Evidence map›Paper›PMID 32921828›Full record

ArticleReumatologia2020

Modified frailty index as a predictor of the long-term functional result in patients undergoing primary total hip arthroplasty.

Łukasz Pulik, Kaja Jaśkiewicz, Sylwia Sarzyńska, Paweł Małdyk, Paweł Łęgosz

Open access · diamondAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Reumatologia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
3.7field-weighted citation impact, top 6% 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Multi-dimensional frailty and Oral Health-Related Quality-of-Life in older adults: a cross-sectional study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Observational
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Sarcopenia Best Predicts Complications in Free Flap Breast Reconstruction.Plastic and reconstructive surgery. Global open · 2023
    Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Patient Frailty and Functional Use of Hemodialysis Vascular Access: A Retrospective Study of the US Renal Data System.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2022
    Observational
  18. Review
  19. Article
  20. Review
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

5 authors at 1 institution in 1 country.

Łukasz PulikDepartment of Orthopedics and Traumatology, Medical University of Warsaw, Poland.
Kaja JaśkiewiczDepartment of Internal Medicine, Pneumology and Allergology, Medical University of Warsaw, Poland.
Sylwia SarzyńskaDepartment of Orthopedics and Traumatology, Medical University of Warsaw, Poland.
Paweł MałdykDepartment of Orthopedics and Traumatology, Medical University of Warsaw, Poland.
Paweł ŁęgoszDepartment of Orthopedics and Traumatology, Medical University of Warsaw, Poland.
Medical University of Warsaw · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTotal hip arthroplasty (THA) is a well-approved method for the treatment of end-stage osteoarthritis (OA). Due to rising life expectancy, elderly patients burdened with multimorbidity are subjected to THA. Some of these patients present significant depletion of physiological reserves, which is described as the frailty syndrome. This study aims to assess the influence of frailty on the THA outcomes in OA patients. MATERIAL AND

methodsA single-center observational study was conducted to investigate the effect of frailty measured by the modified frailty index-5 (mFI-5) and modified frailty index-11 (mFI-11) on the long-term post-THA outcomes. The analysis included 597 initially screened patients subjected to unilateral, primary THA due to hip OA. The outcomes were assessed during a follow-up visit 3 years after THA. The primary outcome measures were patient-reported (the Western Ontario and McMaster Universities Osteoarthritis Index - WOMAC) and physician-reported scales (the Harris Hip Score - HHS). The secondary outcome measures were the length of hospital stay (LOS), pain complaints, complications, and satisfaction. A correlation analysis was performed (Spearman's R).

resultsThree hundred sixty-five patients met the eligibility criteria, including 57.26% women (

conclusionsThe modified frailty index-5 (mFI-5) and modified frailty index-11 (mFI-11) are useful tools to identify patients subjected to THA at a high risk of poor functioning after the procedure. They can be used in preoperative counseling before obtaining informed consent to support surgical decision-making. To our knowledge, this is the first study investigating the impact of the mFI on long-term postoperative functional results in OA treated with THA.

Indexed as

comorbidityosteoarthritisquality of lifetreatment outcome

Identifiers

PMID32921828
PMCPMC7477476
OpenAlexW3086626538

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.