Evidence map›Paper›PMID 34585597›Full record

ArticleJournal of the American Heart Association2021

Identification of Frailty Using a Claims-Based Frailty Index in the CoreValve Studies: Findings from the EXTEND-FRAILTY Study.

Jordan B Strom, Jiaman Xu, Ariela R Orkaby, Changyu Shen, Brian R Charest, Dae H Kim, David J Cohen, Daniel B Kramer, John A Spertus, Robert E Gerszten and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.0field-weighted citation impact, top 27% 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

9 citing papers in PubMed, 12 citations in OpenAlex.

  1. Trial
  2. Article
  3. What Do We Know About Prevention of Frailty in Women?American journal of lifestyle medicine · 2025
    Review
  4. Article
  5. Progression of Frailty and Cardiovascular Outcomes Among Medicare Beneficiaries.medRxiv : the preprint server for health sciences · 2024
    Article
  6. Osteoporosis Medications Prevent Subsequent Fracture in Frail Older Adults.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2022
    Article
  7. Article
  8. Article
  9. 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

11 authors at 4 institutions in 1 country.

Jordan B StromDepartment of Medicine Cardiovascular Division Beth Israel Deaconess Medical Center Boston MA.ORCID 0000-0002-6592-6141
Jiaman XuRichard A. and Susan F. Smith Center for Outcomes Research in Cardiology Beth Israel Deaconess Medical Center Boston MA.
Ariela R OrkabyHarvard Medical School Boston MA.
Changyu ShenRichard A. and Susan F. Smith Center for Outcomes Research in Cardiology Beth Israel Deaconess Medical Center Boston MA.
Brian R CharestHarvard Medical School Boston MA.
Dae H KimHarvard Medical School Boston MA.
David J CohenCardiovascular Research Foundation New York NY.ORCID 0000-0001-9163-724X
Daniel B KramerDepartment of Medicine Cardiovascular Division Beth Israel Deaconess Medical Center Boston MA.ORCID 0000-0003-4241-3586
John A SpertusSection of Cardiovascular Disease University of Missouri-Kansas City School of Medicine Kansas City MO.ORCID 0000-0002-2839-2611
Robert E GersztenDepartment of Medicine Cardiovascular Division Beth Israel Deaconess Medical Center Boston MA.ORCID 0000-0002-6767-7687
Robert W YehDepartment of Medicine Cardiovascular Division Beth Israel Deaconess Medical Center Boston MA.ORCID 0000-0002-0564-4468
Beth Israel Deaconess Medical Center · USHarvard University · USCardiovascular Research Foundation · USUniversity of Missouri–Kansas City · US

Funding

Use of Registries, Claims and Health System Data to Enhance the Evaluation of Cardiovascular Therapies in Clinical TrialsR01HL136708 · NHLBI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI Issa J. Dahabreh, Robert Yeh · 2017 to 2026
$6.9M
Chronic Renal Insufficiency and Silent Progression of Aortic Stenosis (CRISP-AS)R01HL169517 · NHLBI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI Jordan Blair Strom · 2023 to 2026
$3.1M
Identification of the Components of Frailty Using Administrative Data and Metabolite ProfilingK23HL144907 · NHLBI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI STROM, JORDAN BLAIR · 2019 to 2023
$1.0M
Using Claims-Based Signatures of Frailty to Support Individualized Treatment of Aortic Valve Stenosis and Coronary Artery DiseaseK24HL150321 · NHLBI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI Robert Yeh · 2020 to 2026
$862k
NHLBI NIH HHS K23 HL144907NHLBI NIH HHS K24 HL150321NHLBI NIH HHS R01 HL136708NHLBI NIH HHS R01 HL169517
6 · The paper itself

Abstract

Background In aortic valve disease, the relationship between claims-based frailty indices (CFIs) and validated measures of frailty constructed from in-person assessments is unclear but may be relevant for retrospective ascertainment of frailty status when otherwise unmeasured. Methods and Results We linked adults aged ≥65 years in the US CoreValve Studies (linkage rate, 67%; mean age, 82.7±6.2 years, 43.1% women), to Medicare inpatient claims, 2011 to 2015. The Johns Hopkins CFI, validated on the basis of the Fried index, was generated for each study participant, and the association between CFI tertile and trial outcomes was evaluated as part of the EXTEND-FRAILTY substudy. Among 2357 participants (64.9% frail), higher CFI tertile was associated with greater impairments in nutrition, disability, cognition, and self-rated health. The primary outcome of all-cause mortality at 1 year occurred in 19.3%, 23.1%, and 31.3% of those in tertiles 1 to 3, respectively (tertile 2 versus 1: hazard ratio, 1.22; 95% CI, 0.98-1.51;

Indexed as

Aortic Valve DiseaseAortic Valve StenosisFrailtyAgedAged, 80 and overFemaleFrail ElderlyHumansMaleMedicareRetrospective StudiesRisk FactorsTreatment OutcomeUnited Statesaortic valve diseaseclaimsfrailtySAVRTAVR

Identifiers

PMID34585597
PMCPMC8649149
OpenAlexW3203146646

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.