Evidence map›Paper›PMID 32178338›Full record

ArticleGeriatrics (Basel, Switzerland)2020

Frailty Confers High Mortality Risk across Different Populations: Evidence from an Overview of Systematic Reviews and Meta-Analyses.

Richard Ofori-Asenso, Ken Lee Chin, Berhe W Sahle, Mohsen Mazidi, Andrew R Zullo, Danny Liew

Abstract read
In one paragraph

Article in Geriatrics (Basel, Switzerland), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

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

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Identifying and Managing Frailty: A Survey of UK Healthcare Professionals.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2024
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Frailty Status and Polypharmacy Predict All-Cause Mortality in Community Dwelling Older Adults in Europe.International journal of environmental research and public health · 2021
    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

6 authors.

Richard Ofori-AsensoDepartment of Epidemiology and Preventive Medicine, Monash University, Melbourne, VIC 3181, Australia.ORCID 0000-0002-6643-3269
Ken Lee ChinDepartment of Epidemiology and Preventive Medicine, Monash University, Melbourne, VIC 3181, Australia.
Berhe W SahleMelbourne School of Population and Global Health, University of Melbourne, Parkville, VIC 3053, Australia.ORCID 0000-0003-3243-9176
Mohsen MazidiTwin Research and Genetic Epidemiology, Kings College London, London SE1 7EH, UK.
Andrew R ZulloDepartment of Health Services, Policy, and Practice, Brown University School of Public Health, Providence, Rhode Island, RI 02912, USA.
Danny LiewDepartment of Epidemiology and Preventive Medicine, Monash University, Melbourne, VIC 3181, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We performed an overview of systematic reviews and meta-analyses to summarize available data regarding the association between frailty and all-cause mortality. Medline, Embase, CINAHL, Web of Science, PsycINFO, and AMED (Allied and Complementary Medicine) databases were searched until February 2020 for meta-analyses examining the association between frailty and all-cause mortality. The AMSTAR2 checklist was used to evaluate methodological quality. Frailty exposure and the risk of all-cause mortality (hazard ratio [HR] or relative risk [RR]) were displayed in forest plots. We included 25 meta-analyses that pooled data from between 3 and 20 studies. The number of participants included in these meta-analyses ranged between <2000 and >500,000. Overall, 56%, 32%, and 12% of studies were rated as of moderate, low, and critically low quality, respectively. Frailty was associated with increased risk of all-cause mortality in 24/24 studies where the HR/RRs ranged from 1.35 [95% confidence interval (CI) 1.05-1.74] (patients with diabetes) to 7.95 [95% CI 4.88-12.96] (hospitalized patients). The median HR/RR across different meta-analyses was 1.98 (interquartile range 1.65-2.67). Pre-frailty was associated with a significantly increased risk of all-cause mortality in 7/7 studies with the HR/RR ranging from 1.09 to 3.65 (median 1.51, IQR 1.38-1.73). These data suggest that interventions to prevent frailty and pre-frailty are needed.

Indexed as

evidence synthesisfrailtymeta-analysesmortalityumbrella review

Identifiers

PMID32178338
PMCPMC7151473

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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.