Z99 AG999999Johns Hopkins University Older American Independence Center P30AG021334NCATS NIH HHS UL1 TR001863NIA Academic Leadership Award K07AG043587NIA NIH HHS K07 AG043587NIA NIH HHS P30 AG021334NIA NIH HHS P30 AG021342NIA NIH HHS P30 AG024827Yale Older Americans Independence Center NIA P30AG21342
6 · The paper itself

Abstract

Frailty has long been an important concept in the practice of geriatric medicine and in gerontological research, but integration and implementation of frailty concepts into clinical practice in the United States has been slow. The National Institute on Aging (NIA) Intramural Research Program and the Johns Hopkins Older Americans Independence Center sponsored a symposium to identify potential barriers that impede the movement of frailty into clinical practice and to highlight opportunities to facilitate the further integration of frailty into clinical practice. Primary and subspecialty care providers, and investigators working to integrate and translate new biological aging knowledge into more specific preventive and treatment strategies for frailty provided the meeting content. Recommendations included a call for more specific language that clarifies conceptual differences between frailty definitions and measurement tools; the development of randomized controlled trials to test whether specific intervention strategies for a variety of conditions differently affect frail and non-frail individuals; development of implementation studies and therapeutic trials aimed at tailoring care as a function of pragmatic frailty markers; the use of deep learning and dynamic systems approaches to improve the translatability of findings from epidemiological studies; and the incorporation of advances in aging biology, especially focused on mitochondria, stem cells, and senescent cells, toward the further development of biologically targeted intervention and prevention strategies that can be used to treat or prevent frailty. J Am Geriatr Soc 67:1559-1564, 2019.

Indexed as

Frail ElderlyFrailtyAgedAged, 80 and overCongresses as TopicFemaleGeriatricsHumansMaleNational Institute on Aging (U.S.)Primary Health CareTranslational Research, BiomedicalUnited Statesclinical practicefrailtygeroscience

Identifiers

PMID31045254
PMCPMC6830521
OpenAlexW2943513392

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.