Evidence map›Paper›PMID 36550400›Full record

SynthesisBMC gastroenterology2022

Prevalence of frailty among patients with inflammatory bowel disease and its association with clinical outcomes: a systematic review and meta-analysis.

Xiangting Huang, Mengmeng Xiao, Benyue Jiang, Xiuzheng Wang, Xiaoyu Tang, Xiao Xu, Ying Chen, Shixuan Wang, Songbo Yan, Siyi Wang and 2 more

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC gastroenterology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. A Comprehensive Review of Geriatric Syndromes and Assessment in Older Adults With Inflammatory Bowel Diseases.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2025
    Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Review
  12. Article
  13. Sarcopenia and frailty in inflammatory bowel disease: Emerging concepts and evidence.JGH open : an open access journal of gastroenterology and hepatology · 2024
    Review
  14. 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

12 authors.

Xiangting Huang *Department of Medicine, Jinggangshan University, Ji'an, Jiangxi Province, China.
Mengmeng Xiao *Department of Medicine, Jinggangshan University, Ji'an, Jiangxi Province, China.
Benyue JiangDepartment of Medicine, Jinggangshan University, Ji'an, Jiangxi Province, China.
Xiuzheng WangDepartment of Medicine, Jinggangshan University, Ji'an, Jiangxi Province, China.
Xiaoyu TangDepartment of Medicine, Jinggangshan University, Ji'an, Jiangxi Province, China.
Xiao XuDepartment of Medicine, Jinggangshan University, Ji'an, Jiangxi Province, China.
Ying ChenDepartment of Medicine, Jinggangshan University, Ji'an, Jiangxi Province, China.
Shixuan WangDepartment of Philosophy, University of Jena, Jena, Germany.
Songbo YanDepartment of Medicine, Jinggangshan University, Ji'an, Jiangxi Province, China.
Siyi WangDepartment of Medicine, Jinggangshan University, Ji'an, Jiangxi Province, China.
Jiang WangDepartment of Medicine, Jinggangshan University, Ji'an, Jiangxi Province, China.
Pinglan ZhangDepartment of Medicine, Jinggangshan University, Ji'an, Jiangxi Province, China. 9919860007@jgsu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStudies have reported frailty as an independent risk factor of mortality in patients with inflammatory bowel disease (IBD). However, no systematic review and meta-analysis has been conducted to determine the relationship of frailty and IBD. We aimed to investigate the prevalence of frailty in patients with IBD and the impact of frailty on the clinical prognosis of these patients.

methodsWe systematically searched PubMed, Ovid (Medline), Embase, Web of Science, and Cochrane Library from database inception until October 2022. This systematic review included observational studies describing IBD and frailty. We performed meta-analysis for the frailty prevalence in patients with IBD. We analyzed primary outcomes (mortality) and secondary outcomes (infections, hospitalizations, readmission, and IBD-related surgery).

resultsNine studies with a total of 1,495,695 participants were included in our meta-analysis. The prevalence of frailty was 18% in patients with IBD. The combined effect analysis showed that frail patients with IBD had a higher risk of mortality (adjusted hazard ratio = 2.25, 95% confidence interval: 1.11-4.55) than non-frail patients with IBD. The hazard ratio for infections (HR = 1.23, 0.94-1.60), hospitalizations (HR = 1.72, 0.88-3.36), readmission (HR = 1.21, 1.17-1.25) and IBD-related surgery (HR = 0.78, 0.66-0.91) in frail patients with IBD.

conclusionsWe demonstrated that frailty is a significant independent predictor of mortality in patients with IBD. Our work supports the importance of implementing frailty screening upon admission in patients with IBD. More prospective studies are needed to investigate the influence of frailty on patients with IBD and improve the poor prognosis of patients with frailty and IBD.

Indexed as

FrailtyInflammatory Bowel DiseasesAgedFrail ElderlyHumansPrevalenceRisk FactorsFrailtyInflammatory bowel diseaseMeta-analysis

Identifiers

PMID36550400
PMCPMC9773593

What OpenQuestion holds

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LicenceCC BY
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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.