Evidence map›Paper›PMID 36653750›Full record

Trial reportBMC nephrology2023

Ultrasound quadriceps muscle thickness is variably associated with frailty in haemodialysis recipients.

Benjamin M Anderson, Daisy V Wilson, Muhammad Qasim, Gonzalo Correa, Felicity Evison, Suzy Gallier, Charles J Ferro, Thomas A Jackson, Adnan Sharif

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in BMC nephrology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03071107 (Frailty Intervention Trial in End-Stage Patients on Dialysis), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 9% 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.

NCT03071107 naunknown statusnot on this map

Frailty Intervention Trial in End-Stage Patients on Dialysis: A Feasibility Study

TypeinterventionalSponsorAdnan SharifRan2017 to 2025Enrolled50ConditionsHemodialysis Complication, Nutritional Deficiency, Physical ActivityArmsMulti-disciplinary intervention
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
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 at 2 institutions in 2 countries.

Benjamin M AndersonDepartment of Nephrology and Transplantation, Queen Elizabeth Hospital, Birmingham, B15 2WB, UK.
Daisy V WilsonInstitute of Inflammation and Ageing, University of Birmingham, Birmingham, UK.
Muhammad QasimDepartment of Nephrology and Transplantation, Queen Elizabeth Hospital, Birmingham, B15 2WB, UK.
Gonzalo CorreaHospital del Salvador, Santiago, Chile.
Felicity EvisonDepartment of Health Informatics, Queen Elizabeth Hospital, Birmingham, UK.
Suzy GallierDepartment of Health Informatics, Queen Elizabeth Hospital, Birmingham, UK.
Charles J FerroDepartment of Nephrology and Transplantation, Queen Elizabeth Hospital, Birmingham, B15 2WB, UK.
Thomas A JacksonInstitute of Inflammation and Ageing, University of Birmingham, Birmingham, UK.
Adnan SharifDepartment of Nephrology and Transplantation, Queen Elizabeth Hospital, Birmingham, B15 2WB, UK. adnan.sharif@uhb.nhs.uk.ORCID 0000-0002-7586-9136
Queen Elizabeth Hospital Birmingham · GBHospital del Salvador · CL

Funding

Queen Elizabeth Hospital Birmingham Charity 17-3-886
6 · The paper itself

Abstract

backgroundUltrasonographic quantitation of quadriceps muscle mass is increasingly used for assessment of sarcopenia, but its relationship with frailty in haemodialysis recipients is not known. This study explores the relationship between ultrasound-derived bilateral anterior thigh thickness (BATT), sarcopenia, and frailty by common frailty tools (Frailty Phenotype [FP], Frailty Index [FI], Edmonton Frailty [EFS], and Clinical Frailty Scale [CFS]).

methodsThis was an exploratory analysis of a subgroup of adult prevalent (≥3 months) haemodialysis recipients deeply phenotyped for frailty. Ultrasound assessment of BATT was obtained with participants at an angle of ≤45°, with legs outstretched and knees resting at 10°-20°, according to an established protocol. Associations with frailty were explored via both linear and logistic regressions for BATT, Low Muscle Mass (LMM), and sarcopenia with stepwise adjustment for a priori covariables.

resultsIn total 223 study participants had ultrasound measurements. Frailty ranged from 34% for FP to 58% for FI. BATT was associated with increasing frailty on simple linear regression by all frailty tools, but lost significance on addition of covariables. Upon dichotomising frailty tools into Frail/Not Frail, BATT was associated with frailty by all tools on univariable analyses, but only retained association for EFS on the fully adjusted model (OR 0.97, 95% C.I. 0.94-1.00, P = 0.05).

conclusionsUltrasound measures of quadriceps thickness is variably associated with frailty in prevalent haemodialysis recipients, dependent upon the frailty tool used, but not independent of other variables. Further work is required to establish the added value of sarcopenia measurement in frail haemodialysis patients.

trial registrationClinicaltrials.gov : NCT03071107 registered 06/03/2017.

Indexed as

FrailtySarcopeniaAgedFrail ElderlyGeriatric AssessmentHumansQuadriceps MuscleRenal DialysisEpidemiologyFrailtySarcopeniaUltrasound

Identifiers

PMID36653750
PMCPMC9847024
OpenAlexW4317209796

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.