ArticleBMJ open2023
Association between frailty, chronic conditions and socioeconomic status in community-dwelling older adults attending primary care: a cross-sectional study using practice-based research network data.
Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.
- Interplay between frailty and cardiometabolic disorders: from pathophysiology to clinical implications.Cardiovascular diabetology · 2025Pooled it
- Using the Short Physical Performance Battery for Frailty Screenings Among Community-Dwelling Older Adults: An ROC Analysis.Journal of gerontology and geriatrics · 2026Article
- Care and Health Needs of Older Patients with Frailty in General Practice.Healthcare (Basel, Switzerland) · 2026Article
- Perianesthesia Nurses' Perspectives Managing Frailty: A Qualitative Study.Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses · 2026Article
- Associations Between Longitudinal Changes in Frailty and Incident Arthritis: A Multi-Cohort Study.Risk management and healthcare policy · 2026Article
- Practical judgment in aging: examining behavioral vulnerabilities and neurobiological correlates.Frontiers in psychology · 2026Article
- Frailty and multimorbidity among adults aged 40-69 years in Montenegro: a cross-sectional pilot study.BMJ open · 2025Article
- Exploring the impact of case mix factors on length of stay to a Complex Discharge Unit across three phases: pre-COVID-19 (2019), during COVID-19 (2021) and late-stage COVID-19 (2023) pandemic.Irish journal of medical science · 2025Article
- Life-course socio-economic factors associated with frailty in later life.The Journal of frailty & aging · 2025Article
- Development and testing of an electronic frailty index using Canadian electronic medical record data in primary care.BMC primary care · 2025Article
- National Norms for Hospital Frailty Risk Score Among Hospitalized Adults in the USA.Journal of general internal medicine · 2025Article
- Home-Based Virtual Reality Training for Enhanced Balance, Strength, and Mobility Among Older Adults With Frailty: Systematic Review and Meta-Analysis.JMIR serious games · 2025Review
- Association between frailty and quality of life, and the moderating effect of mobile, broadcast and digital media in sub-Saharan Africa: evidence from Kenya.BMC geriatrics · 2025Article
- Rehabilitation for Physical Frailty in Lung Transplant Candidates: A Systematic Review.Cardiopulmonary physical therapy journal · 2025Article
- Frailty in older adults admitted to hospital: outcomes from the Western Sydney Clinical Frailty Registry.BMC geriatrics · 2025Observational
- Building Research Infrastructure to Address Psychosocial Frailty and Reach Underserved Aging Populations.Journal of psychosocial nursing and mental health services · 2025Article
- Characteristics of Italian, German and Spanish Socio-Economic, Public Health and Long-Term Care Systems Associated with COVID-19 Incidence and Mortality in the First Pandemic Year: Lessons for Future Sustainability in an International Perspective.Healthcare (Basel, Switzerland) · 2024Article
- Utilizing the determinants of healthy aging to guide the choice of social prescriptions for older adults.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2024Article
- Article
- Care Fragmentation, Social Determinants of Health, and Postoperative Mortality in Older Veterans.The Journal of surgical research · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesFrailty is a multidimensional syndrome of loss of reserves in energy, physical ability, cognition and general health. Primary care is key in preventing and managing frailty, mindful of the social dimensions that contribute to its risk, prognosis and appropriate patient support. We studied associations between frailty levels and both chronic conditions and socioeconomic status (SES).
designCross-sectional cohort study
settingA practice-based research network (PBRN) in Ontario, Canada, providing primary care to 38 000 patients. The PBRN hosts a regularly updated database containing deidentified, longitudinal, primary care practice data.
participantsPatients aged 65 years or older, with a recent encounter, rostered to family physicians at the PBRN.
interventionPhysicians assigned a frailty score to patients using the 9-point Clinical Frailty Scale. We linked frailty scores to chronic conditions and neighbourhood-level SES to examine associations between these three domains.
resultsAmong 2043 patients assessed, the prevalence of low (scoring 1-3), medium (scoring 4-6) and high (scoring 7-9) frailty was 55.8%, 40.3%, and 3.8%, respectively. The prevalence of five or more chronic diseases was 11% among low-frailty, 26% among medium-frailty and 44% among high-frailty groups (χ
conclusionThis study demonstrates the triple disadvantage of frailty, disease burden and socioeconomic disadvantage. Frailty care needs a health equity approach: we demonstrate the utility and feasibility of collecting patient-level data within primary care. Such data can relate social risk factors, frailty and chronic disease towards flagging patients with the greatest need and creating targeted interventions.
Indexed as
Identifiers
What OpenQuestion holds
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.