Evidence map›Paper›PMID 34977920›Full record

ArticleAge and ageing2022

The feasibility and acceptability of assessing and managing sarcopenia and frailty among older people with upper limb fracture.

Kinda Ibrahim, Mark A Mullee, Natalie Cox, Cynthia Russell, Mark Baxter, Simon Tilley, Guiqing Lily Yao, Shihua Zhu, Helen C Roberts

Abstract read
In one paragraph

Article in Age and ageing, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

9 authors.

Kinda IbrahimAcademic Geriatric Medicine and National Institute for Health Research Applied Research Collaboration (ARC) Wessex, University of Southampton, Southampton, UK.
Mark A MulleePrimary Care and Population Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.
Natalie CoxAcademic Geriatric Medicine and the NIHR BRC Southampton, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
Cynthia RussellPatient and Public Involvement, National Institute for Health Research Applied Research Collaboration (ARC) Wessex, University of Southampton, Southampton, UK.
Mark BaxterMedicine for Older People, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
Simon TilleyTrauma and Orthopaedics, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
Guiqing Lily YaoDepartment of Health Sciences, College of Life Sciences, University of Leicester University, UK.
Shihua ZhuPrimary Care and Population Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.
Helen C RobertsAcademic Geriatric Medicine, Faculty of Medicine and National Institute for Health Research Applied Research Collaboration Wessex, University of Southampton.

Funding

Department of Health PB-PG-0317-20043
6 · The paper itself

Abstract

backgroundsarcopenia and frailty are associated with increased risk of falls and fractures. This study evaluated the feasibility of assessing sarcopenia and frailty among older people attending fracture clinics.

methodspatients aged 65+ years with an arm fracture attending fracture clinics in one UK city were recruited. Sarcopenia was assessed using gait speed, grip strength, skeletal muscle mass index SMI, SARC-F questionnaire and the European Working Group on Sarcopenia in Older People (EWGSOP) I and II criteria. Frailty was assessed using Fried Frailty Phenotype (FFP), FRAIL scale, PRISMA-7, electronic Frailty Index (e-FI), Clinical Frailty Score (CFS) and Study of Osteoporotic Fracture. The sensitivity and specificity of each tool was calculated against the EWGSOP II criteria (sarcopenia) and FFP (frailty). Patients identified to have either condition were referred for Comprehensive Geriatric Assessment (CGA). Interviews with 13 patients and nine staff explored the acceptability of this process.

resultshundred patients (Mean age 75 years) were recruited. Most sarcopenia and frailty assessments were quick with complete data collection and were acceptable to patients and staff. Sarcopenia was identified among 4-39% participants depending on the tool and frailty among 9-25%. Both conditions were more common among men than women with all tools. The SARC-F and PRISMA-7 had the best sensitivity (100 and 93%, respectively) and specificity (96 and 87%). CGA among 80% of referred participants led to three interventions per participant (e.g. medication changes and investigations).

conclusionSARC-F and PRISMA-7 are recommended for use in fracture clinics to screen for sarcopenia and frailty.

Indexed as

FrailtySarcopeniaAgedCross-Sectional StudiesFeasibility StudiesFemaleGeriatric AssessmentHumansMaleUpper ExtremityComprehensive Geriatric Assessmentfeasibilityfragility fracturefrailtyolder peoplesarcopenia

Identifiers

PMID34977920
PMCPMC8753048

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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.