Evidence map›Paper›PMID 36597036›Full record

ArticleBMC geriatrics2023

Effects of frailty, geriatric syndromes, and comorbidity on mortality and quality of life in older adults with HIV.

Fátima Brañas, Miguel Torralba, Antonio Antela, Jorge Vergas, Margarita Ramírez, Pablo Ryan, Fernando Dronda, María José Galindo, Isabel Machuca, María Jesús Bustinduy and 4 more

Registry-linked trialOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in BMC geriatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03558438 (Spanish Cohort of Patients with HIV Infection Older Than 50 Years for the Study of Fragility and Physical Function), which is not on this map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
11.5field-weighted citation impact, top 1% 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.

NCT03558438 active not recruitingnot on this map

Spanish Cohort of Patients with HIV Infection Older Than 50 Years for the Study of Fragility and Physical Function

TypeobservationalSponsorFundacion SEIMC-GESIDARan2018 to 2025Enrolled802ConditionsHIV Infections, Frail Older AdultsArmsNo interventions
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 34 citations in OpenAlex.

  1. HIV update for the non-HIV specialist and general physician.Clinical medicine (London, England) · 2026
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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

14 authors at 11 institutions in 1 country.

Fátima Brañas *Geriatrics Department, Hospital Universitario Infanta Leonor, Fundación para la Investigación e Innovación Biomédica H.U Infanta Leonor y H.U. Sureste. Universidad Complutense, Madrid, Spain. fbranas@gmail.com.
Miguel TorralbaInternal Medicine Department, Hospital Universitario de Guadalajara. Universidad de Alcalá, Guadalajara, Spain.
Antonio AntelaInfectious Diseases Unit, Hospital Clínico Universitario de Santiago de Compostela, Universidad de Santiago de Compostela, Madrid, Spain.
Jorge VergasInternal Medicine/ Infectious Diseases Department, Hospital Universitario Clínico San Carlos, Madrid, Spain.
Margarita RamírezInfectious Diseases Unit, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Pablo RyanHIV Clinic. Hospital Universitario Infanta Leonor, Fundación para la Investigación e Innovación Biomédica H.U Infanta Leonor y H.U. Sureste. Universidad Complutense. CIBERINFEC, Madrid, Spain.
Fernando DrondaInfectious Diseases Department, Hospital Universitario Ramón y Cajal. IRYCIS. CIBERINFEC, Madrid, Spain.
María José GalindoInternal Medicine/ Infectious Diseases Department, Hospital Universitario Clínico de Valencia, Valencia, Spain.
Isabel MachucaInfectious Diseases Department, Hospital Universitario Reina Sofía, Córdoba, Spain.
María Jesús BustinduyInfectious Diseases Department, Hospital de Donostia, San Sebastián, Spain.
Alfonso CabelloInfectious Diseases Department, Fundación Jiménez Díaz, Madrid, Spain.
María Luisa MontesHIV Unit/Internal Medicine Department, Hospital Universitario La Paz. IdiPAZ, Madrid, Spain.
Matilde Sánchez-Conde *Infectious Diseases Department, Hospital Universitario Ramón y Cajal. IRYCIS. CIBERINFEC, Madrid, Spain.
FUNCFRAIL study group
Hospital Universitario Infanta Leonor · ESInstituto Ramón y Cajal de Investigación Sanitaria · ESBiogipuzkoa Health Research Institute · ESHospital Clínico San Carlos · ESHospital Clínico Universitario de Valencia · ESHospital General Universitario Gregorio Marañón · ESHospital Universitario de Guadalajara · ESHospital Universitario Fundación Jiménez Díaz · ESHospital Universitario La Paz · ESHospital Universitario Reina Sofía · ESUniversidade de Santiago de Compostela · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo understand the effects of frailty, geriatric syndromes, and comorbidity on quality of life and mortality in older adults with HIV (OAWH).

methodsCross-sectional study of the FUNCFRAIL multicenter cohort. The setting was outpatient HIV-Clinic. OAWH, 50 year or over were included. We recorded sociodemographic data, HIV infection-related data, comorbidity, frailty, geriatric syndromes (depression, cognitive impairment, falls and malnutrition), quality of life (QOL) and the estimated risk of all-cause 5-year mortality by VACS Index. Association of frailty with geriatric syndromes and comorbidity was evaluated using the Cochran-Mantel-Haenszel test.

resultsSeven hundred ninety six patients were included. 24.7% were women, mean age was 58.2 (6.3). 14.7% were 65 or over. 517 (65%) patients had ≥3 comorbidities, ≥ 1 geriatric syndrome and/or frailty. There were significant differences in the estimated risk of mortality [(frailty 10.8%) vs. (≥ 3 comorbidities 8.2%) vs. (≥ 1 geriatric syndrome 8.2%) vs. (nothing 6.2%); p = 0.01] and in the prevalence of fair or poor QOL [(frailty 71.7%) vs. (≥ 3 comorbidities 52%) vs. (≥ 1 geriatric syndrome 58.4%) vs. (nothing 51%); p = 0.01]. Cognitive impairment was significantly associated to mortality (8.7% vs. 6.2%; p = 0.02) and depression to poor QOL [76.5% vs. 50%; p = 0.01].

conclusionsFrailty, geriatric syndromes, and comorbidity had negative effects on mortality and QOL, but frailty had the greatest negative effect out of the three factors. Our results should be a wake-up call to standardize the screening for frailty and geriatric syndromes in OAWH in the clinical practice.

trial registrationNCT03558438.

Indexed as

FrailtyHIV InfectionsAgedComorbidityCross-Sectional StudiesFemaleFrail ElderlyGeriatric AssessmentHIVHumansMaleQuality of LifeSyndromeFrailtyGeriatric syndromesHIVMortalityQuality of life

Identifiers

PMID36597036
PMCPMC9809005
OpenAlexW4313522040

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.