Evidence map›Paper›PMID 31804552›Full record

Observational studyScientific reports2019

Inter-relationships between Gender, Frailty and 10-Year Survival in Older Italian Adults: an observational longitudinal study.

Graziamaria Corbi, Francesco Cacciatore, Klara Komici, Giuseppe Rengo, Dino Franco Vitale, Giuseppe Furgi, Gennaro Pagano, Leonardo Bencivenga, Sergio Davinelli, Nicola Ferrara

Abstract readObservational Study
In one paragraph

Observational study in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing 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

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

  1. Pooled it
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  6. Observational
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  14. Comprehensive, continuous, and compulsory monitoring of frailty in elderly.Journal of family medicine and primary care · 2023
    Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Sex Differences in the Relation Between Frailty and Endothelial Dysfunction in Old Mice.The journals of gerontology. Series A, Biological sciences and medical sciences · 2022
    Article
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

10 authors.

Graziamaria CorbiDept of Medicine and Health Sciences, University of Molise, and Italian Society of Gerontology and Geriatrics (SIGG), Campobasso, Italy. graziamaria.corbi@unimol.it.ORCID http://orcid.org/0000-0002-3441-889X
Francesco CacciatoreDept of Translational Medical Sciences, Federico II University of Naples, Naples, Italy.
Klara KomiciDept of Medicine and Health Sciences, University of Molise, and Italian Society of Gerontology and Geriatrics (SIGG), Campobasso, Italy.
Giuseppe RengoDept of Translational Medical Sciences, Federico II University of Naples, Naples, Italy.
Dino Franco VitaleCasa di Cura San Michele, Maddaloni, (CE), Italy.ORCID http://orcid.org/0000-0003-2754-3438
Giuseppe FurgiIstituti Clinici Scientifici Maugeri SpA Società Benefit" (ICS Maugeri SpA SB), Telese Terme, (BN), Italy.
Gennaro PaganoDept of Basic & Clinical Neuroscience Institute of Psychiatry, Psychology & Neuroscience (IoPPN) King's College, London, UK.
Leonardo BencivengaDept of Translational Medical Sciences, Federico II University of Naples, Naples, Italy.ORCID http://orcid.org/0000-0002-9575-8337
Sergio DavinelliDept of Medicine and Health Sciences, University of Molise, and Italian Society of Gerontology and Geriatrics (SIGG), Campobasso, Italy.
Nicola FerraraDept of Translational Medical Sciences, Federico II University of Naples, Naples, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim of the present study was to assess the impact of gender on the relationship between long-term mortality and clinical frailty. In an observational, longitudinal study on 10-year mortality, we examined 1284 subjects. The Frailty Staging System was used to assess frailty. The Cox model was employed to assess variables independently associated with survival using a backward stepwise algorithm. To investigate the possible interactions between gender and the selected variables, an extension of the multivariable fractional polynomial algorithm was adopted. Women were more likely to be older, have a higher disability, present with more comorbidities, consume more drugs, be frail and have a higher rate of survival at the follow-up than were men. At the Cox multivariate analysis only age (HR 2.26), female gender (HR 0.43), and number of drugs (HR 1.57) were significant and independent factors associated with all-cause mortality. In the survival analyses, only frailty (vs no frailty) showed significant interaction with gender (p < 0.001, HR = 1.92). While the presence of frailty reduced the survival rate in women, no effect was observed in men. Importantly, frail women showed higher survival rates than did both frail and no frail men. The main finding of the present study is that gender shapes up the association between frailty and long-term survival rates.

Indexed as

Frail ElderlyAgedAged, 80 and overFemaleFrailtyGeriatric AssessmentHumansItalyLongitudinal StudiesMalePersons with DisabilitiesRisk FactorsSex FactorsSurvival Rate

Identifiers

PMID31804552
PMCPMC6895198

What OpenQuestion holds

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LicenceCC BY
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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.