Evidence map›Paper›PMID 34989169›Full record

ArticleACR open rheumatology2022

Prevalence of Frailty in Ankylosing Spondylitis, Psoriatic Arthritis, and Rheumatoid Arthritis: Data from a National Claims Dataset.

Sarah B Lieber, Iris Navarro-Millán, Mangala Rajan, Jeffrey R Curtis, Sebastian E Sattui, Geyanne Lui, Sergio Schwartzman, Lisa A Mandl

Open access · goldAbstract read
In one paragraph

Article in ACR open rheumatology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.1field-weighted citation impact, top 15% 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

10 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Performance-Based and Self-Reported Frailty in Older Adults with or Without Fibromyalgia.European journal of investigation in health, psychology and education · 2026
    Article
  3. Review
  4. Article
  5. Observational
  6. Article
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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

8 authors at 5 institutions in 1 country.

Sarah B LieberHospital for Special Surgery, New York, New York.ORCID https://orcid.org/0000-0002-6176-9740
Iris Navarro-MillánHospital for Special Surgery, New York, New York.ORCID https://orcid.org/0000-0002-9540-6614
Mangala RajanWeill Cornell Medicine, New York, New York.
Jeffrey R CurtisUniversity of Alabama at Birmingham, Birmingham, Alabama.ORCID https://orcid.org/0000-0002-8907-8976
Sebastian E SattuiUniversity of Pittsburgh, Pittsburgh, Pennsylvania.ORCID https://orcid.org/0000-0002-3945-6828
Geyanne LuiNew York Institute of Technology College of Osteopathic Medicine, Old Westbury, New York.
Sergio SchwartzmanHospital for Special Surgery, New York, New York.
Lisa A MandlHospital for Special Surgery, New York, New York.ORCID https://orcid.org/0000-0001-6085-8664
Hospital for Special Surgery · USCornell University · USNew York Institute of Technology · USUniversity of Alabama at Birmingham · USUniversity of Pittsburgh · US

Funding

Methods and Health Informatics CoreP30AR072583 · NIAMS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Tapan S Mehta · 2020 to 2026
$5.7M
Optimization of hyperlipidemia management among patients with rheumatoid arthritis: A patient-centered intervention developmentK23AR068449 · NIAMS · WEILL MEDICAL COLL OF CORNELL UNIV · PI NAVARRO-MILLÁN, IRIS Y · 2017 to 2022
$1.0M
Hospital for Special Surgery Michael D. Lockshin Fellowship from the Barbara Volcker Center for Women and Rheumatic DiseasesNIAMS NIH HHS K23 AR068449NIAMS NIH HHS K23AR068449NIAMS NIH HHS P30 AR072583NIAMS NIH HHS P30AR072583Rheumatology Research Foundation Scientist Development AwardWeill Cornell Medical College Seed Grant for Innovative Primary Care
6 · The paper itself

Abstract

objectiveFrailty is associated with disability and mortality independent of age. Although studies have evaluated frailty in rheumatoid arthritis (RA), information on the prevalence of frailty in ankylosing spondylitis (AS) and psoriatic arthritis (PsA) is limited. We aimed to determine the prevalence of frailty in AS and PsA and to evaluate whether characteristics known to be associated with frailty, including anxiety, differ among these three types of inflammatory arthritis.

methodsWe performed a cross sectional study of Centers for Medicare & Medicaid Services (CMS) beneficiaries aged 65 years or older with AS, PsA, or RA enrolled in 2014. We operationalized frailty using a validated claims-based frailty index. We also explored the prevalence of frailty among CMS beneficiaries younger than age 65 years with work disability, a younger population that also may be at risk of frailty.

resultsThe prevalence of frailty in beneficiaries aged 65 years or older with AS and PsA was 45.2% and 46.7%, respectively, significantly lower than in RA (65.9%, P < 0.05). The prevalence of frailty in beneficiaries less than 65 years old was much lower overall, though still highest in RA; 11.7%, 4.4%, and 7.0% in RA, AS, and PsA, respectively (P < 0.05). Anxiety was significantly associated with frailty in subjects of all ages, particularly among those less than 65 years old (P < 0.05).

conclusionAlmost half of beneficiaries with AS or PsA aged 65 years old or older were frail, higher than in younger disabled beneficiaries. Further studies are needed to understand the risks of developing frailty in these diseases. Frailty was associated with anxiety, particularly in the younger age groups.

Identifiers

PMID34989169
PMCPMC8992466
OpenAlexW4205723564

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.