Evidence map›Paper›PMID 32993531›Full record

ArticleBMC geriatrics2020

Frailty phenotype and multi-domain impairments in older patients with chronic kidney disease.

Simone Vettoretti, Lara Caldiroli, Giulia Porata, Carlotta Vezza, Matteo Cesari, Piergiorgio Messa

Open access · goldAbstract read
In one paragraph

Article in BMC geriatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
2.8field-weighted citation impact, top 9% 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

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

  1. Association Between Frailty and Cognitive Impairment in Chronic Kidney Disease: A Systematic Review and Meta-Analysis.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2026
    Pooled it
  2. Pooled it
  3. Article
  4. Frailty phenotype in adults with sickle cell disease.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026
    Article
  5. Article
  6. Article
  7. Frailty in Kidney Disease: A Comprehensive Review to Advance Its Clinical and Research Applications.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2025
    Review
  8. Observational
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Frailty, Health Literacy, and Self-Care in Patients with Chronic Kidney Disease in Taiwan.International journal of environmental research and public health · 2022
    Article
  17. Article
  18. Observational
  19. 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 at 2 institutions in 1 country.

Simone VettorettiUnit of Nephrology, Dialysis and Kidney Transplantation Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico di Milano, Via della Commenda 15, 20122, Milan, Italy. simone.vettoretti@policlinico.mi.it.ORCID 0000-0002-1040-4952
Lara CaldiroliUnit of Nephrology, Dialysis and Kidney Transplantation Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico di Milano, Via della Commenda 15, 20122, Milan, Italy.
Giulia PorataUnit of Nephrology, Dialysis and Kidney Transplantation Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico di Milano, Via della Commenda 15, 20122, Milan, Italy.
Carlotta VezzaDepartment of Clinical Sciences and Community Health, Università degli Studi di Milano, Milan, Italy.
Matteo CesariDepartment of Clinical Sciences and Community Health, Università degli Studi di Milano, Milan, Italy.
Piergiorgio MessaUnit of Nephrology, Dialysis and Kidney Transplantation Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico di Milano, Via della Commenda 15, 20122, Milan, Italy.
University of Milan · ITFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOlder subjects with chronic kidney disease (CKD) are often affected by multiple geriatric impairments that may benefit from a comprehensive geriatric assessment (CGA). However, ordinary execution of CGA in all these individuals would be unaffordable. We evaluated if Frailty Phenotype (FP) could identify older CKD-patients that may benefit the most from a CGA.

methodsWe evaluated 112 CKD patients not yet on dialysis (age ≥ 65 years, eGFR < 45 ml/min). FP was defined according to the criteria proposed by Fried and co-authors. CGA evaluated four domains (nutrition, physical performance, cognition and depression). Malnutrition was defined in accordance to Malnutrition-Inflammation Score (MIS) and/or by the presence of Protein Energy Wasting syndrome (PEW). Physical performance was evaluated using Short Physical Performance Battery (SPPB) and handgrip strength. Cognitive status was assessed by using Mini Mental State Examination (MMSE) and Clock Drawing Test. Mood was investigated with Geriatric Depression Scale (GDS).

resultsAverage age of our cohort was 80 ± 6 years and mean eGFR 24 ± 11 ml/min/1.73 m

conclusionsFP is a reliable screening tool to identify older CKD-patients that may benefit from a CGA.

Indexed as

FrailtyRenal Insufficiency, ChronicAgedAged, 80 and overFrail ElderlyGeriatric AssessmentHand StrengthHumansPhenotypeChronic kidney diseaseComprehensive geriatric assessmentFrailty phenotypeMalnutritionPhysical performance

Identifiers

PMID32993531
PMCPMC7523369
OpenAlexW3091069284

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.